We have collaborated with Allm to create a custom FAST-ED scale in JoinTriage for West Virginia use by capturing tPA potential and functional status for better patient outcomes. The innovative mobile apps of JoinTriage and Join facilitate the total coordination, real-time communications, team collaboration, sharing information including medical imaging studies, accessing case list, protocol timestamping, telehealth, and seamless clinical research for a better state-wide system of care. We hope to continue to collaborate as these convenient and powerful tools are implemented throughout West Virginia.