A major problem Greenland's Health Ministry faced was how they could increase the access to care, improve quality while reducing the number of patient that were medevaced or transported to Denmark while still providing timely and expert medical care to the entire population of their island. Greenland looked to Alaska's telemedicine program as a template for answers to their healthcare challenges. Beginning in 2008, Greenland began the process of implementing a Telemedicine Encounter Management System (TEMS™) of its own. The key component of the TEMS™ system in Greenland is the AFHCAN tConsult software. The TEMS™system also consists of AMD's Integrated Telemedicine Cart

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