While network resources may be robust and able to support multiple continuous remote monitoring encounters, they may rapidly diminish when supporting a real-time, high quality video teleconference to facilitate a procedure. Similarly, asynchronous modes of communication (texting, email) require little bandwidth making it possible for many local caregivers to consult remote experts simultaneously, but it will take longer to receive responses. Increasingly synchronous and higher quality modes of communication require increased amounts of bandwidth but deliver shorter latent periods and increased capabilities to support local caregiver needs. Increasing network resources increased capability or encounter volume or both.