Piedmont Mountainside Hospital is an award-winning, 52-bed hospital located in the foothills of the North Georgia Mountains and is dedicated to delivering unsurpassed medical care to the residents of Pickens County and surrounding communities. Hospital administrators implemented at a new telenocturnist program―whereby a team of telehospitalists would be available from 7 p.m. to 7 a.m. to consult with onsite staff and provide care. Key outcomes from the telenocturnist program include ensuring better care outcomes, reducing unnecessary transfers, alleviating physician burnout, and elevating the patient experience.