Introduction
The Tele-consultation product of company AMATRES Technologies Private Limited is called AMAHealth and it has been available since 2017. The solution providers value convenience of the user the most. Their business model is B2C. They provide both mobile and web-based applications for the doctors. They also provide mobile applications for patient portals.
Size of Healthcare Provider
The Solution is useful for the following categories of healthcare providers:
a. Individual Clinician
b. Clinics
c. Nursing Home/Small Hospital (less than 100 beds)
Level of Specialization
The solution can be used in the following settings of specialisation of clinical services:
a. Primary care
b. Secondary care
Expert Panel Evaluation
Mobile number of the doctor is verified during onboarding and onboarding happens only after details of doctor are verified and the doctor profile is associated with their healthcare organisation. This is a mandatory step for doctor’s onboarding. They have individual on boarding training support for the doctors. The email and video tutorial of steps are sent to the users.
The solution provides multimode synchronous interaction for both audio and video. Doctors could interact with patients using audio/video call while simultaneously taking notes i.e. noting clinical condition. This solution supports basic clinical workflow in terms of writing subjective details and objective clinical diagnosis along with assessment and planning, including writing treatment / medication and other investigations as and when required (popularly known as SOAP notes).
Consultation recording option is not available. Platform does not support the standards at relevant places as recommended by EHRSI-2016 and NDHB. No health data exchange standards supported. Platform is having in-built capability to support proprietary drug database interfaces. Individual patient records are shared with the consulting doctors only, and record sharing among doctors sharing of records is not facilitated (no cross-referral).
The patient side of the interface provides login for booking appointments. The patient can search for a doctor’s name and specialty wise doctors. Symptom based search was under development at the time of demo.
Role based login facility is there to manage appointments by support staff at organization level. Doctors can schedule appointments for patients, but to make the video call, a patient is required to give consent, before the doctor could make a video call (Implicit consent). In case of doctor initiated appointment, the patient has to agree for video consultation (considered as basic explicit consent).
In order to provide good consulting experience to patients, the doctor’s side of the interface has facilities to manage appointments, calendar scheduling and seamless appointments because of the waiting room facility. Appointment of doctors are viewable across organization and within organization but consultation is individual doctor to patient. Admin could add patients and create an account of patients. Token is allocated to patients and this can be used for scheduling appointments. Doctors could customise the slots allocation both in terms of time and in terms of token number. Appointment number (token number) getting serviced is shown on the screen of the patient and this helps in getting real time update of wait time.
In terms of compliance, the application provider has a mechanism associated with the platform to validate registration details of doctors by mapping them to the organization. Platform also has a consent mechanism and the provider can take explicit consent for each encounter or if and when the patient initiates the call, it implicit consent.
Solution Maturity Level
a. TPG compliant: 3b
b. Feature complexity: 3a