Introduction
The Tele-consultation product of company Tia Tech Healthcare Solutions Private Limited is called Tia-Tele. The value proposition that the solution providers consider as priority is improving clinical outcomes. Their business model is B2B along with the option of white labelling the product. They provide both mobile and web based applications for the doctors. They also provide mobile applications for patient and web based 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)
d. Large Hospital
Level of Specialization
The solution can be used in the following settings of specialisation of clinical services:
a. Primary
b. Secondary
c. Tertiary
Expert Panel Evaluation
The solution has an easy to use interface for doctors. Doctors can interact with patients in both asynchronous (e-mail, SMS) and synchronous manner and the platform supports multimode interaction i.e. audio, video, chat, and email. Doctors could interact with patients using audio/video call while simultaneously taking notes i.e. noting clinical condition, writing prescription and entering data concurrently. This solution supports 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. Features also include: prescription templates, chat based prescription, embedded signature on prescriptions, scan/image upload of prescription, speciality specific template (when proprietary EMR is integrated), automating prescription in image to PDF format. Doctors providing speciality specific consultation can customize the application dashboard and layout as per their requirements. Application supports referral within organization. Doctors are supported with quick prescription writing by rule based access to frequently used (favorite) drugs and investigations ordered. The solution also augments clinicians’ performance by providing an easily navigable screen.
Platform enables restrictions on prescribing some drugs as in schedule X drugs (when proprietary EMR is integrated). Alerts are shown to doctors. The solution has provision to exchange data using HL7/FHIR and it is claimed that the solution has integration with ICD-10 for diagnosis (when integrated with EMR). Platform has the capability to support the interface with drug databases from India and other countries. Audit trail is maintained. Device (IoT) integration is there through EMR (not directly interfaced with the telemedicine solution).
Platform has an admin role login to support in managing consultation schedules and provides facility to initiate refund to patients in case of appointment cancellation. Payment customization is there, for the first time and follow up both. Help desk/secretary login to manage appointments and help patients.
Patient side application has the ability to support individual login, booking appointments and keywords based search for doctors. It also allows them to take appointments on behalf of family members/loved ones, and have a family account. Patients can upload documents and enter vitals which the doctors can access. Platform does not allow patients to control data sharing, as all records are accessible within the organization. Patients also do not have control to share data across organizations. Patients are having features to rate and provide feedback about doctors. Doctors’ profiles are available to patients in multiple languages, but overall user interface and prescription translation is not there.
The application providers have mechanisms associated with the platform to validate registration details of doctors either with the help of support team, oral confirmation by doctor, manual (personal) confirmation of ID/credentials with support team or from state/ national registry of doctors or mobile number/e-mail ID. Platform also has a consent mechanism and providers can take consent from the patient for the use of their telemedicine platform. The solution allows for explicit consent for every doctor-patient interaction and they also provide the feature to upload consent. Platform ensures that the consent taking process also provides guidelines on tele consultation preparation to patients.
Additional Features
The solution also ensures following features:
a. Rule-Based Suggestions
b. Integration with EMR of hub Hospitals
c. Alerts for allergy
d. Family account
Solution Maturity Level
a. TPG compliant: 4 [Partial]
b. Feature complexity: 5 [Partial]