Introduction
The Tele-consultation product of company Callhealth services pvt ltd is called CallHealth Integrated Healthcare Platform. The solution providers value convenience of the user the most. Their business model is B2B and B2C. They provide both mobile and web based applications for the doctors.
Size of Healthcare Provider
The categories of healthcare providers that this solution can cater to are:
a) Individual Clinician
b)Clinics
c)Nursing Home/Small Hospital (less than 100 beds)
d)Large Hospital
Level of Specialization supported by the solution
The solution lends itself to use in the following levels of clinical specialisations:
a)Primary Care
b)Secondary Care
Expert Panel Evaluation
The solution has an easy to use interface for doctors and has features to support clinical consultation workflows for doctors during teleconsultation. The validation of doctors can be done either with the help of a support team, oral confirmation by doctor, manual confirmation or mobile number/email ID.
In order to provide good consulting experience to patients, the doctor’s side of the platform (back end) has facilities to manage appointments and calendar scheduling. Platform has an admin role to support in managing consultation schedules. The platform also supports doctor performance in terms of time-efficiency by providing a user interface which requires minimum clicks and has easily navigable screens. The solution provides a very user friendly template, conferencing with the circle of care, multidisciplinary team discussion, real-time data sharing during call, whiteboard explanation during consultation. The application is easy to use for patients with good UI/UX.
Doctors can interact with patients in both asynchronous and synchronous manner. The solution provides multimode interaction, i.e., audio/video, text/SMS, chat, and email. Doctors could interact with patients using audio/video call while simultaneously taking notes i.e., noting down the clinical condition, preparing the prescription and entering data concurrently and making illustrations on the whiteboard which can be helpful for the patient to understand better. The platform allows doctors to take private notes. This solution supports basic clinical workflow in terms of writing subjective details and objective clinical diagnosis along with assessment and planning, including writing the treatment/medication and other investigations as and when required. Platform supports writing prescriptions with basic requirements mandated by TPG guidelines with e-signature. Prescription generated by platform includes details like registered medical practitioner’s name, qualification, registration number, address, contact details, date of consultation, demographics of the patient, vitals (height, weight, BP), chief complaints and history, examination/lab finding summary, provisional diagnosis, plan of care, investigations, drugs/medicines ordered (generic name, start date, frequency, strength, end date), speciality specific fields (customisation option), follow up date, doctor’s signature stamp. Doctors are supported with quick prescription writing by rule based access to frequently used (favorite) drugs. Platform enables doctors to record consultation and is claimed to be providing a secure interface.
Patient’s interface provides login for booking appointments and call center for booking. Patients can search doctors using keywords. A new patient has to generate Medical Record (MR) no. by call centre platform. Platform allows them to take appointments on behalf of family members/loved ones. Patient gets a link using which they can access their prescription and consultation notes after the consultation is over. Prescription is shared with the patient and uploaded in their account for future.
Patients have the facility to upload documents and enter vitals which doctors can access during consultation. Platform also has IoT integration for capturing data that patients can use to share for more authentic evaluation and monitoring. The platform design ensures that the patient has control over past records in terms of sharing data across providers.
It also facilitates features where doctors can share educational/promotional contents which includes patient education, sharing information with the patient while they are in the waiting room, sending customized information on conditions like diabetes etc. with patients. Overall in terms of features for patients this is a feature rich solution.
It is claimed that the solution has integration of ICD-10 for diagnosis and CPT for procedures. Integration of SNOMED CT and LOINC is in-progress. They are also in-progress in adopting EHRSI-2016 (ELECTRONIC HEALTH RECORD STANDARDS FOR INDIA, 2016) and TPG guidelines for standardization. Platform has an inbuilt capability to support drug databases. The product used in India (and some other countries) has capability to ensure data security regarding patient privacy and confidentiality.
Platform also has a terms of usage based (implicit) consent mechanism.
Additional Features
The solution also ensures following features:
a) CPT for procedures
b) Integration with device at home
c) Rule Based Suggestion
d) Personal Health Record (PHR)
e) Chatbot
f) Clinical Decision Support System (CDSS)
g) Voice Input Calling
h) Support private and confidential conversations between doctor-patients consulting on conditions like mental health
Solution Maturity Level
a) TPG compliant: 3a
b)Feature complexity: 5 [partial]