Introduction
The Tele-consultation product of company Conszap is called Conszap and it is available from 2019. The solution providers value cost reduction the most. Their business model is B2B and B2C both. They provide both mobile and web-based applications for the doctors. They also provide mobile applications for patients.
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
The solution lends itself to use in the following levels of clinical specialisations:
a)Primary care
Expert Panel Evaluation
Doctors are pre-verified at the time of onboarding. Doctors can video call with patients only in synchronous manner. Patients could not share images or documents while being on video call. Doctors could take notes i.e. noting clinical condition, writing prescription and entering data concurrently in the interfaced EMR. Template for note-taking to the doctor is only for general medicine and the platform does not have specialty-specific notes format. Prescriptions generated by the platform include details on the Registered medical Practitioner’s name and registration number but the doctor’s signature is not integrated. The doctor could have a predefined prescription (drugs and related notes) template which they could choose. Only one template could be loaded and combination of multiple templates is not possible. Secretary login i.e. role-based access is enabled. English and vernacular language (Tamil) is supported. Platform supports COVID 19 case specific data reporting for the patient side.
Video recordings of consultation are not supported. Application has no features for sharing case records (referral) by providers.
Patient side of the interface provides a doctor search facility. While booking appointments patients could enter details about lifestyle disease details like blood glucose, hypertension. Platform has a reminder facility for appointments. Platform has a linked payment gateway. Patients have the facility to add dependents (one login ID supports many users). Patients are dependent on the doctor to approve and join consultation, or cancel appointments. Patients cannot cancel booking on their own. Prescriptions are emailed to patients which they could download and share with the doctor, but the doctor on their own screen cannot see patients’ overall records.
The application does not support any EHR-SI 2016 standards for data content, exchange, and security. Although it is claimed that important aspects of TPG guidelines are covered, patient consent is taken only for enabling data storage. Doctors could manage calendars and appointment schedules.
Consent is a checkbox for using the application (one-time consent) but provides the option of elaborating text. There is no explicit consent on each consultation encounter. Patients need to be functionally and technically literate to use this solution and use of smartphones is mandatory.
Unique Features
The solution also ensures following features:
a) COVID 19 case specific data reporting
Solution Maturity Level
a) TPG compliant: 3a
b) Feature complexity: 3a