Introduction
The Tele-consultation product of company Kratin is called Truliacare and it has been available since 2011. The solution providers value cost reduction of clinical care delivery the most. Their business model is B2C and also has an option of white labelling the product.
Size of Healthcare Provider
a. Clinics
b. Nursing Home/Small Hospital (less than 100 beds)
c. Large Hospital
Level of Specialization
a. Primary
b. Secondary
c. Tertiary
Expert Panel Evaluation
Doctors can interact with patients only in a synchronous manner. The solution provides multimode interaction i.e. Audio and Video. Doctors could interact with patients using audio/video call while simultaneously taking notes i.e. noting clinical condition, writing prescription and/or entering data concurrently. 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. Doctor’s side application provides features of sharing prescription in formats like Chat based prescription, Scan / image upload of prescription. Doctors providing speciality specific consultation can customize the application dashboard and layout as per their requirements and prescription. Platform supports writing prescriptions with basic requirements mandated by TPG guidelines that have E-signature and Scanned signature. Prescription generated by platform includes details like Registered medical Practitioner’s name, Registered medical Practitioner’s Qualification, Registration number, Address, Contact details, Date of consultation, Name of patient, Patient address, Age of patient, Gender, Vital readings (height, weight, BP), Chief complaints and History, Examination / lab finding summary, Provisional diagnosis, Instructions (Plan of care and investigations required), Drugs / medicine ordered (start date, frequency, strength, end date), Drugs / medicine ordered (generic name), Doctor’s signature stamp, Follow up date, attach image (drawing pad image, if there), Speciality specific fields (customisation option).
Doctors are supported with quick prescription writing by rule based access to frequently used (favorite) drugs. The solution has provision to exchange data. It is claimed that the solution has integration of SNOMED CT for clinical finding, ICD-10 for diagnosis.
Platform is having the build capability to support Drug database interface. In addition, the platform also supports advanced features including customisation on need basis.
Patients have the facility to upload documents and enter vitals which doctors can access.
Application also facilitates sharing case records (referral) by providers. It also allows them to take appointments on behalf of family members / loved ones .
In order to provide good consulting experience to patients, the doctor’s side of the interface has facilities to manage appointments, calendar scheduling. Platform has an admin role to support in managing consultation schedules and provides facility to initiate refund to patients in case of appointment cancellation. Patients are having features to rate and provide feedback about doctors.
Platform also has consent mechanism and provider can take consent like Consent to use telemedicine platform, Consent for doctor-patient interaction implicit / blanket consent, Consent for doctor-patient interaction (implicit each encounter / blanket consent), Consent for doctor-patient interaction explicit, Consent for doctor-patient interaction (explicit each encounter), Consent for using patient data for any application other than doctor- patient interaction (example – use of data for AI / sharing with third party etc), Feature to upload consent/customize consent form, Scanned paper / image upload of consent.
Solution Maturity Level
a. TPG compliant: 3a
b. Feature complexity: 4 partial