Introduction
The Tele-consultation product of company Trova TechNologies Private Limited is called MED.LIVE and it is available since 2016. The solution providers value convenience of the user and care delivery the most. Their business model is B2C (SAAS), and also have option of white labelling the product.
Size of Healthcare Provider
a. Clinics
b. Nursing Home/Small Hospital (less than 100 beds)
c. Hospital
Level of Specialization
a. Primary
b. Secondary
c. Tertiary
Expert Panel Evaluation
The solution has features to support clinical consultation workflows for doctors during teleconsultation. The application is easy to use for patients. The solution is also usable by people not having smart phones for tele-consultation.
Doctors can interact with patients only synchronously. The solution provides multimode interaction i.e. Video, Audio, Chat, Link sharing. Doctors could interact with patients using audio/video call while simultaneously taking notes i.e. noting clinical conditions, writing prescriptions and/or entering data concurrently. Doctors could view reports of patients and mark the report shared by the patient. Doctors have an option to highlight certain data on patient reports during or prior to the consultation, which makes it easy for the doctor to explain during the consultation. The highlighted data is viewable by the patient during the consultation. Doctors can share his screen to show certain videos which the doctor might use to explain a particular condition to the patient. This option is available in the desktop option and not on a mobile option. white board there. Patients could also see the marking and comments by doctors. Dicom files also can be accessed and replicated across participants, annotation facility is available in xray and MRI. Doctors can keep notes during consultation (SOAP format). They actually use the EMR module of the hospital and prescription is sent using the hospital provided format and scanned signature is used. Prescription is sent to the hospital EMR and then they could share accordingly. Multi party consultation is possible by inviting multiple people by doctor. Doctor controls and navigates the entire consultation. Patient has the facility of inviting relatives by sharing the link. Tumor board for cancer consultation is possible.
The software is presented as a supportive teleconsultation platform and the patient data storage, capture and retrieval is expected to be handled by the external system (HIS/EMR). Support for integration to DICOM images and HL7 v2.3 is provided for viewing and retrieval of health records. It is claimed that there are few integrations done with external systems. The application is US HIPAA compliant. ICD-10 for diagnosis and Support for integration to DICOM. Consent form given by the hospital is hosted online and can be used for taking consent. Providers can take consent from patients for the use of telemedicine platforms for interactions otherwise it considers implicit consent for doctor-patient interaction. Recording of consultation is possible as per the requirement of the hospital Feedback options are also available and are customised to each hospital
The appointment form is integrated with the hospital EMR system, the admin module is there to manage appointments or doctors can manage appointments. or other. Patient side of the interface provides login and Patient also gets a link, and can be operated from the front office. Patients have the facility to upload documents and enter vitals which doctors can access. Patients are not required to download any application; only the link that is sent to the patient can be used to join the consultation / upload reports / invite one’s relatives. Platform also has IoT integration for capturing data that patients can use to share for more authentic monitoring.
Additional Features
SAAS
White Board Facility
DICOM
HIPAA complaint
Integration with EMR/HIS of hub hospital
Solution Maturity Level
a. TPG compliant: 3a
b. Feature complexity: 4 partial