Author: admin

Introduction

The Tele-consultation product of company Medisense Healthcare Solutions Pvt Ltd is called Medisense practice and it is available since 2014. The solution providers value cost reduction the most. They have white labelled product offerings. They provide both android mobile and web based applications for the doctors. They also provide android mobile applications for patients.

Size of Healthcare Provider

a. Individual Clinician

b. Clinics

c. Nursing Home/Small Hospital (less than 100 beds)

d. Hospital

Level of Specialization

a. Primary

b. Secondary

c. Tertiary

Expert Panel Evaluation

Medisense’s product is called Medisense practice. It is a mobile based telemedicine platform developed as a mobile app ecosystem. Doctors are registered on the platform and verification is done manually by the team. The application supports both basic clinical workflow, and specialty specific assessment notes template. The application also facilitates doctors to share education material with patients. User interface supports synchronous interaction with the help of multiple separate screens. Doctors can generate online prescriptions using applications and include either scanned signature or digital signature. Platform also facilitates sharing of handwritten scanned/images of prescription format. Doctors can also communicate with patients using the chat option. Doctors can create and maintain their drug database on the platform which they use in case of platform generated prescription. Platform mandates explicit consent type for every encounter of consultation and consent for data sharing is also there. They have patient consent for sharing of complete records for referral facility. Platform does not allow patients to share segments of their records. Doctors can record consultation sessions and audit trails are maintained in the backend. Multilingual UI. Cancellation and refund is supported. No standards for data recordings and security are present.

Smart phones are not mandatory for patients as they could visit nearby remote healthcare centers. Admin books consultation for patients, and the patient has to agree to certain permissions. Patients can search for a doctor by speciality, name, and hospital. Doctor registration details are shown to patients. Patients can print prescriptions using the platform. It also enables patients to generate pdfs that they can share across platforms. Platform supports integration with devices at home, PHR, Remote monitoring IoT.

Solution Maturity Level

a. TPG compliant: 3b

b. Feature complexity: 3b

Introduction

The Tele-consultation product of company Manorama Infosolutions Pvt Ltd is called Lifeline Telemedicine and it has been available since 2001. The solution providers value care delivery the most. Their business model is B2B, and also has the option of white labelling the product.

Size of Healthcare Provider

a. Individual Clinician

b. Clinics

c. Nursing Home/Small Hospital (less than 100 beds)

d. Hospital

Level of Specialization

a. Primary

b. Secondary

c. Tertiary

Expert Panel Evaluation

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. There is not much customization in workflow for speciality specific consultation besides assessment notes template for orthopaedic. Payment charges and rules are customisable.Doctors can interact with patients in both synchronous. The solution provides facility to doctors to send sms and email to patients with prescriptions and educational material. Doctors can record consultation. Referral (inter, intra, by patient too) and sharing of records is possible using platform features.
Platform supports writing prescriptions with basic requirements mandated by TPG guidelines that have scanned signatures. Prescription format is scanned and chat. Prescription can be multilingual. Chat based prescriptions can be broken into parts and sent like tests ordered, medicine prescribed. The Consent type is implicit / explicit for every encounter. The consent form is configurable and could be made in multiple languages.Platform provides calendar management facility to doctors

In terms of compliance, the application provider has a mechanism associated with the platform to validate registration details of doctors either with the help of master data from hospitals. Doctor details are shown to the patient. Restricting drugs in prescription writing using the platform is possible at the master level, if using proprietary EMR. In the case of proprietary EMR, integration ICD-10 for diagnosis has been implemented. Audit trail is maintained. FHIR standard is implemented to exchange data. Security standards like encrypted connection, Access control, Digital certificate etc. is implemented.

Patient portal is there. Patients can search for a doctor by name, speciality, and hospital. Patients can upload images and share with doctors. It also provides a dependent account and family account facility. Patient’s family can register and multiple linked IDs are generated. Patients are provided with control on sharing and access of records. These persomission are configurable by the doctor. Non binary gender recording of patients is supported there. can access from mobile and tab both. Previous records of patients are available during consultation.
At the time of demo, the admin module was under development and in case of delay patients were not informed about wait time.

Solution Maturity Level

a. TPG complaint: 3b

b. Feature complexity: 4partial

Introduction

The Tele-consultation product of company Connect Compusoft Pvt Ltd (KCS Healthcare is called Health Connect. They provide only mobile based applications for the doctors.They do not have a dedicated product for the patient. There is also an option for white-labelling the solution.

Size of Healthcare Provider

a. Individual Clinician

b. Clinics

Level of Specialization supported by the solution

a. Primary

Expert Panel Evaluation

The solution includes a web based application for doctors and patients. Doctors can interact with patients in only a synchronous manner; Chat based consultation is not available. The platform has an easy to use interface for doctors that supports basic teleconsultation sessions documentation. Doctor gets a notification once the patient is ready to join. Doctors can set availability schedules and also on request provide slots to patients. UI support across time-zones (conversion), reminder and notification for both patient doctors, making it suitable for doctor’s operating across countries. Doctors could set alerts and reminders for patients based on the medical diagnostic reports like keratin or Hb1ac alerts. Doctor can fix follow-up consultation for the patient and notification is sent to the patient.

Platform provides easy capturing of medical conditions through drop-down menu options. Apart from the patient-shared clinical condition, the doctor can also record the details of current medication taken. Doctors can use an annotation interface with body outline (both gender) available. Organ charts are available where the doctor can mark the site etc. Template for note taking of consultation as per clinical specialization not available, doctors have access to EHR available during video call when complete solution is provided by the company. Doctors could share files during consultation, and get additional files from patients. Features of third-party EHR integration were not present at the time of demo. During video call the doctor is required to switch back between two tabs to enter details and look at patients. Consultation ends when the doctor decides to end the call and is not limited to time duration. Doctor is expected to disconnect the call and then only take notes. Doctors could customize their own medication list. Doctors need to write generic names, no standard drug database integrated. Prescription is generated via platform and could be shared as scan/photo of handwritten prescription. The platform is more suitable for doctors who prefer taking notes on paper and then uploading images on the doctor, for teleconsultation. Platform does not have a facility for digital signature and the digitized image of the doctor’s signature is appended at the end of prescription.

Doctors can have a single profile only. Doctors could do multi-party consultation. Doctors could add anyone to consultation, other people need not be registered users, and do not need a device. Platform provides a facility to cancel appointments and reschedule to admin.
Every consultation session consent is taken using an online form stating non-emergency care consulting. , Platform generates detailed dynamic consent forms and disclaimer is also provided to the patient. Video is recorded on the consent of both doctor and patient. Platform provides a facility to restrict and customize minimum time duration for appointment booking and thus ensuring sufficient time for consultation. Product is customized for oncologists. No option available for multiple-languages, only available in English language.

They have video based training modules and help manuals. In person support and training is provided depending on the business models. Most mass training sessions for one expert doctor are organized. In the case of onboarding of individual doctors they provide their coordinator to both doctor and patient to help in preparation for online consultation.

It was informed that the platform has SNOMED and ICD-10 support for recording of diagnosis, LOINC for laboratory report and HL7 v2.8 to exchange data between HMIS and LIS in a single hospital environment. The solution does not support the data content and exchange standards as required by EHRSI-2016. It is informed that the application uses relevant security standards for data transmission and storage (AES-256 bit encryption). Additionally, the application is HIPAA and GDPR compliant and ISO 27001:2013 certified. Digital signatures are not supported and signing is supported through scanned signatures for prescriptions. Patients are not having control over records’ access, once details are on the platform, all doctors in a hospital having login could access their records.

Patients can also book appointments for family members and loved ones. Family accounts can be maintained. Mobile number is the user name. Appointment can be fixed through web, app and through the front office, Call is initiated by either the patient or the doctor. Patient UHID is verified with hospital EMR. multi currency payment, patients could upload x ray and other reports. Same contact number can be used to manage different accounts. Patients can select records and generate record links which can be shared with other doctors. There is a unique password for every user. Emergency contact of patients (good for mental health) and patients could book appointments for the dependent. For dependent management, ID proof is mandatory. Group call Is possible, limited to 3 parties (doctor, patient, another doctor/ Patient relative). Link is sent from the primary consultant’s side.

Doctor / Specialty search option is available for patients. Doctors are sent multiple notifications and in case of delay patients also get notification. Patient gets a cloud facility to keep records (and keep on a local device also) and the patient has control over the records. Integrated payment and personal record management interface is provided to patients. Patients get one integrated record for a particular hospital and they can upload a digitized report or scanned image record (maintain PHR). Fingerprint login is there.

Solution Maturity Level

a. TPG complaint: 3b

b. Feature complexity: 4 partial

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

Introduction

The Tele-consultation product of company Kayan Health is called Kayan+ and it has been available since 2016. The solution providers value cost reduction of clinical care delivery the most. Their business model is B2C, and also have white labelled products. They provide mobile (android and ios) applications for the doctors.

Size of Healthcare Provider

a. Individual Clinician

b. Clinics

c. Nursing Home/Small Hospital (less than 100 beds)

d. Hospital

Level of Specialization

a. Primary

b. Secondary

Expert Panel Evaluation

The solution has an easy to use interface for doctors. The application is easy to use for patients.
Doctors can interact with patients in both synchronous and asynchronous manner; The solution provides multimode interaction i.e. Video, Audio, and Chat. This solution supports basic clinical workflow in terms of writing subjective details and objective clinical diagnosis along with assessment and planning.
Patient side of interface provides keywords based doctor search facility.

Solution Maturity Level

a. TPG complaint: 2

b. Feature complexity: 2

Introduction

The Tele-consultation product of company Intelehealth is called Intelehealth – Telemedicine for continued delivery of essential health services and it is available since 2018. The solution providers value cost reduction the most. They provide mobile based applications for the doctors. They also provide mobile applications for patient portals.

Size of Healthcare Provider

a. Clinics

b. Nursing Home/Small Hospital (less than 100 beds)

 

Level of Specialization

a. Primary

b. Secondary

Expert Panel Evaluation

The solution has features to support consultation workflows involving doctors and healthcare workers at the both ends of teleconsultation.The questionnaires about patients’ condition and history filled by the healthcare worker are viewed in a template form in the doctor’s module. The communication is mainly between the health worker and the doctor. Application has digital assistance (retrospective research evidence based) in the form of rule based tools to capture symptoms. The call is done using WhatsApp video call or Normal Call. Calls can be done by either party. Frontline workers can use this solution to facilitate remote consultation and share the prescription with the patient after download. The solution is to support UI in multiple languages.

Rule based one time past history and family history is collected by healthcare workers at the patient’s side. This can be updated during future visits. Examination record is divided into 2 parts – Routine examination and complaint related examination. It is mandatory to fill the AI based routine examination which is an elaborate one and cannot be skipped for registering patients. Patient is registered and gets a patient ID. They can also upload images for past records.

Additional Features
The solution also ensures following features:
Rules engine and AI based mandatory initial assessment

Solution Maturity Level

a. TPG complaint: 3a

b. Feature complexity: 4 partial

Introduction

The Tele-consultation product of company Healthygx is called Virtual Care/Telemedicine and it is available since 2017. The solution providers value Instant Care the most . Their business model is B2B and B2C both, and also have option of white labelling the product. They provide web based(desktop) applications for the doctors. They also provide web based(desktop) patient portals.

Size of Healthcare Provider

a. Individual Clinician

b. Clinics

c. Nursing Home/Small Hospital (less than 100 beds)

d. Hospital

Level of Specialization

a. Primary

b. Secondary

c. Tertiary

Expert Panel Evaluation

The solution has an easy to use interface for doctors. Doctors can interact with patients only in a synchronous manner. The solution provides multimode interaction i.e. Video, Audio and Text/SMS. This solution supports basic clinical workflow in terms of writing subjective details and objective clinical diagnosis along with assessment and planning . Platform has a feature that enables doctors to take an image of their handwritten prescription, preferably with the header having their details and it is shared with patients. Doctors providing speciality specific consultation can customize the prescription. Doctris can share scanned prescriptions of type in the chat option provided. Platform enables doctors to record consultations and audit trails are maintained. Doctors can refer patients by sharing records and calling doctors to inform, in platform referral not there. No standards (such as HL7 FHIR ICD 9/10 SNOMED CT) were integrated at time of demo.

Patient side of the interface provides keywords based doctor search facilities. Patients have the facility to upload documents and enter vitals which doctors can access.Patients could not see the registration ID of doctors during appointment booking or at the time of consultation.
Platform also respects family members / loved ones/autonomy as it gives them control over accessing/ managing their records in case of linked accounts. Platform is also having usability for low income and technologically less proficient patients also as prescription links are shared in the sms.
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.

Solution Maturity Level

a. TPG complaint: 3b

b. Feature complexity: 3 Partial

Introduction

The Tele-consultation product of company Healthlift Private Limited is called OPDlift and it is available from 2019. The solution providers value cost reduction the most. Their business model is B2B, and also has 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 portals.

Size of Healthcare Provider

a. Individual Clinician

b. Clinics

c. Nursing Home/Small Hospital (less than 100 beds)

d. Hospital

Level of Specialization

a. Primary

b. Secondary

c. Tertiary

Expert Panel Evaluation

The solution has an easy to use interface for doctors to track and manage appointments, and inform patients about delays. Government issued UID is taken from the patient before booking an appointment. Patient gets a whatsapp message after booking an appointment (end to end whatsapp integration is there). The application is easy to use for patients. Platform has an admin role to support in managing consultation schedules. Doctor UI is simple to manage appointments, inform patients in case of delay. Call is to be initiated by the doctor, the patient can join and wait but the patient gets a blank screen while waiting. Queue management is not there for admin or doctor modules.

Doctors can interact with patients in only in the synchronous manner using chat and video/audio calling. Doctor’s mobile number and privacy is maintained. Platform has a feature that enables doctors to take an image of their handwritten prescription, preferably with the header having their details and it is shared with patients. No in-platform prescription writing facility is there, but doctors could write prescriptions on chat (Beta version at the time of demo). Previous chat and prescriptions shared (uploaded) are available on the chat interface. SMS and whatsapp messages are sent. App installation is not mandatory, compatible for both android and IoS. There is no digital signature and there is no audit trail and no recording of transactions. Patients can give feedback after consultation and payment gateway is integrated.

The solution does not support any data exchange standards and no other clinical data recording standards. Limited compliance as no drug database, and consent text is to be provided by the B2B clients which is shared with patients as text. Along with the consent text the limitations of the tele-platform based consultation are provided to the patient. Instructions to use the application are shared with patients on the registered email and whatsapp number. Patient data is protected and it is claimed to be HIPPA compliant by the solution providers.

Solution Maturity Level

a. TPG complaint: 3a

b. Feature complexity: 3b

Introduction

The Tele-consultation product of company GrowAyu Technologies Pvt Ltd is called GrowAyu Virtual Healthcare and it is available since 2016. The solution providers value clinical outcomes the most. Their business model is B2B, and also have 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

a. Individual Clinician

b. Clinics

c. Nursing Home/Small Hospital (less than 100 beds)

d. Hospital

Level of Specialization

a. Primary

b. Secondary

c. Tertiary

Expert Panel Evaluation

Doctors could manage their calendar and provide availability of hours. Doctors could take notes and see previous records while doing video consultation. SOAP format is used. Doctors can interact with patients in both synchronous and asynchronous manner: chat as asynchronous, and audio/video as synchronous mode of interaction. Doctors could interact with patients using audio/video call while simultaneously taking notes i.e. noting clinical conditions, writing prescriptions and entering data concurrently. This solution supports basic clinical workflow in terms of writing subjective details and objective clinical diagnosis along with assessment and planning. Platform has a feature that enables doctors to take an image of their handwritten prescription, preferably with the header having their details and it is shared with patients. Doctors could customize messages that the patient landing page displays on application displays. Platform does not provide facility to record video and multi party calling is also not possible.

Platform claimed to be providing a secure interface. They have not implemented data capture and storage standards. No explicit consent as consent for teleconsultation is considered implied consent and part of the interface use terms and conditions
Patient side of the interface provides login for booking appointments and patients can view the doctor’s profile. Solution captures Patient details with vitals during registration. Prescription is shared with the patient and uploaded in the patient’s account for future use. Patients can upload and categorize records. They are expected to know the type of consultation like routine follow up, second opinion and provide that detail while booking an appointment. (Triage facility is not there).

Remote consultation is possible without downloading the application, by only clicking the link the patient could join the call. Support staff could manage connecting doctor patients over call using this platform but internet connection is required at both doctor and patient side. First time users get an animated video about the use of the platform and its features. Users are provided video training in their first time usage of the mobile application.

Additional Features
Device integration

Solution Maturity Level

a. TPG complaint: 3a

b. Feature complexity: 3b

Introduction

The Tele-consultation product of company Genix is called DRCare247 and it has been available since 2011. The solution provider’s value is to improve convenience of the user the most. Their business model is B2C and also has an option of white labelling the product.

Size of Healthcare Provider

a. Individual Clinician

b. Clinics

c. Nursing Home/Small Hospital (less than 100 beds)

d. Hospital

Level of Specialization

a. Primary

b. Secondary

Expert Panel Evaluation

Doctors can interact with patients in synchronous mode only and the product is designed for the purpose of tele on-boarding of patients for basic consultation. The solution provides multimode interaction i.e. Audio, Video, Text/SMS and prior decision on consultation mode by patient is expected at the time of payment. Patients have options like chat or video or video+chat. 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. Templates for data entry are basic and more inline with diagnosis and assessment documentation by general physicians. Doctors have provision of maintaining some private notes during each consultation. Prescriptions generated by the platform include details like registered medical practitioner’s name, registered medical practitioner’s qualification, chief complaints and history, medicine ordered (start date, frequency, strength, end date). Prescription generated was not having the doctor’s signature at the time of demo.

It was claimed that the solution has integration of ICD-10 for diagnosis. Facility to take consent from patients is available on request from clients in the B2B model. Apart from ICD-10 for diagnosis, no other EHRIS-2016 standard is implemented. The platform was told to be HIPAA compliant and as policy they don’t share records with any other system. Platform does not support health data exchange and data security standards. In case of any adverse technology related event it is considered as the client’s responsibility. Drug database and interaction between drugs is customisable by the client manually, no standard drug database was integrated.

Patient’s side of the interface provides login for booking appointments and to upload documents. Patients cannot restrict access to documents to a specific doctor. Appointment confirmation notification is sent via email and sms.

Solution Maturity Level

a. TPG complaint: 3a

b. Feature complexity: 3a