Introducing Telemedicine 2.

0
How Telemedicine eConsult Innovations are
Transforming Healthcare in Rural India

Telemedicine eConsult and eConsult Live are Not-for-profit Initiatives of Hope Foundation

Telemedicine 2.0 is a set of economic, social, and

technology trends that collectively form the basis for
the next generation of healthcare.

Mobile devices
outnumber
PCs and
landlines.

More than two

billion people
have access to
Internet.

200+ Million
blogs already, 4
new created
every second.

2010 saw mature,

distinctive web
with participation
and networks.

Most villages in
India will get
connected in 2
years.

Introducing Telemedicine 2.0

What is Telemedicine 2.0?

1. Decreased
healthcare costs

2. Increased efficiency
and effectiveness
3. Easy to use
4. Closer relationship
with users
5. Real-time data for
quantifiable decisions

6. Increased
responsiveness

Introducing Telemedicine 2.0

6 Top Benefits of Telemedicine 2.0

1. Patient Portals
2.Virtual Visits
3. Electronic Records
4. Expert Systems
5. Standardization
6. Behavioural
Economics

6 Telemedicine eConsult Innovations

6 Telemedicine eConsult Innovations

that are Transforming Healthcare

Patients can log on to their own

secure portal, access and share their
medical records, check lab results,
renew prescriptions, deal with
insurers, and communicate with
doctors and nurses. The potential for
reducing mistakes, inefficiency, and
costs is clear.

6 Telemedicine eConsult Innovations

1. Patient Portals

Health care is routinely done at a

distance with video-conferencing.
Doctors and their patients have
readily taken to tele-visiting, which
has become a component of patient
portals.
The
convergence
of
convenience, low cost, and the
potential to enrich doctor-patient
relationships could move tele-visiting
into the mainstream.

6 Telemedicine eConsult Innovations

2.Virtual Visits

Electronic medical records collect

important
information
for
coordinated care. Physicians and
nurses are alerted to potential errors
and best practices. At a basic level,
electronic records simply gather and
organize health information. But at
their best they offer decision support,
reminding the doctor of a test you
might need, pointing out a worrisome
trend in your health history, and
warning against prescribing the wrong
drug.

6 Telemedicine eConsult Innovations

3. Electronic Medical Records

We have created expert medical

systems in Preventive Medicine. It is
based on medical research during last
three years. We also provide live
assistance through chat, voice and
phone. You can search the knowledge
base by sending an email. Get instant
reply. Or browse.

6 Telemedicine eConsult Innovations

4. Preventive Medicine Expert System

We require health care providers to

follow
strict
protocols
for
procedures that benefit from
routinization. Using a simple checklist
can help doctors catch stupid
mistakes before they happen -reducing deaths nearly half.

6 Telemedicine eConsult Innovations

5. Standardization

If we all acted rationally, we'd eat

right, floss, and take our pills as
directed. But of course we can be
pretty disobedient about doctors'
orders, which is bad for our health.
Behavioral economics tools -- gentle
prods that nudge us to behave in
desired ways -may be more
effective than any amount of
browbeating by doctors. Reminders,
social pressure, default options,
rewards, and other behavioral tricks
can be used to improve compliance.

6 Telemedicine eConsult Innovations

6 Behavioral Economics

1. Consultation
2. Connectivity
3. Community
4. Content
5. Capacity
building

How remote Indian villages are benefitting?

How Remote Villages in India Benefit

from 5 Cs of Telemedicine 2.0

Telemedicine eConsult Services

Telemedicine Specialist Consultations
Accredited Healthcare Providers

Current Status
200,000+ in 2010
20,000+ in 15 States

Real Time Telemedicine

In 15 States

Regional Healthcare Networks

In 15 States

Information and Knowledgebase

In 15 States

Medical E-Learning

In 15 States

How remote Indian villages are benefitting?

eConsult Services for Rural India

Telemedicine Consultations by
Type
Specialists, Radiology &
Pathology

34%

Specialists & Radiology

11%

Specialists & Pathology

18%

Specialists only

32%

Other Service Categories 5%

By Gender

Telemedicine Consultations
by Specialty
Oncology

40%

Dermatology

15%

Neurology

10%

Pediatric Intensive Care

10%

Cardiology

10%

Ophthalmology

5%

Males

53%

Neurosurgery

5%

Females

47%

Other Specialties

5%

Consultation

200,000+ New Consultations in 2010

via 20,000+ AHPs & 1000+ Specialists

Diagnosis changed in 28%

of cases
Care plan changed in 72%
of cases

Change in Case Management

Change

% Cases

New drug regimen recommended

67%

Other medical regimen

17%

New therapy recommended

13%

Termination of drugs
recommended

3%

Drug dosage change

recommended

3%

Other recommendations

7%

Turnaround Time
eConsult

Personal Visit

Time for an eConsult

specialist to enter
opinion = 1-2 days

Time taken to see

the same specialist =
10-14 days

Consultation

How the Case

Management was Affected

 Electronically facilitated self-help

Remote professional consultation
Provision of second opinions
Assisted interventions
Online professional health groups

Connectivity

We Deploy Multiple Technologies to

Connect Even Remote Patients

 Remotely monitored preventive

healthcare
Remote monitoring of health
signals
Emergency medicine and vital sign
monitoring for disasters
Electronic healthcare records

Community

We Help in Creating Regional

Healthcare Networks

 Public health and reporting of

infectious diseases
Real time epidemiological analysis
Electronic
health
information
collection, analysis and reporting
Research and electronic statistical
health analysis
Management of health
consequences of disasters

Content

We Disseminate Up-to-date
Knowledge for Good Decision Making

 Remote learning, development and

competence
monitoring
for
healthcare professionals
Access to high-quality health
information
including
current
literature
Access to evidence-based medicine
Patient education for preventive
medical care and disease management
Preventive health education and
health enquiry services

Capacity Building

We Provide Medical E-Learning for

Health Workers Even in Remote Areas

What are we trying to do? How?

Empower users and patients Offering choices based on knowledge
Interactivity
Participation in decision-making processes
Improve access to medical
care

Continuity of care
Second opinion

Increase quality and

cost/efficiency

Shorter waiting lists/Shorter stay in hospitals

Safer prescription, diagnostics and treatment

Build capacity for healthcare Access to knowledge databases

professionals
Education and training
Reduce burden of travel for
patients

Remote monitoring
Second opinions and Referrals

Support decision-making

Improving information systems

Epidemiology and Access to databases

Executive Summary

What are we trying to do? How?

We connect healthcare providers and patients enhancing quality healthcare

interactions through communications and technology.
Contact Us. There is an opportunity for interested individuals to contribute to
our initiatives to support the underserved. Please email
support@econsultlive.com and a member of our team will get back to you.

Patient Portals

Virtual Visits

Electronic
Health Records

Expert Medical
Systems

Standardization

Behavioral
Economics

Telemedicine eConsultLive|www.eConsultLive.com |support@eConsultLive.com

About Us

eConsult Live is a Not-for-profit Initiative

of Hope Foundation