Provider app for virtual consultations

Since many of the OPDs are shut down and patients are not able to reach the doctor due to this pandemic, iKure has developed virtual consultation platform to help initiate the communication between the patient & the doctor.

Conventional telemedicine platform uses more of manual intervention to record data. Our virtual consultation includes triggers for follow ups, medicine intake, and drug – drug interaction. This technology will improve efficacy of conventional tele-healthcare.

This application is being used by the doctors and frontline health workers with much ease as it has automated prescription module. The data collected through this platform can be viewed in AI enabled dashboard which gives a snapshot of data and assisting the providers in preemptive and preventive analysis. 

The COVID 19 outbreak has placed unprecedented demands on our health system. There is a risk that essential health services which communities expect from the health system, would be compromised.

It has been proven that pre-existing conditions like hypertension, chronic lung diseases, diabetes, and cancer can lead to worse outcomes for those with COVID-19 . These diseases are not well addressed in most African healthcare settings. In addition to the lack of intensive care capabilities, means that morbidity and mortality rates for COVID-19 in sub-Saharan Africa will be devastating. For example, almost half of hospital admissions and about 55% of deaths in Kenya are associated with non-communicable diseases. This leaves countries like Kenya in a particularly vulnerable position when it comes to the severity of COVID-19.

iKure’s technology solution which includes modules for video-consultations, MCH, diabetes, hypertension, supply chain management, and health education is being used in India as well as Kenya, Uganda, Tanzania, Vietnam, and other developing countries.

Our technical solution is designed to address effective NCD care. The AI dashboard with real-time vitals and pre historic data leads to better health analysis. 

This is an android app for doctor, clinic receptionist, pharmacist, nurse, lab technician, and health worker where user can

• Register patients, with location and verify their mobile number. A unique Id is generated on registration which helps in managing the demographic details of a patient.
• Add diseases, medicines and dosages, vitals, food and exercise in prescriptions
• Collect medical history on past diseases, doctor consultations, medications for the patients and family
• Take key vitals including height, weight, blood pressure, SPO2, along with basic diagnostic tests
• Initiate video consultation with patients.
• Triggers and alerts for medications and drug- drug interactions
• Notification on booking of services like video-consultation, clinic visit, home visit, medicines delivery by patients

This Android app will be used by the doctor, clinic receptionist, pharmacist, nurse, lab technician, and health worker.

As we battle a global pandemic, we are witnessing a situation which limits people’s access to formal health setups, such as hospitals or nursing homes like never before. This is particularly problematic for those who are geographically dispersed across countries’ remote locations for various reasons. Our technology platform is implemented at the ground by front line health workers and is connected to a central hub where on-ground data is used for triggering services, troubleshooting and real time data on COVID-19 pertaining to prevention, diagnosis and treatment. The app’s dashboard will accumulate this data and help in accurately monitoring the health status of an area at a micro level.

 iKure’s video consultation module is bridging the gaps of the current pure telemedicine platform where doctors are unable to collect vitals, conduct tests, or even understands the problem and most importantly they are unable to reach a very large segment of the population that is not using smartphones. By collecting quality data from the above apps and advanced prescription module we have created an integrated data system for effective health monitoring and treatment.

The on-going COVID-19 pandemic is likely to transform the delivery of healthcare worldwide. Patients will try to avoid visiting crowded waiting rooms, keeping them away from physician’s offices. To overcome this, there is a push to allow physicians to adopt and use virtual care technologies.

iKure’s video consultation platform provides ease to the healthcare professionals and reduces error for effective care delivery, thus ensuring health security for all. The solution is developed to maintain essential healthcare services for the patients who  need periodical health check-up.

Unlike conventional telemedicine platforms, iKure’s virtual consultation platform AI enabled dashboard which gives a snapshot of data and assisting the providers in preemptive and preventive analysis.

iKure’s video consultation module is bridging the gaps of the current pure telemedicine platform where doctors are unable to collect vitals, conduct tests, or even understands the problem and most importantly they are unable to reach a very large segment of the population that is not using smartphones.

Collect medical history on past diseases, doctor consultations, medications for the patients and family

Notification on booking of services like video-consultation, clinic visit, home visit, medicines delivery by patients.

Triggers and alerts for medications and drug- drug interactions

iKure’s technology platform has the capability to  integrate various stakeholders in the primary healthcare ecosystem in Sub Saharan African countries including patients, families, doctors, nurses, community health workers and healthcare provider facilities (both for primary care services as well as secondary care).

Our solution is developed in both mobile as well as web version. The mobile app is developed in android studio. The front end of web version is developed in html css, java script and for backend MySQL is used.

The framework supports integration of the application with open source APIs.

Integration of  CIMS software for drug-drug interaction.

AI enabled Dashboard for preemptive and preventive analysis.

App is already launched on Jan 2020 and is now available in Google play store.

Link: https://play.google.com/store/apps/details?id=com.ikuretechsoft.whims_provider

The platform is already rolled out and is benefitting close to 1 million population  and 0.5 million in Kenya, and Uganda for risk communications, supply chain management, healthcare delivery.

Artificial Intelligence tools have been proven to revolutionized many sectors including healthcare. This technology has been used in dashboard of our solution for better preventive and preemptive analysis. 

Activities

 

(What iKure does)

Outputs

 

(immediate, measurable results)

Outcomes

 

(What change takes place)

Facial recognition and speech to text-enabled video-consultation

 

No.      of      patients      served belonging to target population

Home-based care for NCDs in compliance with social distancing and govt. advisory for the elderly during COVID-19

Leverage technology for aided telemedicine, continuity of care,    follow   up and referral to hospitals only when needed.

 

No. of patients attained through telemedicine platform, counseled, and medicine supply.

 

Reduction     in     healthcare costs and total cost to cure

 

Deployment of community based health workers for awareness and counseling on COVID-19.

 

No.   of   health   workers   and employees trained

 

Increase  in  trust-building with the community and entrepreneurship  

Our technology solution is widely used in India and Sub Saharan African countries and have benefited closed to 1 million populations till date. This has strengthened our foothold and hence with demand and need of the situation we kept upgrading the app with latest technologies.

For the current solution, we have close to 150 doctors who are using this application.

We assume in next one year more than 200 doctors will use this App.

If, Total user/Doctors per quarter & year- 120

Patients for Consultation per quarter & year- 780

Total patient consultation per quarter will be = 120*780= 93600

In one year Total Patients for consultation will be = (Patients for Consultation per quarter & year* Total user/Doctors per quarter & year)

=(207*1714)=355345 (0.3M) assuming 30% growth in each quarter.

Assumption For Telemedicine user/Doctor

Year-1

Year-2

Year-3

Year-4

Year-5

No Of Doctors

207

506

1446

3530

7320

###p#< growth per quarter

20%

25%

30%

25%

20%

Total user/Doctors per quarter & year

207

506

1446

3530

7320

Assumption for No Of Telemedicine Consultation

No of Tele Consultation Patients per day

10

No of days

26

 

Year-1

Year-2

Year-3

Year-4

Year-5

Patients per Doctor

1714

4184

8675

15173

22215

Avg. Patients per Month, per Doctor

 

 

 

 

 

###p#< growth per quarter

30%

25%

20%

15%

10%

Patients for Consultation per quarter & year

1714

4184

8675

15173

22215

Total Patients For Consultation

355345

2118018

12543772

53562342

162613007

Million

0.36

2.12

12.54

53.56

162.61

In the last 5 years, iKure has implemented an extensive range of digital health services, including

telemedicine projects. However, the scope of the telemedicine services in India has been limited to

pilots, as Government of India has disallowed delivery of telemedicine services. However, iKure

always had the telemedicine feature in the provider and patient applications. We have served 1 million population in 3 years.

Provide primary healthcare services to 160 million people in next 5 years with video consultation, counselling, and follow-up services

Zero mortality from lack of primary healthcare.

A. iKure will deploy its core application which consists of the following modules:

• Patient registration

• Family registration

• Medical history

• Patient vitals

• Patient diagnostics tests

• Services scheduling by HWCs

• Patient/ HWCs appointment booking

• Appointment confirmation & queuing

• Video call

• Video call notifications

•Triggers for drug drug interaction

The video comsultation  app uses SNOMED-CT, ICD, and HL7 nomenclature.

API Management

iKure has implemented a robust API management service which allows it to dynamically create public and private APIs.

Based on the data from the Telemedicine App and other identified IT Systems in Nagaland, iKure will create an interactive ‘Nagaland Health Dashboard’.

2. The dashboard provides interactive table, map, and other key data visualizations at state, district, block, panchayat, and village levels. 

Challenges

• Comparison on care delivery through APP and conventional methods
• Realization of real benefits of the service
• Before covid 19 out-break video consultation had legal challenges hence initially there was a resistance to use this application

• Post pandemic outbreak, patients are not able to visit hospitals and missing follow ups. Hence this app was widely accepted
• Government released guideline on usage of telemedicine platform. Hence resistance form doctors reduced.
• Increase in the patient footfall lead to increase in usage by the doctors.
• Addition of innovative features lead to improvement in quality of the healthcare

6 Full time staff

We have our own young and dynamic team with expertise on HIS systems analysis, software project management, android development, and web development using PHP stack that is working dedicatedly and efficiently. We will be leading this project. We would like to welcome other teams to collaborate with us in providing a dynamic solution to the greater masses spread across the globe in a very leas time.

IBM-iKure Collaboration, Watson Singapore

iKure partnered with IBM Watson Labs to work on ECG signal anomaly detection & patient risk models using stack ranking & deep learning. Such a solution would assist cardiologists to offer faster preventive care. iKure was responsible for providing the patient data and validating the results. The IBM Team was responsible for developing the solution. iKure along with Teams from IBM Watson and Braveheart presented this Use Case at HIMSS 2019 (HIMSS is one of the leading global Digital Health conferences) on 14th February 2019 at Orlando, USA. iKure was invited to showcase this Use Case at IBM’s Technology Conference, Think 2019 in San Francisco.

iKure-McGill University Collaboration, Canada

Mc Gill and iKure agree to work together to develop AI enabled framework to identify high risk hypertensive Asian population. Hypertension is a critical attributable factor of cardiovascular diseases and leading causes of deaths from non-communicable diseases.

LifePlus Inc. San Jose, CA,USA

LifePlus is engaging with iKure for a project involving 1000 clinical data collection of patients using standard medical for calibration of their medical device called LifeLeaf (non-invasive clinical grade device) which is in the process of attaining clinical grade accuracy through global multi-site clinical trials.

Cliniops, Fremont, CA

iKure and Cliniops integrated approach to support clinical trials and disease surveillance where iKure will provide Electronic  Data Capture (EDC) Technology, last mile connectivity and patient base & Cliniops will run clinical trials.

The revenue model is SAAS based. Doctors, diagnostic labs & pharma companies will be paying for using this service.

Subscription will be two types

• Yearly subscription
• Subscription based on patient consultation or usage.

Patient can avail this service at an affordable cost comparable to the face to face consultation or conventional telemedicine. 

iKure is a revenue positive for profit company. We have raised US$ 1.5 M fund so far. We are seeking to raise USD 5 Million for our enterprise where 15% will be used to enhance iKure Technology Platform.

For year 1 operating expense for the current solution is high. Hence we will need funds to incur operating expense.

For year one estimated OPEX is US$ 197050

We need to raise 70% of this OPEX- 137935

Note: 30% will be funded by iKure.

From year 2 onwards it will be a revenue positive model.

Partners for exposure in healthcare market and investment. In association with the MIT and Solve community we want to impact globally in affordable quality care domain for the under served communities. 

We are applying for mentoring, technical expertise, investment opportunities, media and conference exposure from the Solve Partners. We want to leverage the technical expertise of Solve team to make technology more robust, profound and adaptable in global rural health context.    

Healthcare diagnostic device partner for identify low cost devices suitable for rural demographic. Strategic partnership to scale up in uncharted regions to magnify our impact.