Telemedicine Services | Telemedicine Cart

1. TiaTele Workflow TiaMD NUMR

2. TeleMedicine Model 1 : Doctor to Patient. TiaMD NUMR

3. TiaMD NUMR TiaCare - Patient Registration. • If the Patient is a new patient, then he have to register in the app for signing in.

4. TiaMD NUMR TiaCare - Tele Appointment • Patient logs into the app and make a tele appointment request. • This Appointment is seen as appointment request in Outstanding Tasks of Doctor / MA.

5. TiaMD NUMR Tele Call. • A cart is being assigned to the appointment. • Doctor initiates tele call. • Call against the patient is received to cart.

6. TiaMD NUMR TiaCare - Emergency. • Patient clicks on emergency button. • Emergency call is received in hospital’s phone. • An emergency row is being created in that organization’s emergency list. • Doctor clicks on connect button against the patient.

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8. TeleMedicine Model 2 : Doctor to Facility. TiaMD NUMR

9. TiaMD NUMR New Patient’s Appointment Booking from TiaMD Web. • A cart user or ED (Emergency Doctor) requests an appointment for a patient. Consultation Mode of the Appointment will be Tele. Appointment can taken using 3 ways :- Quick Appointment, Full Appointment or from Calendar View. • The appointment request that is being made by ED is displayed in the Outstanding Tasks section in the Doctor’s Dashboard of the concerned doctor to whom the appointment is requested and the MA (Medical Assistant) of that Doctor. The same will be displayed in the Outstanding Tasks of the ED who made the request also. • ED can change the doctor to whom the appointment was requested, or can change the time slot for which the appointment is requested using the appointment reschedule option. They can cancel the appointment request using the cancel button. • The concerned Doctor or MA approves the appointment request by changing the status from the dropdown list.

10. TiaMD NUMR Quick Appointment from ED Appointment Request in ED

11. TiaMD NUMR Appointment Reschedule from ED Appointment Cancellation from ED

12. TiaMD NUMR • Once the Doctor or MA approves the Appointment Request, the confirmed appointment is moved to Appointments section of the Doctor’s Dashboard. The same will be displayed as confirmed appointment in concerned ED user’s Dashboard also, since the consultation mode is tele. • To Edit the Appointment details, user can click on the appointment, which opens up the edit booking screen. • Doctor or MA can directly book Tele Appointments for the patients. These appointments directly goes to the Appointments section of Doctor’s Dashboard, with status booked.

13. TiaMD NUMR Edit Appointment from Doctor’s Dashboard Confirming Appointment from Doc / MA

14. TiaMD NUMR • Once the booking is being requested or booked, an email is sent to Patient’s email id, along with the patient intake link. • Also during the appointment booking, a random username is being generated for the patient with a default password. These credentials can be used by the Patient for logging in to the TiaMD Patient Portal or Tia Care Mobile App. Username for patient login can either be this randomly generated username or the patient’s email id. • The credentials for patient login that are created during the appointment booking can later be changed by the patient from the patient account.

15. TiaMD NUMR Email Intake Link received in Patient’s Email Patient Account Edit from Email Intake

16. TiaMD NUMR Established Patient’s Appointment Booking from TiaMD Web. • For taking appointment for already registered patient, there are two ways. • Method 1 : Either go to patient list and search for the patient. Then search for the patient, and click on Book Appointment button under Actions or simply click on patient record for booking the appointment. • Method 2 : Or select any way of appointment booking (quick, full, or calendar view), select the patient type as Established. Then either type in the patient name and select the patient from the drop down list or click on search button against patient name, which opens up patient search for searching and selecting the patient for appointment booking. • Once the patient is being selected save the appointment. • Appointment can be either viewed as request or confirmed booking depending on the user who booked it.

17. TiaMD NUMR Method 2 (a) Method 1 Method 2 (b)

18. TiaMD NUMR Insurance Eligibility Check and Co-Pay Collection. • Once the appointment is being confirmed, the MA checks the Insurance Eligibility, which is interfaced with Navicure, and collects the Co-Pay.

19. TiaMD NUMR Vitals Entry of the Patient. • Since the consultation mode is Tele, the patient visits the clinic where cart is located. ED user or Cart Doctor records vitals using wireless medical devices. These vitals will be logged into the TiaPeripherals app. ED can upload these vitals against the patient to TiaMD Web Portal or Mobile App.

20. TiaMD NUMR Tele Call • Doctor clicks on the Connect button that appears against the appointment in Dashboard. • Call is directly connected to the concerned ED, if Auto Connect option is being enabled for ED. Otherwise ED receives a call request which they have to accept.

21. TiaMD NUMR Tele Consultation. • The Doctor evaluates the patient and documents the information on TiaMD Web portal.

22. TiaMD NUMR TiaMD Visits • TiaMD Visits tab gives the patient visit history in different forms like Visit Dashboard, Visit Summary and Visit History. • Encounter wise or Visit wise printout can be taken from Visit Summary tab.

23. TiaMD NUMR Clinical Assessment • Clinical Assessment templates are being set based on doctor requirement. • We can select or favorite templates from Select / Manage templates. • Favorited templates will be displayed inside New Assessment drop down. • Nuance Dragon feature is integrated with Clinical Assessment so as to record voice. • Auto Population being enabled for fields like Patient Details, Problem, Procedure, Medical History. • Saved Clinical Assessment will be displayed in Clinical Assessment History. User can View, Edit, Copy, Delete, or Take a Print of the template. Only View, Copy and Print options are available if the Template is signed. • Adding Addendum to the signed template is also possible.

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25. TiaMD NUMR Vitals • Vitals that are uploaded from TiaPeripherals App will be displayed here. • User can add vitals from TiaMD Web portal also. • History of each vital can be viewed by clicking on the vital value. • Vital Trends can be viewed as a graph. This graph can also be downloaded in the required format for future reference.

26. TiaMD NUMR CQM’s & Screening. • Clinical Quality measures of the Patient is taken. • Also different screenings like transition of care, annual wellness etc are being done.

27. TiaMD NUMR Problem and Procedure • Doctor records problems of the patient and procedures to resolve the problems. It is interfaced with IMO for ICD 10 / CPT search. • Option to favorite frequently used problem and procedures, print the added problem and procedures.

28. TiaMD NUMR Lab and Radiology Orders. (Investigations) • Lab and Radiology orders are done. • Send Lab/Radiology orders to external centers. • Auto Population from Clinical Assessment. • Print out option.

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31. TiaMD NUMR Prescriptions. • Doctor creates prescriptions and sends to pharmacy electronically. • It is interfaced with Dr. First. • Fetches Active Medications added in Patient Intake to Dr. First. • Signed medications are displayed in prescriptions section itself.

32. TiaMD NUMR Referrals • For cross referring the patient to a speciality doctor. • Auto Population to and from Clinical Assessment and Problems.

33. TiaMD NUMR Document Management. • Here we can upload different documents like already prescribed prescriptions, lab / radiology orders etc. • There is an option to select the encounter. This is for purpose of identifying in which encounter these prescriptions, order entry etc was made.

34. TiaMD NUMR Images. • Doctor’s can add radiology images. (Dicom files) • Doctor’s can also view already added Dicom files. • Dicom files are different images of MRI, CT etc. • This is integrated with PACS / TiaImage.

35. TiaMD NUMR Notes. • Option to doctor notes, save and print the notes, view the history etc.

36. TiaMD NUMR Vaccinations and Treatments. • Ability to add vaccinations given and treatments given. • Option to view the history.

37. TiaMD NUMR Patient Visit Actions. • User can view do tele session from patient visit actions by clicking on connect button. • Reload option to reload the current page, ie., patient visit. • Option to create a new encounter. • Option to create new visit. • Option to view the complete call history against that patient. • Option to view outstanding encounters against that patient. • Option to share the screen. • Quality Metrics Alert.

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39. TeleMedicine Model 3 : Facility to Doctor. TiaMD NUMR

40. TiaMD NUMR Appointments for New and Established Patients. • The appointments are taken in the same way mentioned in Telemedicine Model 2.

41. TiaMD NUMR Tele Call • In Tele Medicine Model 3, the tele call is initiated by the Cart User. • Cart user clicks the connect button against an Appointment. • The Doctor to whom the appointment is taken receives the call request. • Once the Doctor accepts the call, the consultation is similar to Tele Medicine Model 2 flow.

42. On Call Coverage TiaMD NUMR

43. TiaMD NUMR On Call Coverage. • On Call Schedule can be created from Quick Appointment Window. • On Call Schedule is being created for doctor groups. • Scheduled On Call List will be displayed in the Dashboard under On Call Coverage Section. • On Call Coverage is being used for second opinion. • User can make a broadcast call to the available On Call doctors in the group, or they can directly make a call to the available physician in the group. • On Call Coverage is mainly available for Tele. • It can be used for calling the on call doctors during the emergency also.

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46. Emergency TiaMD NUMR

47. TiaMD NUMR Emergency Patient Creation • Emergency Patient Creation and Calls are always initiated by the Cart User or ED. • From the Landing Page of the Cart User Login, click on the bell icon. • In the patient creation screen, user can enter the patient name and details if they know it. Entering Patient details during the emergency creation is optional. Since emergency have more priority, normally Save & Call button in the screen is clicked. • When Save & Call is clicked without entering patient details, the MRN number generated is considered as Patient Name for time being. • The emergency call is being broadcasted to all Level 1 doctors for whom emergency schedule is available. • The Patient Visit will be opened up for the ED, soon after the save & call button is clicked.

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50. TiaMD NUMR Emergency Patient Consultation • The Patient Visit will be opened up for the ED, soon after the save & call button is clicked. • ED can do the consultation in the similar way that is mentioned in Tele Medicine Model 2. • All the doctor findings are documented inside Patient Visit. • ED can share screen, so that the connect