Re: Final-Project-Strategy (rajaram.b@gmail.com)

[karthik madhava]

Team

Please find my two pager attached. Look forward to the follow up discussion.

HealthConnect 

Introduction

HealthConnect is a service recommended by the Indian Medical Council, Indian Doctors Association and approved by the Ministry of Health, Government of India, that connects your neighborhood doctors, pathology labs and the pharmacies to you allowing you to effectively use the three to manage your health. The portal offers single location on your smart devices for you to look up your regular doctor or seek a doctor in your neighborhood by looking up the recommendations of the doctor by your social network. It provides an easy way for you to set up an appointment with the doctor by looking up the availability of the doctor that you have selected and scheduling an appointment in the doctors calendar. You could go all the way by not just scheduling but also paying the doctors fee for the appointment or choose to go the traditional way of making the payment directly at the doctors clinic once you have scheduled an appointment.

The service comes in as a basic subscription that is available to you Free! You don't pay to use the service and neither does your Doctor or the Diagnostics Laboratory or the Pharmacist pay when they are signed up to use the portal. The basic subscription entitles you to all the features included in the product for free. It stores up last 3 medical diagnostics reports that you can access.

An Premium subscription offers additional benefits such as complete medical history being made available for access anywhere and anytime that is secure and safe and accessible only to you and your doctor apart from the diagnostics laboratory that generated this report. The premium service comes as a very nominal annual subscription of INR 500 that can be renewed via net banking or using a credit card.

Searching for a Doctor

If you are new in town or want to look up recommended doctors in your locality, the portal provides an easy way for you to search the highly recommended doctors available in your locality and schedule an appointment with them. If you already know your doctor, the portal allows you to easily search your doctor by name and go to the doctors page to schedule appointments.

Scheduling an appointment

You go meet the doctor at the scheduled appointment and go through the routine and the regimen that the doctor prescribes. Most often than not, the doctor asks you to get a pathological investigation done at a specified pathological laboratory or may ask you for specific investigations like a ultra sound scan or a MRI scan or a X-Ray done, again at a specific diagnostics laboratory.

Integrating the Medical Diagnostics Center

The doctor specifies the set of tests or investigations to be done at the diagnostics center and the tool automatically sets up an appointment for you at that diagnostics center. The appointment is visible to you through your smart phone application, including a reminder for the appointment and a map to guide you to the selected diagnostics center. If the diagnostics center offers a home based sample collection service, the portal allows you to modify the appointment at the diagnostics center to have the center send a professional to have the sample collected from your home. You are also notified of the appointment via a SMS indicating the time and date for the appointment with the diagnostics center as suggested by your doctor. 

Scheduling follow up with the Doctor

Once the diagnostics and investigations are complete, the diagnostics center uses the same portal to upload the results of the investigation and notifies both you and your Doctor about the availability of the reports on the portal. This is done via an email as well as an SMS sent to both you and your doctor. The portal also looks up the doctors calendar and suggests a set of options in terms of appointments that you can choose. Else, you can look up the portal to schedule a follow up appointment with the doctor. In case of chronic ailments like diabetes and hyper tension, where there are quarterly follows ups required, the portal automatically sets up appointments your doctor in the frequency as suggested by your doctor. Now, you don't have to remember the appointments and the frequency with which you need to get the repeat tests and appointments with your doctor. The portal automatically takes care of scheduling both the appointments at regular intervals as suggested by your doctor.

Integrating with your Pharmacist.

While you register at the portal as a user, you have an option to specify your preferred pharmacist or to choose a set of pharmacies that have already enrolled in the portal. This process includes specifying the Name, Location (Postal Address) and Telephone Number (Mobile Phone) of the pharmacy.  When you visit then doctor, the doctor prescribes a set of medicines in your prescription. These are specified by the doctor in the portal along with the details about the number of days you need to take the medicines prescribed including whether or not a particular set of medicines is a recurring medicine or not. The portal acknowledges your prescription and immediately notifies you and your pharmacist of the prescription via a SMS as well as an e-mail.  In case of recurring medicines, the portal ensures that the prescription is sent you and your pharmacy at regular intervals of time (monthly). So now, by the time you complete your appointment with your doctor and head towards the pharmacy, the pharmacist who had been notified of the prescription well in advance, now has your complete prescription ready for you to go and pick it up.

Recommending doctors and thanking your doctor on your social network

The portal integrates with your social network. It allows you to share and rate your experience with a doctor or a pathology lab or a pharmacy and share it with your existing social network like Facebook or Google+ or Twitter. This not only provides an great opportunity for you to publicly acknowledge the great service offered by the doctor, diagnostics lab or the pharmacy but also help your friends get the best health care that you have access to today.

One Stop Shop for your Health Records

The portal acts as a single repository for all your health records. The prescriptions and the your lab reports are all securely stored on the portal with restricted access to you, the medical diagnostics laboratory that generated the report and the doctor who prescribed those tests. Optionally, you can choose to make the reports available to others like another doctor from whom you want to take a second opinion from. This also helps you keep a complete record of your medical history even if you were to change doctors or relocate to a different location with in a city or to a new city altogether. You never lose your medical records and history when you move in or out.

Integrating your home device data 

Most often patients with chronic diseases like Diabetes and Hypertension have home monitoring devices like Glucometers and Blood Pressure Monitors with them that allows you to monitor your blood sugar levels and the blood pressure at home. Though most of us check using these devices at home on a regular basis, we don't maintain a record of these readings. These readings can be invaluable for a doctor in knowing the variations of these medical parameters over a period of time. The portal provides a easy way through which you can enter these readings including the time and date of the reading when ever you have use the device to get a reading. The portal automatically correlates and provides a normalized graphical view to you and your doctor, thus helping you and your doctor get a accurate picture of the variations in the parameters over a period of time.

Emergency and Night Time Services

In case of emergencies where in you need a doctors attention, most often than not, you are struck in a dilemma about which place you need to go to seek professional medical help. The service offers a view of the availability of emergency health care in your vicinity including recommendations from your social network about the availability of the care, quality of the care and the financial costs of the care.

Getting recommendations on Health Supplements, Personal Health Care devices and other information

The portal also provides you health tips and additional information about the diet supplements that you can add for a healthier life. Based on your health profile, the portal also makes recommendations for you including the personal health care devices that you opt to purchase or diet recommendations or cuisine or gourmet recipes that suits your health condition.

Integrating with Insurance

The service provides an option to tie up one among the recommended health insurance providers. This makes cash less hospitalization even more hassle free for you in case there is a need. With Health Insurance providers who offer Health Insurance for out patients also, the service offers a complete cash less and hassle free visit to the doctor and the follow ups.

For the Doctor

Doctors are often overloaded with patients giving them no leeway to adjust their schedule and leaving them no personal or family time. Doctors don't have a mechanism today to notify their patients of their availability and schedule. The device acts as a focal point for them to manage their professional schedule and also stay connected with their patients. The portal gives a in-depth view in to the medical history of a patient including the current state anytime anywhere and helps in providing early and better diagnosis. This helps them create a name for themselves as a reputed doctor and helps attract more patients for them. The recommendations on the social networks helps increase their professional esteem and their own influence in their professional fraternity.

For the Medical Diagnostics Laboratory

Diagnostics Laboratories now have a easy way to connect with Doctors and get Doctors to recommend them to patients. It makes it easy for them to get guaranteed appointments from patients after being referred to them by a doctor.  The patients feedback about the quality of the service provides them a means to measure their customer satisfaction and helps them improve their quality of service. Patients recommendations over their social networks provides them an easy way to market themselves in local communities and helps them attract more customers.

For the Pharmacy

Pharmacists get a notification in advance about the prescription and helps them ensure that the medicines are available to their customer when the customer walks in to their store. This helps them build reputation and good will among the customers and ensures that their business thrives. The recommendations on the social networks by the customers helps them attract more customers and builds that level of trust in the community which key for their growth.

On Sun, Apr 21, 2013 at 10:40 AM, Abhijit Chaudhary <abhijit....@gmail.com> wrote:

One observation yesterday, I went to cloud9 after our discussion to collect my elder sons report and mistakenly they goofed up with the name/age etc in the report. So I told them to rectify it, it seems because of power-loss, cloud9 lost all its online-records for that day as their back-end IT does not have HA, disaster recovery.

They manually rectified the report for me. So, that's another USP for us, disaster recovery with zero loss in the cloud.

On Sat, Apr 20, 2013 at 2:44 PM, rajaram <raja...@gmail.com> wrote:

Link to patient workflow I created

https://www.evernote.com/shard/s233/sh/e3b42cec-8c25-47c2-892a-0988ca3739b8/b4cb7ab5bfaf0ddfe7a01a2cef920554

Talk to everyone in 30 mins

Regards
Rajaram

On Apr 18, 2013 1:58 AM, "Abhijit Chaudhary (Google Drive)" <abhijit....@gmail.com> wrote:

I've shared an item with you.

I was unable to edit the doc in evernote, so created its instance in google-doc.
Have updated the Problem-Space and Solution-Space. Everyone should be able to edit the doc. Cheers!!! 

Final-Project-Strategy

Google Drive: create, share, and keep all your stuff in one place.

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Linkedin - http://in.linkedin.com/pub/abhijit-chaudhary/0/66b/522

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Thanks

Karthik

[rajaram]

Attached mine. Karthik, the Connect word is common  in the name we have though of for the service :-)

Regards

Rajaram

[röh!t]

Why the name iConnect ? Sounds like an apple service ;)

Regards,

Rohit Unnikrishnan

[rajaram]

Wanted to give an individualistic feel to it :-)... Didn't realize Apple might sue us for the name ;-) 

[röh!t]

LoL  ! iConnect immediately gives an Apple ring to it. Apple may sue us for the i !

Regards,

Rohit Unnikrishnan

[rajaram]

Hi 

Can someone please send me the XLS we were talking about on Saturday on the Freemium model that Prof Pinkesh had created?

Thanks

Rajaram

[Abhijit Chaudhary]

Attached is mine.

On Mon, Apr 22, 2013 at 2:50 PM, rajaram <raja...@gmail.com> wrote:

[rajaram]

Hello all

Can we agree to meet tomorrow? Let me know a good time.... I am fine for anytime post afternoon

Regards

Rajaram

[röh!t]

I wont be free after 4pm. I can make it between 12 and 4pm.

Regards,

Rohit Unnikrishnan

[Abhijit Chaudhary]

I am fine between 12 to 4pm or post afternoon.

[karthik madhava]

Lets meet for lunch then...we can meet over lunch..and continue the discussions...let me know the place.

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Thanks

Karthik

[röh!t]

Fisherman's Wharf ?

Regards,

Rohit Unnikrishnan

[rajaram]

Works for me 

[karthik madhava]

Guys

Something urgent has come up. I cant make it tomorrow.

[rajaram]

Ok. I am not in over the weekend. Either we meet today without karthik or meet over the weekend without me.

Let me know what works better for all of you.

Regards
Rajaram

[Abhijit Chaudhary]

I am still fine with the lunch option today. 

[Abhijit Chaudhary]

We will meetup tomorrow after the Networking info-session between 1:30pm - 2:15pm, and followup on coming Wednesday (1st May) .

Rajaram won't join tomorrow, but he has shared the document that we can brainstorm.

[rajaram]

Any followups? Also are we planning to meet on May 1?

[karthik madhava]

Abhijit and I met up. I have shared initial financial plan ..we need to meet on May 1st.

[Abhijit Chaudhary]

Yes we met yesterday and today too.

Points that we discussed over the weekend are below. Overall, I think we haven't spent enough time to understand the obstacles/hurdles of our solution and would be great to identify some before 1st May meetup. 

* http://www.cmarcindia.com/. CMARC collects duplicate copy of doctor's prescription to create drug-usage database(analytics), that it sells to drug manufacturers.

* Direct to Customer advertisement isn't legal in India for prescribed drugs or equipment. That's why medical representative consult only doctors. It is allowed in other countries like US. However, can target advertisement for OTC drugs.

* The scope of advertisement is vast. For example, SNAP FITNESS can send targeted advertisement to promote opening of their new center in particular locality.

* User data can be classified as private, protected and public. Private data-view is only shown to the user; protected data-view is available to a group; while public data-view is shared with doctor. User can control the view-type. For example, when I go to Doctor X for second opinion, I would like hide the first doctor's advice. Another example is hospital should have access to all the doctors advices.

* Talked about cost of storage, download, engg, support etc and our monetization. AWS pricing : http://aws.amazon.com/s3/pricing/. Karthik has already shared the financial Plan in dropbox.

* Cost of storage increase every year over time as data per customer is increasing. One way to mitigate it is step-wise migration to a private cloud (using openstack). And have some means of compressing the data.

* For successful  startup pitch and eventual funding we require some prototypes, probably a 2 minute video at the end. Had discussion with Suraj, he will get some prototypes on Wednesday. NOTE: will incur some cost here for hosting the service and its prototyping.

* How does X-ray get scanned in lab?. One solution is PACS compliant equipment should generate digital image.

 

 

[röh!t]

Are we planning on a Prototype ?

Regards,

Rohit Unnikrishnan

[röh!t]

Guys,

This is one startup we should look at - http://www.docntalk.com/aboutus

Its a networking site for medical professionals based out of india.

Regards,

Rohit Unnikrishnan

[röh!t]

And this is the other one i was referring to - http://www.d-wise.com/

Regards,

Rohit Unnikrishnan

[röh!t]

Sorry - that was the wrong link for d-wise.com

This is the correct one - http://www.dwisesolutions.com/

Regards,

Rohit Unnikrishnan

[röh!t]

dwisesolutions runs this platform which i was referring to - http://www.eclinicalstation.com/aboutus.html

Its pretty much everything we discussed.

Regards,

Rohit Unnikrishnan

Regards,

Rohit Unnikrishnan

[röh!t]

This startup has the online consultation module - http://www.smartrx.in/

Latest startup to receive over 500K US$ funding.

[Abhijit Chaudhary]

Thanks Rohit for the pointers. Yes, we are prototyping some part of it.

One more vendor for EHR+ solutions: http://www.allscripts.com/

On Mon, Apr 29, 2013 at 8:21 PM, röh!t <rohit...@gmail.com> wrote:

This startup has the online consultation module - http://www.smartrx.in/

Latest startup to receive over 500K US$ funding.

[rajaram]

I have tried to list the various things we need to do ..... We can brain storm this tomorrow

1. Get our operational costs - Karthik has already done the ground work... We should look at extending it and validating it..... I will do some checks on this today

2. Prototyping - In the interest of time I am thinking if it makes sense to give this work to an agency. Not sure what the costs are going to be for that. I will try to get some estimates

3. Business Plan - One critical item would be the go to market strategy. How do we target the users. How will we get them on board. Some surveys or any data that will prove that people will come on board would be critical. The other option would be to target doctors or the labs and start on one leg initially...... 

4. Monetization Plan - Once we get the operational costs, I think we can then look at some strategy for that. 

We should meet in the morning tomorrow to finalize these and then execute on a few of these before we break off in our opinion. Can we target a start of 10 AM tomorrow?

Regards

Rajaram

[Abhijit Chaudhary]

Tomorrow 10 am is fine with me.

Regarding prototyping, I have discussed with Suraj Negi on Sunday, he will come up with some estimation by tomorrow. But feel free to get other estimates too.

[karthik madhava]

We have open source health records management software Open EMR available. Please take a look - http://www.open-emr.org/

Let us plan to meet at 10 AM tomorrow.

Cheers

Karthik

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Thanks

Karthik

[Abhijit Chaudhary]

This is great. try out the demo at http://demo.open-emr.org:2102/openemr/ . Use the login/pass mentioned below.

They already have different data-view per personas. The doctor login already has scheduling and billing.

Patient login needs improvement, ability to choose an appointment slot is missing.

Let us meet at our usual venue @ CCD Indiranagar tomorrow.

Login/Password

Multiple OpenEMR users are set up to demonstrate access controls. Login information for each user is listed in below table:

Username	Password	Description
admin	pass	Administrator
physician	physician	Physician(more access than clinician)
clinician	clinician	Clinician(less access than physician)
accountant	accountant	Accountant
receptionist	receptionist	Front desk receptionist

[Abhijit Chaudhary]

Some update.

Suraj shared me a theme for the front page: http://themeforest.net/item/welcare-responsive-medical-html-template/full_screen_preview/3528886

Our Cloud-based Competitors:

 https://www.practo.com/ - however they only do doctor's online scheduling.

 http://www.attunelive.com/ - Products: Attune HealthKernel, LabKernel, ClinicKernel (similar to ours). Recently got $6m funding from NVP. The Attune service would cost Rs 35,000 to Rs 40,000 a month. So our near freemium model will help in attracting initial mass. They seem to have customer in India and Singapore. Attune annually handles nearly 12.50 lakh patient records.

Secondary research:

http://www.ibef.org/industry/healthcare-india.aspx

Indian healthcare sector is estimated to reach US$ 100 billion by 2015, growing 20 per cent year-on-year (y-o-y), as per rating agency Fitch. The industry is expected to touch US$ 280 billion by 2020.Private equity (PE) and Venture capital (VC) investments in the healthcare industry in India are increasing rapidly. In 2012, the industry absorbed US$ 1.2 billion across 48 deals, according to research firm Venture Intelligence.

Healthcare providers in India plan to spend Rs 5,700 crore (US$ 1.05 billion) on IT products and services in 2013, a 7 per cent rise over 2012 revenues worth Rs 5,300 crore (US$ 981.50 million), according to a report by Gartner. It is expected to grow to 3.9 per cent to reach Rs 1,720 crore (US$ 318.52 million) in 2013, with most of this growth coming from enterprise communication equipment.

Non-cloud based hospital management system price:

http://www.instahealthsolutions.com/ - They charge 3 Lakhs per year to manage hospital. 

Branded ones charges between 10 lakhs to Rs 35 lakh a year for software license, hardware, maintenance and management to set up operations management systems.