Reference Use Cases

Digital Registries

E-Signature

Step 4 - Patient Registration

Registration for patients can vary depending on specific country/district-level contexts. Patients can sign up directly, through their hospital systems, or via representative health workers that can register participating individuals. In the latter case, the healthcare worker can assist individuals to provide demographic, geographic, and health history data into the system.

Workflows

Data Collecting and Reporting to capture provider’s demographic data, information on specialties, and information on qualifications. In return patients can provide demographic, geographic, and health history data
Client Case Management for creating patient user records
Identification and Verification for enrolled identified healthcare providers and patients and enabling permissions

Building Blocks

E-Signature

Step 5 - Data Verification and Validation

In this step, registration data needs to be verified and validated. Healthcare provider qualifications can be checked via the licensure organization in the country and patient data can be verified with local digital identification or census database.

Workflows

Client case Management used for verifying and validating enrollment of patients and healthcare workers
Data Analysis and Business Intelligence / Data Collection and Reporting for administrators and national workers to monitor and track use and uptake of the system.

Building Blocks

Step 6 - System Access

Patients, healthcare providers, and administrators need access to telehmedicine system using an application protocol while adhering to stringent privacy protection measures. As the front end to most telemedicine applications, it is critical to maintain available, high-performance web front end systems. When monitoring and troubleshooting issues with telemedicine systems, IT teams need to have visibility across web connections and through firewalls and load balancers.

Workflows

Client Communication to facilitate individual communication between the system and all users (healthcare workers, patients, and administrators)

Building Blocks

Step 7 - Schedule Appointments

Appointments can be triggered by patients (such as for a first-time visit) or by health care providers (such as for a follow-up). In either case, health care providers set a schedule of availability for patients selection. Patients can book appointments with health care providers directly or through intermediaries, based on preferences and condition (such as general, emergency, specialty, or nursing care, etc.). The system can also generate auto-notifications for receiving confirmations and/or reminders, and for approving appointments.

Workflows

Client case Management can be either automated or through an intermediary health care worker on the ground that is responsible for coordinating appointments on a centralized system
Work Planning and Coordination so healthcare providers and administrative staff can coordinate the timing/schedules of multiple patients they may be serving

Building Blocks

Messaging

Scheduler

Workflow

Step 8 - Consultation

Depending on connectivity and device parameters, there are two main ways that a health care practitioner and patient can conduct the consultation. 1) The consultation can be done through a live phone or video chat using a personal device. In some cases, the consultation can be done using a shared device provided by a health care officer or other intermediary. 2) The consultation can also be done by sending and receiving messages using secure messaging, email, and secure file exchange.

As part of the consultation, the healthcare provider can update the patient record, diagnose the patient, recommend a treatment plan, prescribe medications, request lab work, generate a referral with a specialist, and/or recommend a follow-up.

Workflows

Client Communication for sharing relevant updates, diagnoses, treatment plans, and follow-up with client
Client Case Management for identifying and recording patient interaction with healthcare workers and for determining follow-ups and storing patient history
Data Collection and Reporting for capturing changes in beneficiary information
Work Planning and Coordination for referrals to specialists or connections with other hospitals, clinics, or lab and pharmacy services

Building Blocks

Scheduler

Step 9 - Payment Management

Payments can be collected either pre- or post-consultation. In the context where a digital financial service system is not employed, each beneficiary would be requested to pay via mobile money or to travel to the nearest designated pay-point and pay the fees by program-specific authentication. Money is transferred to the selected payment mechanism and is subsequently verified against the provider.

Workflows

Client Case Management for identifying and authenticating individual that is making a payment
Financial Services for processing consultation fees and other fees related to tests, labs, and prescriptions

Building Blocks

Payments

Step 10 - Ongoing Case Management

Depending on the program and on the country’s broader health policies, this step involves ongoing interaction with beneficiaries via healthcare officers to help:

Provide ongoing care and management – In some cases, this can also be done through remote sensors that can send information to healthcare providers on the patient’s health status
Ensure information on patients and health care providers stays up to date
Address complaints, grievances, and appeals

Workflows

Client Case Management for identifying and recording patient interaction with health care providers/worker and capturing reported cases on grievances
Data Collection and Reporting for capturing changes in patient or health care provider information
Work Planning and Coordination to potentially suggest and connect with departments / agencies offering other social benefits and services to eligible patients

Building Blocks