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Telemedicine - Making Housecalls, 21st Century Style

Remote doctor and wellness visits, made possible by software and Internet technology, is one of the most popular and profitable new trends in medicine. Vertex has been fortunate to be a leader in this area, building complete, full-featured telemedicine systems for healthcare customers.

One of the greatest challenges Vertex faced in its telemedicine development efforts was the need to keep the server systems private and under control of the IT departments of its customers. Leading chat and WebRTC (video and audio conferencing over the Internet) providers are almost exclusively cloud-based, and the easiest ways to deploy these systems is using cloud services. However, Vertex has been able to work with manufacturers of private server systems for these communication purposes in order to provide its customers with the privately managed servers they require.

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 Telemedicine systems appear to be simple to their customers – but they are nothing of the sort. In the case of one major system for a large multispecialty physician corporation on  which Vertex is nearing completion, the system combines chat, video, audio, in app and system notifications, text messaging, and database operations in order to allow healthcare providers to create multiple chat channels at once, upload documents (and view those uploaded by patients), view a patient’s medical history, initiate video or audio conferencing, log the encounter, and view encounters – all from a mobile app or Web application (both mobile apps for iOS and Android as well as responsive/adaptive Web applications were created by Vertex for this system). Providers can “see” as many as five patients at once with these applications.

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Patients can register, subscribe, manage their subscriptions, add friends and family profiles to their accounts, initiate telemedicine encounters via chat, participate in encounters by video or audio, upload images and documents, review images and documents with their providers, and much more.

In addition to the iOS and Android mobile apps and Web applications for both patients and providers, Vertex created an administrative application for managing the various systems and patient data created during telemedicine encounters.

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 The infrastructure for this system – architected, installed, integrated, tested, and deployed by Vertex – includes Web servers, application servers, database servers, asWebRTC servers, chat servers, notification servers, and text/SMS messaging services.

Another telemed system developed by Vertex focuses on urgent care clinics, providing these clinics a means of optimizing physician hours by means of a response queue for managing incoming patients effectively - saving clinics thousands of dollars a day in otherwise unbilled idle time.

Other telemedicine applications developed by Vertex include physician queueing and notification, insurance plan integration, electronic prescriptions, and pharmacy pickup scheduling. And Vertex is already at work on the next generation of service offerings in telehealth fields, with applications for nutritional and psychological counseling in the planning stages.

Applications Developed

  • Chat-Video-Audio-Messaging System (including business logic and workflow code and databases)
  • Provider Web Application
  • Patient Web Application
  • Provider iOS Mobile App
  • Patient iOS Mobile App
  • Provider Android App
  • Patient Android App
  • System Administration Web Application

Services Provided

  • Business Analysis
  • Requirements Specifications Analysis
  • Workflow Definitions and Diagrams
  • Database Design and Schema Definitions
  • Schema Document Development
  • Use Case Diagrams
  • Domain Model Diagrams
  • Project Gantt Charts, Schedule, and Budgets
  • User Interface Designs
  • Web Application Wireframes
  • Mobile Application Wireframes
  • Administrative Application Wireframes
  • Graphic Design
  • Web Application Comps
  • Mobile Application Comps
  • Server System Software Development – Integration and Business Logic
  • eCommerce Development and Integration and Subscription Management
  • Web Application Development
  • iOS Mobile App Development – iPhone and iPad
  • Android Mobile App Development – Phone and Tablet
  • Administrative Application Development
  • QA/Testing – QA Management, Stress and Latency Testing, Unit Testing
  • Network Administration, Data Center Buildout, Server Setup
  • Application Deployment
  • Managed Hosting