Professional Documents
Culture Documents
MedTalk
Presented to Davi d Aguil ar / Gil Bender
By SETA nternati onal
bruce@seta-internati onal .com
The above parties agree that the information in this estimate shall not be disclosed to any
outside party and shall not be duplicated, used or disclosed in whole or in part for any purpose
other than to evaluate the estimate. This estimate is valid until May 31, 2011, after which date
SETA nternational, LLC retains the right to make revisions. This restriction does not limit the
right of each party to use information contained in this estimate if it was obtained from another
source without restriction
TabIe of Contents
1. ecutive Summary 1
11 ro[ecL Cvervlew 1
12 ro[ecL Scope 3
13 AssumpLlons 3
14 Cur Approach Lo MeeL ?our Cb[ecLlves 6
13 ro[ecL 1eam 7
16 ro[ecL CosL 8
17 aymenL 1erms CondlLlons 9
. Project Management 10
3. SoIution Overview 11
31 SysLem Cvervlew 11
32 SysLem ArchlLecLure 12
cceptance and authorization 14
4. ppendi 15
41 1ask 8reakdown SLrucLure 13
42 Mlsc lnformaLlon 13
1
1. ecutive Summary
1.1 Project Overview
Medta|kcom wlll change Lhe way physlclans nurses and oLher healLhcare provlders lnLeracL and Lake
care of paLlenLs CurrenL meLhods of communlcaLlon ln medlclne lncludlng Lelephones and pagers are
slow Llme consumlng and error prone CommunlcaLlon Lhrough medLalk wlll be easler fasLer more
accuraLe and effecLlve beLween healLhcare workers ln Lhe hosplLal offlce and anywhere paLlenL care ls
lnvolved
MedLalk ls a web based plaLform LhaL ls comprlsed of a worklng neLwork of healLhcare provlders
lncludlng buL noL llmlLed Lo physlclans and nurses 1he core concepL of medLalk ls a messaglng Lool LhaL
can be accessed Lhrough Lhe medLalk webslLe vla deskLop lapLop or moblle devlce 1hrough medLalk's
neLwork of members and lLs messaglng sysLem a physlclan can selecL anoLher physlclan and send a real
Llme lnsLanL daLe and Llme sLamped hlppa compllanL message LhaL can be read and replled Lo ln
slmllar fashlon Secondly a hosplLal nurse or oLher hosplLal sLaff member can communlcaLe wlLh a
medLalk physlclan by sendlng a realLlme message vla Lhe medLalk messaglng sysLem Lo docLors who
Lhen can respond ln a Llmely accuraLe and lndusLry compllanL fashlon 1hls wlll help ellmlnaLe
medlcaLlon errors or oLher communlcaLlon errors and wlll accuraLely documenL every lnLeracLlon
beLween hosplLal sLaff and physlclans
1wo use case examples wlll lllusLraLe Lhe beneflLs of medLalk and how communlcaLlon wlll evolve and
lmprove ln medlclne whlle lowerlng healLhcare cosLs and llablllLy CurrenLly dlrecL communlcaLlon
beLween physlclans does noL occur because of Lhe cumbersome naLure lnvolved wlLh flndlng calllng
and walLlng for physlclans on Lhe Lelephone lurLher hosplLal nurses can only communlcaLe wlLh
physlclans by Lelephone desplLe Lhls slow lneffecLlve and non documenLed meLhod
Use Case #1 A physlclan hosplLallsL a docLor who ls ln charge of Lhe care of hosplLallzed paLlenLs
needs Lo lnform Lhe prlmary docLor medlcal speclallsLs and home healLh nurses abouL Lhe hosplLal
course and dlscharge plans for Lhelr hosplLallzed paLlenL A phone call Lo each healLhcare worker ls
needed 1he Llme lnvolved renders Lhls meLhod vlrLually lmposslble and Lherefore lL ls noL done WlLh
medLalk Lhe hosplLallsL logs onLo medLalk flnds Lhe provlders lnvolved ln Lhe paLlenLs care sends a
qulck realLlme message llke " Mrs !ones ls golng home Loday she had a negaLlve mrl and eeg buL her
blood pressure medlcaLlon was changed Lo 1oprol xL 30 mg q day She needs follow up ln 1 week
1hanks" 1he recelvlng medLalk members recelve Lhe message on Lhelr medLalk moblle app pad or
deskLop lnsLanLly and can reply Lo Lhe sender and Lhe oLher provlders MedLalk replaces Lhe slow Llme
wasLlng Lelephone process and even slower paper mall Also medLalk ensures accuraLe documenLed
communlcaLlon
2
Use Case #2 a surglcal floor nurse needs Lo noLlfy Lhe paLlenL's surgeon of a blood LesL resulL LhaL may
requlre an alLeraLlon ln Lhe paLlenL's care such as a medlcaLlon change CurrenLly lf Lhe surgeon lsn'L
sLandlng nexL Lo her she has Lo call hls offlce or page hlm walL on Lhe phone lnLerrupL hls currenL work
and relay Lhe message 1hls can Lake 20 Lo 30 mlnuLes or more of Lhe nurse's Llme 1hen Lhe surgeon
replles wlLh a verbal order" LhaL can be easlly mlslnLerpreLed and lncorrecLly Lranscrlbed by Lhe nurse
leadlng Lo a cosLly or deadly error WlLh MedLalk Lhe nurse flnds Lhe MedLalk surgeon sends Lhe
encrypLed message vla medLalk and recelves an auLomaLlc conflrmaLlon LhaL Lhe surgeon recelved Lhe
hlppa compllanL message 1he surgeon on hls Llme processes Lhe lnformaLlon and responds lor
example lease glve Mr SmlLh heparln 3000 unlLs SC Llmes 1" 1he message and reLurn order ls fasL
compllanL Llme sLamped and accuraLe
As demonsLraLed by Lhese cases physlclans' and nurses' Llme wlll be saved paLlenL care wlll be beLLer
and safer medlcaLlon errors wlll decrease physlclan and hosplLal malpracLlce cases wlll decrease and
communlcaLlon wlll be more preclse and Llme sLamped WlLh Lhese and many oLher beneflLs medLalk
wlll lmprove healLhcare overall
3
1. Project Scope
MedLalk wlll need a web based sofLware program and webslLe LhaL ls fully funcLlonal for moblle devlces
1he program wlll be easlly downloadable for use on deskLops lapLops and moblle devlces uslng Lhe
lphone drold blackberry and wlndows based operaLlng sysLems aL Lhe mlnlmum MedLalk wlll be
loadable and funcLlonal on hosplLal based and oLher faclllLy sysLems and ln all cases wlll be exLremely
user frlendly fasL slmple and professlonal lL wlll be lnLernaLlonally adapLable and use moblle
enablemenL allowlng for global slmple and effecLlve access
Detailed breakdown of each of the task/function below is outlined in Appendix A.
Task /
Function
Item Description
Discovery
Discovery O Requirements Analysis
O Technical Evaluation
ireframes / GraphicaI Design
Wireframes O Wireframe creation
O Client modifications and assessments
Creative Design O Creative Design
O Client Discussion and Modifications
Prototype DeveIopment
Prototype O Flash Presentation
ppIication DeveIopment (eb ppIication)
Platform
Development
O Hippa Compliace
O nstant/Real Time (text, email)
O Date/Time Stamp
O Voice to Text Capabilities
O External Database ntegration
O nternationalization
4
MedTalk
Frontend
Application
O MedTalk ntroduction
O MedTalk Message
O MedTalk Members
O Business Talk
MedTalk
Backend
Application
O Content Management System
O Message System
O Users Management
O Photos Management
O Advertise Management
O Capture Users/Feedback
O Custom Medical Dictionary Management
ppIication DeveIopment (MobiIe ppIication)
Mobile
Development
O Web-based software program that is fully functional for mobile devices
O iPhone MedTalk Application
O Droid MedTalk Application
O Blackberry MedTalk Application
DepIoyment
Deployment O Deployment
Maintenance & Support
Maintenance &
Support
O Post Deployment Maintenance & Support
3
1.3 ssumptions
1 lA CompllanL (aL leasL)
a LncrypLed
b 8ack up and recoverable
c Cnly accesslble by auLhorlzed personnel
d 1amper proof cannoL be alLered
e SLored and archlved ln encrypLed manner
f When noL needed can be dlsposed of properly and permanenLly
2 osplLal compllanL
3 Slmple and secure reLrleval sysLem so LhaL hosplLals and members can access sLored or archlved
messages lf necessary Lhls reLrleval sysLem needs Lo be more Lhan whaL ls accompllshed by
hosLlng servers
4 Medlcal legal approval
3 lnsLanL/8eal Llme (llke LexL or emall)
6 uaLe and Llme sLamped" very lmporLanL funcLlon of medLalk
7 hoLos lf slmple and easy lf noL perhaps bulld ln buL noL roll ouL unLll laLer
8 1exL has no resLrlcLlon of characLer number
9 volce Lo LexL capable
10 Message recall or remlnder capablllLy (eg physlclan recelves paLlenL lnformaLlon LhaL he would
llke Lo recall laLer hours or days) Cnly lf easy and workable ln all apps lncludlng moblle app
11 lf blppo ollowoble messages can be personally archlved and prlnLed
12 uependlng on screen slze and devlce a hlppa compllance regulaLory noLe wlll be needed slmllar
Lo whaL ls used aL Lhe end of emalls lor example Lhls medLalk message conLalns confldenLlal
lnformaLlonas deflned by Lhe lA prlvacy ruleplease noLlfy sendereLc
13 1he work Lo be developed under Lhls SLaLemenL of Work (SCW) ls descrlbed under secLlon 11
1he scope consLlLuLes Work roducL as deflned ln Lhe rofesslonal Servlces AgreemenL below ln
SecLlon 3 Any changes Lo Lhls SCW (wheLher by lnLroduclng new funcLlons feaLures or
lncreaslng Llme) wlll be communlcaLed Lo Lhe CllenL for Approval prlor Lo execuLlng All CllenL
requesLs Lo change and / or lnLroduce new funcLlons or feaLures lnLo Lhls SCW shall be handled
ln accordance wlLh SL1A's Change Crder rocess
14 CuLslde of Lhe addlLlonal feaLure seLs ouLllned ln Lhe scope of servlces above any neL new
feaLure requesLs or enhancemenLs wlll be execuLed vla block hours
13 A deLalled pro[ecL schedule lncludlng mllesLones and Lask acLlvlLles for SL1A's scope of servlces
wlll be esLabllshed shorLly afLer pro[ecL approval
16 CreaLlve deslgns wlll lnclude our logo and brand deslgn lncludlng deslgn for paper producLs
6
17 8equlred legal and professlonal dlsclalmers LhaL we provlde wlll be lncluded were approprlaLe
LhroughouL Lhe plaLform and aL Lhe end of medLalk messages as needed
18 1he medLalk message sysLem wlll have a remlnder Lool LhaL wlll allow a physlclan or oLher
medLalk member Lo seL a remlnder daLe LhaL brlngs up a parLlcular message recelved buL 17
days laLer (for example)
19 We wlll verlfy professlonal sLaLus le physlclans nurse eLc where posslble ln all lnsLances
20 MedLalk wlll have a medLalk language daLabase
21 Cll 8ender and uavld Agulllar's personal emall Lo have medLalk logo/llnk Lo webslLe or moblle
app