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The Challenges of Designing a
Scalable Telehealth System
Erika Chuang, VSee
Dec 4, 2016
Questions/comments I frequently hear
 Video visit is fundamentally not scalable.
 Does your product integrate with XYZ? Our providers do
not want to use another tool.
 Does your product work these equipments? We already
spent $$$ purchasing them.
 We want to use this telehealth vendor, but they just can't
do everything we want to do.
Technology trend supports scalability
Consumer devicesDedicated hardware
Technology trend supports scalability
Dedicated path with
guaranteed QoS
Lossy, wireless, p2p
Technology trend supports scalability
On-premise SaaSCloud / ASP
Technology trend supports scalability
A telehealth journey
A telehealth journey
A telehealth journey
A telehealth journey
A telehealth journey
A telehealth journey
A telehealth journey
A telehealth journey
It’s all about workflow
Small Clinics vs. Big hospitals
It’s all about workflow
Primary care vs. specialist
It’s all about workflow
Acure care vs. Chronic vs. Preventive care
Unique, stand-alone end-user
applications will not scale
Unique, stand-alone end-user
applications will not scale
??
?
?
Platform strategy
 Reusable components
 Fast delivery of new products
 Reduced development and maintenance cost
 Improved quality
 Reduced cost
Traditional model of building platforms
 Implemented largely before applications are built
 Focus primarily on the technical criteria
 Performance
 Robustness
 Scalability
 Security
 Less focus on what value they deliver to end-user
 Feature bloat
 Poor usability
Agile and user centered design
 Applications are developed at the same time as the
platform
 Works well with end-user application with known end users
and product goals
 Not so obvious when building a platform
 Multiple product teams with specific needs and goals can
cause conflicts
 Some products may not even exist yet
 Agility, but not stability
A scalable telehealth platform to
support many user-friendly applications
 How to balance between the design of platform to design
of applications
 How to avoid building a bloated system
 How to continue expand platform capability to meet
changing business goals while maintaining stability and
robustness

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