Custom Telehealth Software for Stroke Care

Features, Costs, and Benefits

In healthcare IT since 2005, ScienceSoft designs and develops advanced telemedicine software for stroke care management.

Telemedicine Software for Stroke Care - ScienceSoft
Telemedicine Software for Stroke Care - ScienceSoft

The Essence of Telestroke

Telestroke connects experienced vascular neurologists with several emergency care hospitals to provide online consultations on efficient stroke treatment using telehealth technology and remote patient monitoring. According to Harvard Medical School, telestroke helps lower mortality risks and improve care outcomes.

Custom telestroke software offers tailored functionalities and workflows to initiate real-time remote assessment, diagnosis, and treatment planning. It helps healthcare providers to react swiftly in critical moments and integrates tools for emergency care coordination and post-stroke rehabilitation management.

With a telestroke solution, patient care is delivered as follows:

Patient care delivery with a telestroke solution - ScienceSoft

Telemedicine is effectively used to diagnose and help treat all major stroke types:

  • Ischemic stroke – brain dysfunction caused by lack of blood flow (ischemia).
  • Hemorrhagic stroke – bleeding into the brain or between the brain's membranes caused by the rupture of a blood vessel.
  • Mini-stroke or transient ischemic attack – a brief episode of ischemia with symptoms lasting less than 1-2 hours.

The Architecture and Integrations of Telestroke Software

Architecture and integrations of a telestroke software - ScienceSoft

The core part of a telestroke solution is a cloud server with a data storage and processing module and a video streaming server. The former enables secure storage and handling of medical data and ePHI (e.g., device-generated data, treatment plans). The latter provides real-time audiovisual communication between an emergency care team, a vascular neurologist, and a patient. The user-facing modules of a telestroke solution usually include the following:

App for the emergency care team

to launch a real-time or follow-up stroke consultation with a vascular neurologist, view a patient’s treatment plan, etc.

App for vascular neurologists

to examine a patient, assess the stroke symptoms, and provide online consultations.

Admin web panel (for admins, health services managers)

to manage software access rights, assign consultation requests, and monitor the quality of services (audio/video quality, consultation timings, etc.).

A patient rehabilitation module (optional):

App for patients

to schedule and join follow-up appointments and rehabilitation sessions, log symptoms, and check in-app treatment plans. Depending on a patient’s condition, the app can be operated by a relative or caregiver.

Smart medical devices

to ensure automation in measuring and collecting the patient’s vitals for further analysis. Recommended devices: blood pressure monitor, ECG patch, smartwatch.

Important integrations to ensure fast and secure access to patient health data:

EHR or EMR

to provide access to medical history, chronic conditions, and allergies for a vascular neurologist. The patient’s medical and contact information from the originating site’s EHR should be automatically uploaded to the neurological center’s EHR for treatment, billing, etc.

Medical imaging and laboratory software

to get an instant view of diagnostic images and lab test results, identify the stroke type, the vessel blockage location, and decide on the treatment. Medical images (e.g., CT scans, MRI scans) can be transferred via API to the cloud server for image analysis or analyzed by the vascular neurologist via a DICOM viewer.

Practice management system (PMS)

to access the healthcare specialists’ schedules (of the neurological center and the originating site), automate billing, etc.

Connected hospital devices or sensors

to provide a vascular neurologist and a care team with real-time patient vitals for streamlined diagnosing and symptoms monitoring.

MD, Healthcare IT Consultant

Which hospital gets reimbursement for telestroke services?

CMS-regulated payers (e.g., Medicare, Medicaid) reimburse the services of the originating site and the neurological center. To receive reimbursement, both organizations should log the stroke case in their EHRs with the billing codes according to CMS guidelines.

Key Features of Telestroke Software

When designing a unique feature set for a telestroke solution, ScienceSoft's healthcare IT consultants consider each customers' unique business needs and requirements. Here is the list of common features we implement:

Remote stroke care consulting for emergency centers

  • 24/7 vascular neurologist consultation requesting by a remote emergency care team.
  • Notifications on new telestroke requests for on-duty neurologists.
  • Videoconferencing for emergency consultations with a vascular neurologist.
  • Instant chat between an on-site care team and a vascular neurologist.
  • Patient examination checklists for a vascular neurologist (visual assessment, evaluation of motor skills and speech).
  • Follow-up patient examinations.
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In-app stroke diagnostics and treatment assistance (advanced SaMD features)

  • NIH stroke scale calculator to assess stroke severity based on patients’ reactions.
  • Alberta Stroke Program Early CT Score (ASPECTS) calculator to determine stroke severity using available CT data.
  • t-PA dose calculator to prescribe the thrombolytic drugs to patients with ischemia.
  • AI-based CT scans analytics for automated stroke type diagnostics and abnormalities identification.
  • Modified Rankin scale (mRS) calculator to measure the degree of stroke patients’ disability or dependence in daily activities (for recovery and rehabilitation monitoring).
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Stroke treatment planning and coordination

  • Electronic treatment plan creation (custom or template-based).
  • A patient’s treatment plan export (e.g., for sharing with a rehabilitation provider).
  • Real-time tracking of patient vitals with connected devices or sensors (for monitoring medication efficiency and stroke symptoms alleviation).
  • Stroke treatment efficiency assessment, rehabilitation assignment (after a surgery or medication treatment).
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Stroke patient data storage and access

  • Stroke case details, follow-up visit details, and prescriptions.
  • In-app access to a patient's medical history, medical images (e.g., MRI, CT, ECG scans) and lab results for a neurologist.
  • Access to recordings of teleconsultations for an emergency care team and a vascular neurologist.
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Data security and patient safety

  • PHI access management (e.g., restricted editing of PHI, version history).
  • Identity management and multi-factor authentication.
  • Telestroke software data encryption (for video and audio calls, messages, patient records, etc.).
  • HIPAA and HITECH compliance.
  • FDA regulations compliance (for telestroke software with SaMD features).
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Stroke care training

  • Remote stroke care training for emergency care teams (e.g., about novel stroke therapies and their use).
  • Remote supervision by an expert vascular neurologist for doctors providing acute stroke care.
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How to Build Telestroke Software

ScienceSoft always follows a meticulously planned development roadmap to ensure custom telestroke software is reliable, secure, and compliant with the stringent industry requirements.

1

Analyzing requirements and introducing the feature set

2

Defining the architecture and tech stack

3

Project planning

4

Iterative development and testing

5

Deployment

6

Maintenance

See How It Works in Real Life

Check Out Our Telehealth App Demo

Explore opportunities that a telehealth app provides to foster continuous and impactful communication between patients and healthcare professionals.

Explore a Telehealth App with Remote Patient Monitoring

In the app demo, we show how the automated collection of health parameters, vitals analysis, and identification of symptom patterns contribute to advanced patient care.

Benefits of Telestroke Solutions

For neurological centers

Service coverage expansion and increased capacity of treated patients (Healthcare IT News).

General benefits

  • Reduced time from patient admission to stroke treatment (door-to-needle time) due to quick access to neurological care (National Library of Medicine).
  • Decreased risk of stroke-related complications and disabilities due to timely treatment decisions (The Harvard Gazette).
  • Minimized patient transfers leading to lower expenses and risks (for patients who need non-surgical treatment) due to faster care delivery backed up with expert consulting at the local ER (American Academy of Neurology).
  • Improved diagnostic accuracy in emergency care due to close collaboration with vascular neurologists (Journal of Clinical Medicine).

Want to Implement Robust Telestroke Software?

With extensive experience in telehealth software development, ScienceSoft is ready to design a build a reliable and flexible solution for remote stroke treatment consultations.

What Determines Telestroke Software Success

Telestroke software success highly depends on its ability to provide timely care. ScienceSoft's consultants defined factors helping to ensure it with technology:

Clear UX

to make user journeys simple and save time of the medical staff involved in stroke care.

Seamless integration with required systems

to provide a vascular neurologist with an integrated patient view, timely access to all needed patient data via EHR, LIS, medical imaging software, etc., resulting in quality stroke care.

Examples of Telestroke Software Implementation

Massachusetts General Hospital offers comprehensive telestroke and teleneurology programs to community hospitals. Now, over 95% of consultation requests are answered within five minutes. Clinicians in remote hospitals report that MGH neurologists’ consultations improve decision-making confidence and allow treating 71%-88% of emergency telestroke patients locally.

SA Health, Australia, implemented a cloud-based telestroke platform to gather vital health information from stroke patients and provide virtual consultations. As a result, it reduced unnecessary hospital-to-hospital transfers by 72%.

Do You Need Custom Telestroke Software?

Answer a few quick questions from our healthcare IT consultants to determine whether you need a custom telestroke solution.

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A ready-made app may be the best fit for you

Based on your answers, an off-the-shelf telemedicine platform will suit the stroke care needs of your organization. ScienceSoft’s healthcare IT experts are ready to help you choose and implement the best-fitting software.

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It’s best to opt for a custom telestroke solution

It seems that custom telestroke software is more suitable for your needs. ScienceSoft’s team is ready to help you define the necessary features, design a robust architecture, and develop a reliable telestroke solution.

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How Much Does Telehealth Software for Stroke Care Cost?

Pricing Information

A telemedicine solution for stroke care with core features like online consultations, chat, file exchange, and EHR integration usually costs from $150,000 to $200,000. The costs may increase to $300,000 for an advanced solution with features like integrated devices, medical image analysis, AI, etc.

Want to understand the detailed costs of your telestroke software?

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Telehealth Software for Stroke Care by ScienceSoft

Holding ISO 13485 certification, ScienceSoft creates secure telestroke software in full compliance with the requirements of the FDA and the Council of the European Union.

Telestroke consulting

ScienceSoft’s consultants will help you select a suitable telemedicine platform — or take over software development planning from feasibility study to requirements engineering and architecture design.

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Development of telestroke software

Partner up with ScienceSoft to develop a state-of-the-art telestroke solution! Our competent healthcare IT experts are ready to handle your app's design, development, QA, integration, compliance, and support.

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About ScienceSoft

ScienceSoft is an international IT consulting and software development vendor with 18 years of experience in healthcare IT. Being ISO 13485-certified to design and deliver medical software according to the requirements of the FDA and the Council of the European Union, ScienceSoft advises on the implementation of telehealth solutions for stroke care and develops software for rapid and accurate stroke diagnosis and treatment.