TeleCare Global: Multi-State Virtual Telehealth Clinic
How Ajath built an enterprise-grade virtual care delivery engine that scaled to 2.4 million completed patient consultations with zero downtime, automatic multi-lingual medical transcription, and Surescripts e-prescribing.
Enterprise Telehealth Impact
TeleCare Global NetworkThe Challenge: Scaling High-Quality Video Across Unreliable Cellular Networks
TeleCare Global needed to transition from fragmented commercial video tools to a unified, HIPAA-compliant telehealth ecosystem capable of handling multi-party specialist consults and simultaneous EHR chart synchronization.
Bandwidth Packet Loss
Patients connecting over rural 3G/4G networks experienced call drops and frozen video streams during critical examinations.
Double Documentation Overhead
Physicians had to take notes during video calls and re-enter them manually into hospital Epic and Cerner EHR charts.
Multi-State Medical Compliance
Encounter routing had to dynamically verify clinician state licensure, prescribing restrictions, and Medicaid parity laws in real time.
The Technical Solution: Low-Latency SFU Video & Ambient AI Scribe
We deployed a globally distributed WebRTC Selective Forwarding Unit (SFU) mesh coupled with an ambient clinical documentation pipeline.
Adaptive WebRTC SFU Mesh
Dynamic simulcast video routing that automatically adapts stream bitrates per participant, eliminating call drops even under 40% network packet loss.
Real-Time Ambient SOAP Scribing
Clinical Whisper models running in HIPAA-isolated VPCs transcribe doctor-patient conversations into structured Subjective, Objective, Assessment, and Plan notes.
Surescripts Certified eRx Gateway
Bi-directional pharmacy interface enabling real-time prescription routing, electronic prior authorizations (ePA), and automated drug-allergy interaction checks.