Specifications include, but are not limited to: This will include the technology and the full support for implementing in a myriad of use cases including clinics, synchronous interactions, and urgent/elective consultations. Technical Requirements • The system will allow HIPAA Business Associate Agreement (BAA) compliant video communications between a provider and a patient who may be located anywhere (with appropriate technologic access) including clinic, hospital, office, school, or home. Solution must meet Centers for Medicare and Medicaid Services (CMS) and American Telemedicine Association (ATA) standards for video quality and bandwidth. • The system will function on computers, tablets, and hand-held devices (phones) with Windows, Apple (MacOs and iOs) and Google (Chrome and Android) operating systems. • The system must be able to provide adequate (480p) video over cellular connections. • The system must have at least rudimentary pan, zoom and focus capability with a smart phone, tablet, or webcam. • The system must allow for screen capture and screen sharing if needed. • The system must have a strong track record for high-reliability (high percentage uptime) and high-quality connectivity (minimum of 480p). • The system must have both software and hardware components allowing for instrumented visits if needed. • The system must be compatible with intraoral cameras and other instruments if needed. • The system must interface with UTHealth/UTP’s current electronic health record system (EHR; currently Allscripts) and revenue cycle management (RCM; currently GE Centricity Business) products. Functional Requirements • The system must allow for both patient-initiated encounters, as well as, clinic and/or hospital-initiated encounters. • The system must be robust enough to allow multiple patients to join a virtual “waiting room” branded with appropriate identifiers and be subsequently placed with a myriad of providers. • The system must allow for group visits or counseling if desired. • The system must allow for recording of visits if needed. • The system must have a robust intake process including demographic information, medical history, consent, and payment collection/insurance information to optimize the initial steps of a connection. • The company/vendor must be able to handle a large variety of use-cases, including adult and pediatric, across a variety of specialties, with unlimited license capability. • Provide consulting services for building virtual practice into the framework of UTHealth/UTP’s current conventional practice. • System must possess the ability to expand at a later point into asynchronous, remote monitoring and other virtual health use cases. • Provide HIPAA compliant virtual visits to monitor stable chronic conditions for patients located in rural areas with limited access to healthcare. Provide HIPAA compliant virtual visits to recommend actions needed to aid in cases of deterioration of a stable condition for patients located in rural areas with limited access to healthcare. • Facilitate connection with specialists via virtual network for a consultation recommended for chronic condition management for patients located in rural areas with limited access to healthcare. • Connect to primary care provider at hospital discharge for smooth transition of care experience for all patients.