Every country is adopting various strategies against the spread and mitigation of the effects of corona disease. Many of the countries of world have gone under complete lockdown. The future strategies use of science, technology, innovation and industrial solutions will play an important role in post pandemic development and re-strengthening of the nation’s economy. Health is an important and basic requirement of every human being. During pandemic times the word has realized the shortage and inadequacy of healthcare facilities. It is estimated that post COVID-19 world will reorient its focus from manufacturing nuclear weapons and arms towards development of life-saving equipments, research and technology. The future is indicating and demanding improvement in health care facilities. This paper presents a case of robotic drone based tele-healthcare system for post pandemic era. It depicts how entrepreneurial alertness can convert any situation into business opportunity. The paper comprehensively documents and analyzes the feasibility model of the proposed robotic drone based tele-healthcare system start-up.

Keywords: tele-health facilities, entrepreneurial alertness, innovation, entrepreneurship, healthcare facilities

The present situation of pandemic has taught a lesson to whole mankind that humans have to look at the way of living life with a new perspective. It is better to be prepared and prepared well than to be defeated. It is important to flow with the present moment, concentrate and focus on positivity of life and suppress unwanted negative thoughts. It is important to involve yourself in some activities that improve your immunity, boost your morale and lessen your stress. This is essential to live a stress free life with peace and ease of mind. This will create an ample requirement of a whole new generation of fitness centers like gymnasiums, spas, wellness centers, meditation centers, health clinics and derivatives of such healthcare facilities. All these healthcare facilities along with existing infrastructure as well as newly developed hospitals, clinics, nursing homes, fitness centers will also require to evolve and develop a resilient model for providing healthcare service. These centers have to be equipped with various medical equipments, healthcare equipments latest technology based disease fighting facilities. Though technological innovation cannot check/stop the occurrence of disease but it can be harmless to mitigate the effect of any future outbreaks of contagious diseases. Here lies the opportunity which the young students/future entrepreneur can convert into a successful start-up with entrepreneurial alertness (Figure 1).¹

Figure 1 Healthcare startup portfolio.

Several studies have suggested that a business opportunity is not created but the individual with keen watch over the situation, creative mind and entrepreneurial alertness can convert any situation into start-up opportunity. For this the individual must be sensitive enough to observe the changes in the environment. He must have a keen sense of information sensing, searching and analysis. This entrepreneurial alertness combined with his personal capabilities like creativity, innovativeness, and his knowledge and experience (direct or acquired) can result in successful start-up. Figure 2 shows model of entrepreneurial alertness. The paper is organized as: the related work is reported in section 2, the methodology for the proposed area described in section 3, point to point analysis of business model of telehealth system start-up is given in section 4. In section 5 the results & discussion followed by conclusion of the proposed work is presented in section 6.

Figure 2 Entrepreneurial alertness model.

Li Zhao et al.² in their paper discussed about various developments in the field of tele-medicine along with the applications of it as a portable monitoring system.² Lorussi F et al.³ discussed about a specific application tele-medicine as wearable system that is capable of revealing the status of the motion of body parts such as hand.³ Shioda Y⁴ proposed a unique mechanism for providing a tele-medicine system to the provision of treatment for inhabitants in rural/remote areas.⁴ Chand RD et al.⁵ discussed about different schemes & projects / platform the Indian government is using as progressive communication tools for collective learning in tele-medicine & tele-health care.⁵ Văleanu V et al.⁶ has discussed and developed a fully working prototype of portable typical tele-medicine workstation to support & promote space assets and technological applications.⁶

A keen entrepreneurial alertness is required to identify the prospective business opportunity. The prospective entrepreneurs with entrepreneur mindset require tapping in to their interest. They have to develop and explore new ways of thinking.^7,8 They have to carry out SWOT (Strengths Weakness Opportunities Threats) analysis shown in Figure 3. Once they identify an opportunity it needs to be ideated and a market research is also required.^9–12 Different analysis techniques are shown in Figure 4. The questionnaire-based survey technique is used to carry out the market research of the tele- healthcare start-up. Figure 5 gives the snapshot of sample survey form.

Figure 3 SWOT analysis.

Figure 4 Different analysis techniques.

Figure 5 Snapshot of survey form.

Customer segment

1. Post pandemic almost every other house, enterprise, office etc. will try to get telehealth system.
2. Customers will have need of preventing/preparing themselves from any future spread/out- break of any contagious and infectious disease and they will want to accomplish this without making frequent visits to hospitals.
3. Telehealth system will not only ensure timely detection of disease, surveillance, ensure situational awareness alerts but will also provide tele-consultation/checkup, prescriptions, diagnostic results and health advices from the doctors
4. Delivery of medicines through drones and health tips, prescriptions, diagnostic reports through mails or messages on smartphones.

Value proposition

1. Focuses on:

1. Easy to install and operate, hand held system and app/software
2. Plug and play operation
3. Can be used with smartphones as well as laptops/PCs
4. Disease detection
5. Surveillance
6. Situational awareness alerts
7. Tele-consultation/checkups
8. Health tips, prescriptions, diagnostic reports through mails or messages on smartphones.

2. Affordable packages.
3. Handy and easy to use equipment.
4. Delivery of medicines through drones

The key feature of the setup will be delivery of medicines through robotic drones. A robotic drone prepared for the startup is shown in Figure 6. The Key features of this robotic drone telehealth service will be:

1. Delivery of medicines in the areas that are sealed and are in containment zone. It is observed that once a patient is found in any area, government officials seal that area and declare it as containment zone, to restrict the movement of residents and check the spread of the disease. Due to this many times residents of that area faces a problem and even suffer trauma due to shortage of medicine. The system shown in Figure 6 can deliver medicines in such containment areas.
2. Delivery of essential syringe, diabetes pen, remote oxygen level monitoring etc. is also possible.
3. Sanitization of suspected areas or contamination prone areas through sprayers attached on drone as shown in Figure 7.
4. Surveillance and monitoring of containment areas through cameras mounted on drones.

Figure 6 Robotic drone for tele-healthcare.

Figure 7 Robotic drone customized for sanitization using sprayer.

Through social media such as Facebook, WhatsApp, Twitter, Instagram etc., effective use of print and visual media, pamphlets, hoardings and mouth to mouth publicity.

 Customer relations

1. Special offers for yearly subscribers of telehealth services.
2. Discount packages for long duration packs of more than one year.
3. Special offers for life membership.
4. 5 Revenue System
5. Selling subscription of telehealth services consisting of
   1. deployment and training of equipment
   2. installation of software
   3. six months free of cost service, training and support
6. Charging fee for service after grace period.

Key activities

1. Developing and manufacturing the tele-alert system
2. Continuous feedback from customers and improving the design accordingly
3. Promoting sales and providing after sale services
4. Separate section for liaisoning with the hospitals for teleconferencing and medical stores for tele-delivery of medicines
5. Creating and developing brand value through publicity and marketing
6. Sales advertising and marketing

Key resources

1. Manufacturing unit and software development
2. Funds to make initial prototype and marketing
3. Tie-ups with hospitals and medical shops
4. Acquiring necessary permission from the government departments
5. Acquiring certification is to make brand value and earn trust of customers
6. Tie-ups with local District industries Centers for availing loans schemes and funds
7. Membership of local industry associations
8. Ensuring necessary safety and environment health certification and following standard norms and procedures

Key partners

1. Hospitals
2. Nursing homes
3. Medical stores
4. Software developers
5. Embedded system design engineers

Cost structure

1. Site cost building or industry rental
2. Manufacturing and software development equipments
3. Material costs
4. Initial wages

1. From the survey it is evident that people are interested in subscribing tele-health services and post pandemic times. Figure 6– Figure 9 gives the survey results.
2. The paper explores a special case of entrepreneurial alertness for exploring situational opportunities by presenting a case of telehealth start-up.
3. This paper explores and evaluates the proposed startup model and also presents a clear idea of Start-up ideation, formulation, development and marketing.
4. A complete feasibility study of the Start-up model is presented which includes financial aspects, marketing aspects, calculating working capital, cost of project, profitability and breakeven parameters (Figure 10 & Figure 11).

Figure 8 Response of people for Tele healthcare services.

Figure 9 Response of people about the frequency of availing tele healthcare services.

Figure 10 Survey result of people requirements of tele healthcare services.

Figure 11 Public response for adopting Tele healthcare services.

Post pandemic the total market for Tele-health system is expected to grow at a very rapid pace. Also there is an estimation that every other house in urban areas may subscribe to Tele-healthcare service by the end of year 2020. From the results & discussion section it is evident that the healthcare sector will become one of the dominant market player. Therefore, looking into wide potential for growth of Tele-health services, for creative prospective entrepreneurs with entrepreneurial alertness, it is a big opportunity to launch a start-up. They can easily grab the opportunity to grow their business pan India along with doing their social responsibility by serving the community and nation. By launching start-up early there is a complete chance of capturing a large market share and make a huge customer base. Being one of the early players the start-up will have a very less or almost no competition. Therefore, the proposed start-up will have a full chance to grow and expand all across the country and in future after becoming a recognized brand extend its range of healthcare products.

We owe our sincere feelings of gratitude to MIT Group of Institutions, Moradabad. We are also thankful to Prof. Rohit Garg, Director MIT. We also wish to acknowledge the motivation and support provided by Entrepreneurship Development Institute of India (EDII), Ahmadabad and National Institute for Entrepreneurship & Small Business Development (NIESBUD), Noida.

The authors declare that there is no conflict of interest.

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