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Beamtree UK

RippleDown Coding

RippleDown Coding is an expert AI system delivering auto-coding in healthcare by continuously learning from clinical data and experience. It automates coding by recognizing patterns and applying expert-derived rules to clinical information to produce ICD-10 and OPCS codes.

Features

  • Web-accessible application for ICD-10 automated clinical coding
  • Remote access accessible
  • Atuomated data ingestion from EMR and scanned records
  • Artificial Intelligence (AI) and Machine Learning (ML)
  • Knowledge builder - Build algorithms without IT coding knowledge
  • Cornerstone: Builds rules from real life coding cases
  • Validator- Enables the end user to review interpretations before release
  • Administrator: To manage all the Knowledge Bases and users
  • Auditing and quality assurance workflows

Benefits

  • Improves coding efficiency, immediately coding at scale 24x7
  • Improves coding accuracy and consistency, no human variation
  • Infinite rule building capability
  • Managed by subject matter experts (Clinical Coders)
  • No programming skills required
  • Trusted, transparent knowledge base of rules
  • Learning system that will increasingly improve over time
  • Data agnostic, can ingest electronic and scanned records (including handwritten)
  • Real time performance web based dashboards and reports
  • In-built data quality and auditing workflows

Pricing

£10 a unit

Service documents

Request an accessible format
If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at jennifer.nobbs@beamtree.com.au. Tell them what format you need. It will help if you say what assistive technology you use.

Framework

G-Cloud 14

Service ID

1 9 8 3 2 1 1 6 7 4 2 3 9 9 1

Contact

Beamtree UK Jennifer Nobbs
Telephone: 07400836269
Email: jennifer.nobbs@beamtree.com.au

Service scope

Software add-on or extension
No
Cloud deployment model
Private cloud
Service constraints
Beamtree conducts scheduled maintenance outside of business hours to minimize interruptions. Any maintenance windows will be communicated within the application.

There are no constraints on the application's use from the user's perspective, other than the requirement of access to modern web browsers and appropriate network resources and bandwidth.

License is locked to MAC address.
System requirements
  • Only require RippleDown license which is locked to MAC address
  • Linux or Windows Server 2012+ that can support Java 17

User support

Email or online ticketing support
Email or online ticketing
Support response times
Automated response within 15minutes
User can manage status and priority of support tickets
No
Phone support
Yes
Phone support availability
9 to 5 (UK time), Monday to Friday
Web chat support
No
Onsite support
Yes, at extra cost
Support levels
BMT will provide telephone support during the support hours to assist the licensee in identifying any issues contained within the Licensed Software.

Requests for support can also be submitted by email.

Onsite support: Upon receipt of a written request from the Licensee, BMT will provide the Licensee on-site software support services at a mutually agreed time and in such event where the Licensee requests on-site support in which case the Licensee agrees to pay BMT all reasonable costs associated with the provision of on-site support, including charges for BMT's reasonable personnel, travel, lodging and miscellaneous expenses related to such on-site support.

First-level support: BMT will provide basic help desk services, and this will typically include initial call handling, call logging, assignment of call priority and queue placement and escalation to second-level support as required.

Second-level support: BMT will provide second level support. Second level support will provide more detailed problem diagnostic services as well as any problem duplication for identifying complex problems and licensed software defects that cannot be resolved by the first level support.

Third level support: BMT will engage a support specialist or third party, for product design problem analysis, and to formally escalate problems.
Support available to third parties
Yes

Onboarding and offboarding

Getting started
The RippleDown (RD) team (Head of Coding and Data Quality, Operations Manager, Application Specialist, IT Engineers and Developers) will work with the client's teams including Executives, Senior Leaders, Senior Clinical Coders, Health Information Managers, Subject Matter Experts and IT Teams from end to end. This includes (but not limited to):
*Planning of implementation process and building of the solution (IT and technical teams)
*Installation of the software solution
*Configuring of the software solution
*Training and competency assessment (Onsite and remote as appropriate)
*Training for the Client's IT team
*Running a silent trial of RippleDown Coding alongside existing coding workflows with no impact to existing coding workflow to validate the solution and develop the knowledge base (Onsite and remote as appropriate)
*Go-live support (Onsite and remote as appropriate)
*Post Go-live support (Onsite and remote)
*Future Solution planning (E.g. for Knowledge base expansion)
*Periodic Health-checks, performance analysis, review monitoring and discussions with leaders as required
*Refresher/On going competency training as required
*User group meetings will also be organised by BMT from time to time.
Electronic implementation and user guides, relevant technical specifications , software update guides will be provided as required.
Service documentation
Yes
Documentation formats
  • HTML
  • PDF
End-of-contract data extraction
The data belongs to the customer. We do not perform any data extraction when the contract ends.
End-of-contract process
Within price of contract the following steps are followed when contract ends:
1. Client notifies Beamtree of intention to terminate contract by set date, including if a copy of the client's data stored by Beamtree is required or if destruction of all data is required.
2. Beamtree disables data ingestion for client organisation on agreed date, and disables secure data transfer keys.
3. Beamtree disables client access to application on agreed date, and creates a copy of data or deletes all data stored by Beamtree.
4. Letter is provided to client confirming all data held by Beamtree has been deleted (where data is deleted) within 60 days of client contract end date.
Any additional requirements required by a client organisation at the end of the contract over and above the steps outlined above can be negotiated with Beamtree for an additional cost.

Using the service

Web browser interface
Yes
Supported browsers
  • Microsoft Edge
  • Firefox
  • Chrome
  • Safari
  • Opera
Application to install
No
Designed for use on mobile devices
No
Service interface
Yes
User support accessibility
WCAG 2.1 AA or EN 301 549
Description of service interface
RippleDown Coding is a web-based application. Users access it through major web browsers to interface and interact with the platform.

RippleDown Coding does require a thick client for administrative functions.

The application can be interfaced to the PAS and EMR. E.g (but not limited to)
- REST
- HL7
- Ultra
- CSV
Accessibility standards
WCAG 2.1 AA or EN 301 549
Accessibility testing
None, but is being planned
API
Yes
What users can and can't do using the API
Our API can:
- request to interpret the case
- can also request for status of the case previously sent
API documentation
Yes
API documentation formats
  • Open API (also known as Swagger)
  • PDF
API sandbox or test environment
No
Customisation available
Yes
Description of customisation
There are many configurable items within RippleDown Coding. It is encouraged that the configurable items are configured by the end users being the Clinical Coders or subject matter experts (or IT teams if that is the preference), after all RippleDown Coding was created by Clinical Coders (or specialist end users) for Clinical Coder (or specialist end users). Some of the configurable items include (but not limited to):
*Unlimited customisation of the rules/algorithms limited by the end user's imagination. Note: This solution is assisted by AI technologies such as the Syntax assistant
*Configurable data outputs or reporting formats
*Configurable data inputs enabling the client to choose what data inputs are used for rule/algorithm building.
*Highly Configurable administration permissions or end user workflow and use of the RippleDown Coding solution
*Configurable queue function enabling visibility of the correct workflow for the correct end-user as determined by Key Operators.
*Configurable visual elements within the reports or fields to highlight fields/items of interest or clinical significance

Scaling

Independence of resources
Users generally work on separate sessions.

Analytics

Service usage metrics
Yes
Metrics types
RippleDown Coding have a Dashboard functionality that provides key analytic statistics
Reporting types
  • Real-time dashboards
  • Regular reports
  • Reports on request

Resellers

Supplier type
Not a reseller

Staff security

Staff security clearance
Other security clearance
Government security clearance
Up to Developed Vetting (DV)

Asset protection

Knowledge of data storage and processing locations
Yes
Data storage and processing locations
United Kingdom
User control over data storage and processing locations
Yes
Datacentre security standards
Managed by a third party
Penetration testing frequency
At least once a year
Penetration testing approach
‘IT Health Check’ performed by a Tigerscheme qualified provider or a CREST-approved service provider
Protecting data at rest
Other
Other data at rest protection approach
Obfuscation and optional database encryption.
Data sanitisation process
Yes
Data sanitisation type
Deleted data can’t be directly accessed
Equipment disposal approach
Complying with a recognised standard, for example CSA CCM v.30, CAS (Sanitisation) or ISO/IEC 27001

Data importing and exporting

Data export approach
Data can be exported via Excel/CSV or HTML
Data export formats
  • CSV
  • Other
Other data export formats
  • Excel (.xlsx)
  • HTML
Data import formats
  • CSV
  • Other
Other data import formats
JSON

Data-in-transit protection

Data protection between buyer and supplier networks
  • TLS (version 1.2 or above)
  • IPsec or TLS VPN gateway
  • Legacy SSL and TLS (under version 1.2)
  • Other
Other protection between networks
RSA Encryption
Data protection within supplier network
  • TLS (version 1.2 or above)
  • IPsec or TLS VPN gateway
  • Legacy SSL and TLS (under version 1.2)
  • Other
Other protection within supplier network
Optional encryption in database

Availability and resilience

Guaranteed availability
This will be tailored to the client. RippleDown Coding has a high availability feature (estimated at 99%)
Approach to resilience
RippleDown Coding is a high availability solution and also has the following features (but not limited to):
*Daily back-up
*Ability to restore from backup
*Incoming and outgoing messages are also backed up.
Outage reporting
N/A

Identity and authentication

User authentication needed
Yes
User authentication
  • Public key authentication (including by TLS client certificate)
  • Identity federation with existing provider (for example Google Apps)
  • Username or password
Access restrictions in management interfaces and support channels
A role-based access will be implemented with specific permission groups that allow access to administrator module.
Access restriction testing frequency
At least once a year
Management access authentication
  • Public key authentication (including by TLS client certificate)
  • Identity federation with existing provider (for example Google Apps)
  • Username or password

Audit information for users

Access to user activity audit information
Users have access to real-time audit information
How long user audit data is stored for
At least 12 months
Access to supplier activity audit information
Users have access to real-time audit information
How long supplier audit data is stored for
At least 12 months
How long system logs are stored for
User-defined

Standards and certifications

ISO/IEC 27001 certification
No
ISO 28000:2007 certification
No
CSA STAR certification
No
PCI certification
No
Cyber essentials
Yes
Cyber essentials plus
No
Other security certifications
No

Security governance

Named board-level person responsible for service security
Yes
Security governance certified
Yes
Security governance standards
Other
Other security governance standards
ISO9001, ISO13485
Information security policies and processes
We proactively integrate security governance into our business operations, underpinned by established policies and industry frameworks, and maintain a dynamic, strategic yearly roadmap for risk remediation and control implementations. Through continuous audits, monitoring, and staff training, we ensure ongoing improvement, while regularly refining our practices to stay aligned with evolving standards and threats, thereby fostering a vigilant and responsive security posture organization-wide.

Operational security

Configuration and change management standard
Conforms to a recognised standard, for example CSA CCM v3.0 or SSAE-16 / ISAE 3402
Configuration and change management approach
Our change management policy ensures IT changes are safe and efficient, emphasizing trust, risk assessment, and clear communication. We use version control for robust testing and follow a structured path from development to staging to production. This process, along with strict security and operational readiness reviews and tests, maintains system stability while allowing for quick responses to urgent unplanned changes.
Vulnerability management type
Conforms to a recognised standard, for example CSA CCM v3.0 or SSAE-16 / ISAE 3402
Vulnerability management approach
Our vulnerability management process is designed to identify, analyze, prioritize, and remediate cybersecurity threats efficiently. We assess potential threats through a combination of vulnerability scanning tools (Rapid7, AWS inspector, Snyk and more), threat intelligence feeds, and external reports, ensuring a comprehensive understanding of potential risks. Patches are deployed rapidly, adhering to our SOP which mandates specific time frames for remediation based on the severity of the vulnerability.
Protective monitoring type
Conforms to a recognised standard, for example CSA CCM v3.0 or SSAE-16 / ISAE 3402
Protective monitoring approach
Our monitoring systems, including SIEM, IDS, and EDR, swiftly identify potential security breaches. Our Cyber Security Incident Response Team (CSIRT) categorizes the incident based on its severity and impact, and immediately initiates containment, eradication, and recovery procedures as per our detailed Incident Response Plan. Critical issues are tackled within an hour to reduce impact. Our methodical approach and incident categorization ensure efficient, effective responses.
Incident management type
Conforms to a recognised standard, for example, CSA CCM v3.0 or ISO/IEC 27035:2011 or SSAE-16 / ISAE 3402
Incident management approach
The Beamtree quality management system has been developed to maintain certification against:
*ISO9001:2015
*ISO 13485:2016 + A11:2021

and to comply with
*IEC 632304:2016 + A1:2015
*ISO 14971:2019 + A 11:2021
*IEC 62366-1:2015
*IEC 832304-1:2017

Secure development

Approach to secure software development best practice
Conforms to a recognised standard, but self-assessed

Public sector networks

Connection to public sector networks
Yes
Connected networks
NHS Network (N3)

Social Value

Social Value

Social Value

  • Fighting climate change
  • Covid-19 recovery
  • Tackling economic inequality
  • Equal opportunity
  • Wellbeing

Fighting climate change

RippleDown Coding is a complete digital solution that connects to the PAS/EMR enabling digital workflows. These digital workflows allow for significant workflow efficiencies while also reducing carbon footprint as they:

*are paperless contributing to minimising the use of non-renewable materials.
*minimise the requirement for unnecessary re-coding/re-work and the subsequent use of additional non-renewable materials and resources.

By minimising the use of non-renewable materials and additional resources, RippleDown Coding reduces carbon footprint and ultimately contributes to fighting climate change.

Covid-19 recovery

RippleDown Coding can create and automate coding outputs at scale. Utilising RippleDown Coding can enable the client's coding teams to potentially create and automate Covid-19 coding workflows and reporting and ultimately enabling for improved reporting and monitoring contributing to Covid-19 recovery.

Moreover, RippleDown Coding as an online digital accessible application, supporting remote and virtual/hybrid working models (if required) enabling effective social distancing and ultimately contributing to Covid-19 recovery.

Tackling economic inequality

RippleDown Coding minimises the need for unnecessary re-work/re-coding though digital automation while also automating reporting.

RippleDown Coding supports the accuracy and specificity of clinical coded data across an organisation's population data set which is critical for efficient resource allocation, improved access to healthcare services, public health initiatives and policy making to improve health equity.

Equal opportunity

Beamtree contributes to equal opportunity employment, supports workforce equality and diversity in all forms.

Wellbeing

RippleDown Coding can include coding related to hospital acquired complications (HACs) and healthcare associated infections (HAIs). This data and reporting supports hospital quality and safety initiatives in monitoring and decreasing the occurrence of HACs and HAIs. This supports wellbeing by addressing and reducing complications that can occur during hospital stays, through improving patient satisfaction, reducing hospital length of stays, and minimising instances of injury and mortality.

Pricing

Price
£10 a unit
Discount for educational organisations
No
Free trial available
No

Service documents

Request an accessible format
If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at jennifer.nobbs@beamtree.com.au. Tell them what format you need. It will help if you say what assistive technology you use.