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Outcomes Based Healthcare

OBH® Segmentation Engine and Data Products

The OBH® Segmentation Engine and Data Products provide an essential, core backbone for population health management data analytics work across different local NHS and local authority organisations. OBH’s methodology is based on the Bridges to Health segmentation model.

Features

  • Identify baseline segment and condition profiles using linked longitudinal data
  • Make statistical adjustments to allow for meaningful comparison
  • Monitor population segments and conditions trends with minimal time lag
  • In depth cohort and whole population level segmentation analytics
  • Application of data-driven and clinically robust population segmentation model
  • Data-driven, accurate measurement of population level HEALTHY LIFESPAN® and HEALTHSPAN®
  • System-level view of segments, consistent with population health management requirements
  • Up to 59 population level condition ‘registers’ currently
  • Re-identification of data is subject to satisfying regulatory, IG requirements

Benefits

  • Segmentation analytics supports actionable insights into improving population health
  • Confidence that condition registers are consistent with current clinical evidence
  • Person-centred view of population health data which spans providers
  • Quality improvement insights allowing evaluation of population health management interventions
  • Analytical backbone for service planning, design and longitudinal evaluation
  • Supports care coordination by enabling cohorting of populations
  • Linkage, cleaning, transformation of source datasets including primary care data
  • Data dissemination in optimised format that analysts can easily utilise
  • Benchmarking with National Segmentation Dataset built for NHS England
  • Dataset enables analysts to undertake configurable risk stratification and forecasting

Pricing

£150,000 a licence a year

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 info@outcomesbasedhealthcare.com. Tell them what format you need. It will help if you say what assistive technology you use.

Framework

G-Cloud 14

Service ID

3 7 8 7 5 9 3 7 9 3 3 9 6 2 7

Contact

Outcomes Based Healthcare Rupert Dunbar-Rees
Telephone: 07946 178 596
Email: info@outcomesbasedhealthcare.com

Service scope

Software add-on or extension
No
Cloud deployment model
Public cloud
Service constraints
1. Client must have legal access to data for segmentation
2. Updates are dependent on timely access to data
3. Accuracy depends on access to multiple linked data sources
System requirements
  • Modern browser which is internet enabled
  • SQL/Relational Database

User support

Email or online ticketing support
Email or online ticketing
Support response times
Within 24h on business days.
User can manage status and priority of support tickets
No
Phone support
No
Web chat support
No
Onsite support
No
Support levels
Level 0 support is offered in the form of documentation detailing the product/s. Level 1 is any support required above and beyond this and will be based on the rate card.
Support available to third parties
No

Onboarding and offboarding

Getting started
Basic training is included in the initial purchase of the cloud software. Additional support, training and client coaching can be purchased via services provided in lot 3 (cloud support) if required. This is offered through virtual/online channels currently.
Service documentation
Yes
Documentation formats
PDF
End-of-contract data extraction
Data extraction is provided only as part of the contracted services. There is no additional data extraction at the end of the contract.
End-of-contract process
No further data refreshes will occur, and access is removed.

Using the service

Web browser interface
Yes
Supported browsers
  • Internet Explorer 11
  • Microsoft Edge
  • Firefox
  • Chrome
  • Safari
Application to install
No
Designed for use on mobile devices
No
Service interface
No
User support accessibility
None or don’t know
API
No
Customisation available
Yes
Description of customisation
Segment and subsegment configuration of the Segmentation Engine can be customised based on options made available by OBH. OBH support this customisation during the implementation phase of work with agreed stakeholders.

Scaling

Independence of resources
A 99.99% uptime SLA is in place with the hosting server provider, where relevant. Servers can be resized when usage increases beyond required levels. Independent servers can be provided for users at the prevailing rate when requested.

Analytics

Service usage metrics
Yes
Metrics types
Depends on the exact product selected, but typically resources, active users and/or population coverage.
Reporting types
Reports on request

Resellers

Supplier type
Not a reseller

Staff security

Staff security clearance
Other security clearance
Government security clearance
None

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
No
Datacentre security standards
Supplier-defined controls
Penetration testing frequency
At least once a year
Penetration testing approach
Another external penetration testing organisation
Protecting data at rest
  • Physical access control, complying with CSA CCM v3.0
  • Physical access control, complying with SSAE-16 / ISAE 3402
Data sanitisation process
Yes
Data sanitisation type
Deleted data can’t be directly accessed
Equipment disposal approach
In-house destruction process

Data importing and exporting

Data export approach
There is no functionality to export data with selection of the Segmentation Dashboard or Report.
Data export formats
CSV
Data import formats
CSV

Data-in-transit protection

Data protection between buyer and supplier networks
  • TLS (version 1.2 or above)
  • Other
Other protection between networks
OBH can also receive client data into our secure cloud environment using encrypted secure file transfer protocol (SFTP)
Data protection within supplier network
TLS (version 1.2 or above)

Availability and resilience

Guaranteed availability
For products delivered to client infrastructure, availability is in line with client arrangements.
Approach to resilience
Multiple servers are load balanced when required. In addition, there is a contractual commitment from the server provider for any required uptime. For products delivered to client infrastructure, resilience is in line with client arrangements.
Outage reporting
For products delivered to client infrastructure, outage reporting is line with client arrangements.

Identity and authentication

User authentication needed
Yes
User authentication
Username or password
Access restrictions in management interfaces and support channels
There is no separate management interface. Support channels are restricted by direct contact with individuals including email.
Access restriction testing frequency
At least once a year
Management access authentication
Other
Description of management access authentication
There is no separate management access for this service.

Audit information for users

Access to user activity audit information
Users contact the support team to get audit information
How long user audit data is stored for
At least 12 months
Access to supplier activity audit information
You control when users can access audit information
How long supplier audit data is stored for
At least 12 months
How long system logs are stored for
At least 12 months

Standards and certifications

ISO/IEC 27001 certification
No
ISO 28000:2007 certification
No
CSA STAR certification
No
PCI certification
No
Cyber essentials
No
Cyber essentials plus
No
Other security certifications
Yes
Any other security certifications
DSP Toolkit Certificate

Security governance

Named board-level person responsible for service security
Yes
Security governance certified
No
Security governance approach
OBH ensures that all members of our staff are aware of, and comply with, relevant legislation, including the Data Protection Act and more recently, General Data Protection Regulation. In addition, OBH maintains policies which describe the principles of information security management and how these shall be implemented within OBH. OBH will assist staff to identify and implement information security as an integral part of their day-to-day role within the company. OBH will also safeguard information relating to staff and clients under the control of the company. OBH have a current NHS DSP Toolkit completed registration and ICO registration.
Information security policies and processes
OBH holds its own Information Security and Information Governance policies with all staff undergoing the most appropriate data governance training for their roles. In addition, OBH has a DSP Toolkit Certificate.

Operational security

Configuration and change management standard
Supplier-defined controls
Configuration and change management approach
Configuration is managed as part of the installation process for a Buyer and any changes are made after communicating to Buyers about expected impact, if any. Any requirements changes are analysed for impact assessment and for budgetary considerations.
Vulnerability management type
Undisclosed
Vulnerability management approach
Potential threats are assessed and managed through a variety of means. These include security software running on servers as well as third party hosting providers assessing threats and scanning hardware. Patches can be deployed as quickly as same day, depending on the required solution. Monitoring on the hosting servers will also report potential threats directly to OBH staff.
Protective monitoring type
Supplier-defined controls
Protective monitoring approach
Monitoring on servers report potential issues and compromises on a regular basis. This monitoring allows OBH staff to action any relevant response within minutes of any potential issue, if required.
Incident management type
Supplier-defined controls
Incident management approach
The OBH Information Security Policy defines the incident management process. Incidents are reported to the SIRO or IG lead (depending on the nature of the incident) and these are recorded, analysed and investigated.

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
Health and Social Care Network (HSCN)

Social Value

Social Value

Social Value

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

Fighting climate change

OBH® are committed to contributing towards the net zero target. We are already a low-emission, paper free digital business. Our core products are purely digital - the OBH Segmentation Engine and OBH Outcomes Platform - and therefore as a business we have a low carbon footprint. We have been ‘paper-free’ as an organisation for a number of years, with all operations conducted digitally (e.g. from invoicing, to payroll, to day to day management).

Since pre-2020, we have adopted a hybrid working model. First working one day remotely, before moving to a fully ‘hybrid’ model. Our regular pattern now is 2 days in the office and 2 days working remotely. In 2022 we also introduced a 4-day week productivity policy, meaning the team do not commute to the office on Fridays. These changes contribute to our reduced emissions from less commuting. Where the team do commute into the office, public transport is encouraged and we have recently introduced a cycle to work scheme.

In the office environment, green behaviours and sustainable practices are encouraged and part of our organisational values. The office is set up with recycling bins, and we encourage practices to reduce waste.

Covid-19 recovery

As an organisation, OBH actively supports COVID-19 recovery through our work with NHS clients. During the pandemic we were in a unique position to work with NHS England on the COVID recovery response. In 2019, OBH and NHSE built the longitudinal National Bridges to Health Segmentation Dataset, covering over 60 million people in England. During the pandemic, using this Dataset, OBH were able to support NHSE's care planning for ‘Cohort 6’ and ‘At Risk’ groups within the population (as per JCVI guidelines). This allowed a rapid response used for planning the vaccination programme and evaluation of uptake. In addition, OBH developed a robust ‘ethnicity’ derivation and used the National Bridges to Health Segmentation Dataset to support the Covid-19 response, outcomes analysis and pandemic recovery planning.

There have been several examples of where this data has been used to monitor and address population level changes in HEALTHSPAN® throughout the pandemic and during recovery, by local NHS areas. In addition changes in falls rates and respiratory exacerbations have been monitored over the pandemic, with a view to evaluating the impact of any interventions put in place to address any pandemic- related adverse changes.

Tackling economic inequality

Partnerships, community engagement and collaborations:
As an organisation, OBH has a history of creating opportunities, supporting economic growth and sharing learning to support the health and care sector. Over the past 10 years, OBH has established a ‘clinical associates network’ - hosting events, networking and learning opportunities for clinicians to hear more about ‘outcomes’ and PHM. The three co-founders and senior team members all contribute towards various pro-bono teaching and sector/ industry forums.

OBH contributes to international work on Outcomes, e.g. our CFO is VP of the European Association for Value Based Healthcare and a member of the Advisory Board for IBRAVS – The Brazilian Institute for Value in Healthcare (unremunerated role). Members of the OBH team are active members of various industry networks, for example Cambridge Health Network and previously contributed for the All Party Parliamentary Group for Longevity.

Innovation and value in the supply chain
Our products are an example of innovation and disruptive technologies in the supply chain. In 2021, OBH won a Queen’s Award for Enterprise in the Innovation category. As an SME, we actively look to ways to improve diversity in our workforce, create new roles and skills in the health sector, and opportunities for further entrepreneurship, economic growth and business creation.

Continuous learning organisation
We are a continuously learning organisation. For example in mid-2022 we enrolled on a pilot to test the four-day work week along with 60 other companies. To make this a success, we had to actively work on our productivity and our approach to organisational learning. This has provided opportunities for team members to volunteer their time to charitable organisations during the working week.

Equal opportunity

Our approach to tackling workforce inequality is multi-faceted. Here are some key ways in which we tackle workforce inequality in our organisation.
- Diverse hiring practices and equal opportunities: We follow diverse hiring practices by ensuring that our recruitment processes are as free as possible from bias. We conduct structured interviews to focus solely on skills and qualifications, promoting a fair assessment of all candidates.
- Review of HR policies: We are currently working with expert retained HR suppliers (Peninsula Ltd) who review all our policies and guidance and ensure they endorse our commitment to equality, in addition to providing 'on the spot' advice to ensure that we are adhering to the latest legislation and best practice guidance on all HR and staff related matters.
- Enhanced support offer for all staff: we have recently introduced an employee assistance programme and package of wellbeing support for the whole team.
- Inclusive workplace culture: We cultivate an inclusive workplace culture where all employees feel valued, respected, and empowered to contribute their unique perspectives.
- Flexible work arrangements: we offer flexible work arrangements such as hybrid working and accommodate flexible working requests, accommodating various requirements within the team.
- Equal pay and benefits: as a small company, pay equity is important for us. Our compensation and benefits packages are designed to ensure parity, regardless of background.

Wellbeing

At OBH® we care about improving people’s lives and developing ways in which health and care systems like the NHS can focus on what matters most to people.

Our core business is producing whole-population, linked, longitudinal datasets to segment and risk stratify populations. By using the OBH Segmentation Dataset and Associated Data Products, our clients are able to identify groups of individuals with similar health needs, develop targeted interventions and improve outcomes. OBH’s unique HEALTHSPAN measures are used by health systems to measure how successful they are at keeping their population ‘healthy/well’. The benefit of these products for the NHS is to ensure effective use of resources and better health and wellbeing outcomes.

OBH places a strong emphasis on the involvement of patients, their families, and carers, alongside stakeholders such as NHS commissioners and providers, to identify local priorities, select and co-produce improved outcomes.

Our values around health and wellbeing are also reflected in our organisational culture and how we operate internally. OBH is committed to promoting a healthy and positive work environment for the team. Here are some examples of how we support health and wellbeing:
We offer regular team away days, previous team activities have focused on wellbeing - such as a workshop on improving digital habits, meditation and mental wellbeing sessions, and other skills and wellbeing development workshops. We also offer health insurance, an employee assistance programme and a broad package of wellbeing support.
Work life balance - we have a productivity policy in place, and work a 4 day week working model which supports good work-life balance. We also run a hybrid working model.
Healthy workspace- we have recently invested in a new ‘informal’ breakout space including indoor plants, dining space and informal seating which encourages breaks and social interactions throughout the day within our team.

Pricing

Price
£150,000 a licence a year
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 info@outcomesbasedhealthcare.com. Tell them what format you need. It will help if you say what assistive technology you use.