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BIG PICTURE MEDICAL LTD

BPM solutions

BPM Platform offers highly configurable and modular no-code toolset to manage healthcare data based on OpenEHR specifications. The platforms offers capabilities to visually model clinical pathways, widgets, health applications, complex integrations and workflows across various healthcare systems.

Features

  • Low-code tools for rapid pathway design and development
  • Platform uses Data from multiple sources presented in single view.
  • Clinically rich and interoperable data standards with Blocks
  • Library of Pathway and Block templates configurable to use cases.
  • An enriched experience with embedded charts and communication capabilities.
  • Configurable low-code workflow engine for healthcare data integration
  • An extensible catalog of connectors including NHS APIs
  • Hero: Customisable data catalog using innovative semantic layer
  • Configurable governance and quality tools managing data across healthcare systems
  • Configurable transformation language toolsets supporting mappings across data standards

Benefits

  • Access to a unified view of the patient
  • Complement and augment existing systems (EHR, EPR)
  • Rapidly and safely create and transform pathways and treatment protocols
  • Capture and display correct data to the right people
  • Integrate legacy and modern systems regardless of underlying data standards
  • Modernise and extend the capabilities of existing healthcare systems
  • Augment and integrate intelligent services with the existing healthcare systems

Pricing

£75,000 a unit 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 alan@bigpicturemedical.com. Tell them what format you need. It will help if you say what assistive technology you use.

Framework

G-Cloud 14

Service ID

5 4 4 3 2 7 7 6 9 9 4 3 1 9 7

Contact

BIG PICTURE MEDICAL LTD Alan Bonfield
Telephone: +447939129791
Email: alan@bigpicturemedical.com

Service scope

Software add-on or extension
Yes, but can also be used as a standalone service
What software services is the service an extension to
Our low-code no-code platform that allows integrating with a range of healthcare systems using different healthcare standards (including OpenEHR/FHIR/HL7/Proprietary formats) and also develop a range of clinical/health applications
Cloud deployment model
Public cloud
Service constraints
Maintenance arrangements are planned with the customer. Support is limited to none End of Life Operating Systems. The cover for hardware configurations is determined per customer, but largely includes Windows or Apple-based Operating Systems.
System requirements
  • Internet connection: Broadband wired or wireless (5G/4G/LTE)
  • Internet Speed: 8+ Mbps up minimum. CPU/RAM/HDD:
  • Big Picture device integration software requires additional 2GB HDD
  • The service is browser-based, therefore runs on all systems
  • Screen Resolution768px minimum width

User support

Email or online ticketing support
Email or online ticketing
Support response times
P1 - 4 helpdesk hours response time, P2 - 6 helpdesk hours response time, P3-P5- two business days
User can manage status and priority of support tickets
Yes
Online ticketing support accessibility
None or don’t know
Phone support
No
Web chat support
No
Onsite support
Onsite support
Support levels
Tier 3 (Subject Matter Support) - Big Picture Medical Support Team
Role: Specialised support, handling the escalation of complex issues
Responsibilities:
- Escalation point for Tier 2 (customer’s application support team)
- Customer-facing solution development
- Collaboration with engineering and development teams
- Incident Management

Tier 4 (Subject Matter Specialists) - Big Picture Medical Engineering and Development Teams
Role: Highly specialised experts, handling the most complex issues
Responsibilities:
- In-depth technical analysis and solution development
-Problem Management
- Collaboration with BPM Support
Support available to third parties
Yes

Onboarding and offboarding

Getting started
Users are provided with a knowledge base of articles and FAQs relating to core platform features and functionality. Configurable modules including Pathways and HDF configured on the platform are supplemented with module-specific guides, providing an overview of the capabilities and instructions including demo videos on how to use the specific features within the modules.
Service documentation
Yes
Documentation formats
  • HTML
  • PDF
End-of-contract data extraction
To the extent that the HDF persists data, it is persisted in standards based format (Open EHR). Should the user require their data to be converted to another format for extraction, this is a core service function of the HDF. The HDF data transformation services would be used to convert from Open EHR to the preferred format (even if that format is legacy related to the user’s in house systems)
End-of-contract process
Agreement to end contract: The offboarding process begins with notification of the intention to terminate services. This notification details on the timeline and procedures for offboarding.

Data Backup: Before data deletion or transfer, a backup of the customer's data is created to ensure that no data is lost during the offboarding process.

Data Transfer or Deletion: Depending on the customer's preference and contractual agreements, their data is either securely transferred to them or securely deleted from the provider's systems. This process follows industry best practices and regulatory requirements to ensure data privacy & security.

Account Closure and Access Revocation: All user accounts and access privileges associated with the customer's services are closed or revoked to prevent unauthorised access.

Final Billing and Settlement: Any outstanding payments or financial obligations are settled.

Confirmation and Documentation: Once the offboarding process is complete, both parties confirm that all necessary steps have been taken. Documentation of the offboarding process, including data transfer or deletion, is retained for audit and compliance purposes.

Throughout both the onboarding and offboarding processes, security and compliance with relevant regulations are of paramount importance. These processes are regularly reviewed and updated to reflect changes in technology, regulations, and best practices.

Using the service

Web browser interface
Yes
Supported browsers
  • Internet Explorer 11
  • Microsoft Edge
  • Firefox
  • Chrome
  • Safari
  • Opera
Application to install
Yes
Compatible operating systems
  • Android
  • IOS
  • Linux or Unix
  • MacOS
  • Windows
  • Windows Phone
  • Other
Designed for use on mobile devices
Yes
Differences between the mobile and desktop service
The Patient servicing web application is responsive so can be viewed on a mobile, tablet and desktop device. There is no difference in functionality between the different screen sizes
Service interface
Yes
User support accessibility
None or don’t know
Description of service interface
Our systems expose service interfaces to allow data interoperability and transformation through the use of REST API’s interoperable data standards including OpenEHR and FHIR and configurable custom data connector services
Accessibility standards
WCAG 2.1 AA or EN 301 549
Accessibility testing
Patient web application
Accessibility WCAG 2.1 AA, testing performed using browser plugins (AXE and Wave ) along with manual testing of accessible components like screen reading and keyboard controls by our QA & Design team.
API
Yes
What users can and can't do using the API
Authenticated/Authorised users can register system/service to access the platform

Authenticated/Authorised users can manage and execute workflows via platform APIs
API documentation
Yes
API documentation formats
PDF
API sandbox or test environment
Yes
Customisation available
Yes
Description of customisation
Our service is fully configurable and customisable, with the ability for users to configure (either self-service or via our team) the data fields captured as well as the workflows through which the data passes.

This customisation is via self-service tooling specific to our workflow engine, and can be executed either by our internal informatics teams or by customers themselves. Only users with appropriate permissions (as determined by the customer themselves) have access to make these changes.

Scaling

Independence of resources
The platform is currently single-tenanted. As such, resources are entirely environment-independent, ensuring no impact on other customers.

Analytics

Service usage metrics
Yes
Metrics types
We have real-time dashboards providing key metrics on performance of our configurable pathways, including patient metrics and internal efficiency measures.
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
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
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 CHECK service provider
Protecting data at rest
Other
Other data at rest protection approach
Cloud provider physical security controls, all data encrypted at rest using cloud provider managed functionality with application specific keys.
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
The configurable platform allows users to retrieve access to their data via our support channels in line with the individual contractual arrangements for each customer. This data is available in open standards formats including OpenEHR.

HDF allows users to format and export data in different formats including OpenEHR, FHIR, etc. other platform data is stored in traditional database that can be exported in different formats including CSV and Json.
Data export formats
  • CSV
  • ODF
  • Other
Other data export formats
JSON
Data import formats
  • CSV
  • ODF
  • Other
Other data import formats
Flexible connector model supports proprietary formats

Data-in-transit protection

Data protection between buyer and supplier networks
  • Private network or public sector network
  • TLS (version 1.2 or above)
Data protection within supplier network
TLS (version 1.2 or above)

Availability and resilience

Guaranteed availability
Our system provides 99.6% availability.
Approach to resilience
All production services utilise cloud-provider multi-AZ configuration, multiple application containers with automated health detection and failover, and automated backups.
Outage reporting
Private alarm dashboards inside cloud provider console, alerts delivered to engineering teams via corporate messaging system.

Identity and authentication

User authentication needed
Yes
User authentication
2-factor authentication
Access restrictions in management interfaces and support channels
Access to management interfaces and support channels is restricted through role-based access control (RBAC), requiring users to authenticate with unique credentials. Multi-factor authentication (MFA) enhances security. Additionally, environment access is limited to VPNs. Regular audits ensure compliance and identify unauthorised access attempts. Encryption and secure protocols safeguard data transmission. Training staff on security best practices fosters a security-conscious culture.
Access restriction testing frequency
At least every 6 months
Management access authentication
  • 2-factor authentication
  • Identity federation with existing provider (for example Google Apps)

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
Users contact the support team to get 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
Yes
Who accredited the ISO/IEC 27001
UKAS
ISO/IEC 27001 accreditation date
05/07/2022
What the ISO/IEC 27001 doesn’t cover
The certification covers the following scope: “Provision of a SaaS-based intelligent pathway technology to support collaborative healthcare delivery and clinical research within the
healthcare eco-system"
ISO 28000:2007 certification
No
CSA STAR certification
No
PCI certification
No
Cyber essentials
Yes
Cyber essentials plus
No
Other security certifications
Yes
Any other security certifications
HIPAA Seal of Compliance

Security governance

Named board-level person responsible for service security
Yes
Security governance certified
Yes
Security governance standards
ISO/IEC 27001
Information security policies and processes
We have information security policies in place that align to our current ISO27001 certification.

We have a management structure for Information Security which consists of;
- ISMS Management Review Board
- InfoSec & Privacy Working Group (reporting to ISMS Man Rev Group).

We undertake regular internal audits to ensure that the ISMS is running effectively, and that staff are following policies. All staff have to formally attest to key Information Security Policies on commencement.

Operational security

Configuration and change management standard
Supplier-defined controls
Configuration and change management approach
Configuration and change management is aligned with policies and procedures compliant with ISO 27001 / best practices. Software components are versioned and only deployed to production after multiple level review including code correctness, security standard compliance , and automated / manual testing. Unreviewed changes are not permitted, reviewers evaluate code against documented security and quality standards. Testing for quality and security is performed by automated best-practice review tools and a dedicated QA team, no code or configuration is released without passing testing. In addition, an architectural review group reviews all major system, design or configuration changes, including reviewing security aspects
Vulnerability management type
Conforms to a recognised standard, for example CSA CCM v3.0 or SSAE-16 / ISAE 3402
Vulnerability management approach
We utilise automation tools for vulnerability management by continuously monitoring project dependencies for known vulnerabilities. When vulnerabilities are detected, it automatically generates pull requests to update affected dependencies to their latest secure versions. It includes detailed security advisories, and integrates seamlessly with our version control system.
Protective monitoring type
Conforms to a recognised standard, for example CSA CCM v3.0 or SSAE-16 / ISAE 3402
Protective monitoring approach
We have malware protection software in place along with monitoring and alerting systems
Incident management type
Supplier-defined controls
Incident management approach
Incident management policy and plan implemented, including incident response plans and streamlined for efficiency and effectiveness. Users report incidents through designated channels through dedicated helpdesk systems, facilitating prompt awareness. Major Incident reports are provided through comprehensive documentation, detailing the event's nature, impact, resolution steps, and preventive measures. These reports are disseminated via email notifications ensuring transparency and enabling stakeholders to stay informed. Our consistent adherence to structured procedures enhances problem-solving capabilities and fosters a proactive approach to handling incidents.

Secure development

Approach to secure software development best practice
Independent review of processes (for example CESG CPA Build Standard, ISO/IEC 27034, ISO/IEC 27001 or CSA CCM v3.0)

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
  • Equal opportunity
  • Wellbeing

Fighting climate change

New distributed and collaborative care models enabled through our configurable platform facilitates (among others) patients receiving quality care from their own home or a nearby clinic - reducing the carbon footprint of traveling (by car/train/bus) into the hospital

In addition, our digital first solution reduces the need for paper products along the pathway

Covid-19 recovery

New distributed and collaborative care models enabled through our configurable platform has a direct positive impact on reducing appointment back logs, patient wait times, bed days and service costs for the NHS (which have all been exacerbated through Covid).

Equal opportunity

Our pricing structure allows both large, well funded trusts to be benefit from transformational change, as well as individual providers / researchers with the purchase of individual pathways.

Wellbeing

Our configurable platform enables more holistic models of care for patients, to include their mental, as well as physical, wellbeing

Pricing

Price
£75,000 a unit 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 alan@bigpicturemedical.com. Tell them what format you need. It will help if you say what assistive technology you use.