Acadiant Limited

SMART—Structured Mortality Analysis & Review Tool

SMART mortality analysis software helps hospitals Learning from Deaths. Comprises three tools types (1) Mortality Review Forms: Structured Judgement Reviews; Medical Examiner, Emergency, Sepsis, Cancer, Learning Disability Reviews; M&M Meetings. (2) Administrative Tools: Real-time Dashboards, Trackers. (3) Data analytics: Key Learnings, SPCs. Supports QI, Patient Safety. EPR Interoperability. Audit Trail.

Features

• Data analytics software for mortality analysis, reports for NHS Trusts
• Interoperates with EPRs, pre-populates forms with relevant coded patient data
• Three tool types: Mortality review forms; Administrative trackers; Data-analytics dashboards
• Designed to support Learning from Deaths, Quality Improvement, Patient Safety
• Tracks completion status with real-time status boards, links, email allocation
• Executive Dashboards module for real-time data analytics, insights, learnings, trends
• Mortality Reviews: Structured Judgement Reviews, Medical Examiner, Emergency, Sepsis, LD
• No additional passwords. Authentication system integration for Role-Based Access Control
• Conforms to FHIR (HL7) standards, your operational and IT policies
• NHS SHMI data visualisation, trends, data comparison including diagnostic groupings

Benefits

• Offers greater understanding of mortality indicators, QI, patient safety opportunities
• Intuitive software minimises cognitive burden, improves efficiency, enhances clinical focus
• Unlimited users, and access to updates, upgrades for contract lifetime
• Halves consultant review time compared to paper, spreadsheets, previous methods
• Comparative reviewer dashboards facilitate supervision; consultant dashboards support revalidation
• Emergency Department, Sepsis, Learning Disability Mortality Reviews facilitate broader focus
• Results have included significant reduction in referrals to the Coroner
• Morbidity and Mortality Meetings module supports learning throughout the Trust.
• Tracks Key Learnings, care scores, comments for Learning from Deaths
• Analyses mortality statistics from your EPR to help identify outliers

£69,000 a licence a year

• Free trial available

Service documents

• Pricing document

  PDF

• Skills Framework for the Information Age rate card

  PDF

• Service definition document

  PDF

• Terms and conditions

  PDF

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

Framework

G-Cloud 14

Service ID

596066251611820

Contact

Jackie Kestenbaum, PhD
0203 974 1159
gcloud@acadiant.com

Service scope

• Software add-on or extension: No
• Cloud deployment model:
  • Public cloud
  • Private cloud
  • Community cloud
  • Hybrid cloud
• Service constraints: SMART requires appropriate intranet and Internet access to link servers with client devices. SMART supports any modern device and a wide variety of server operating systems and configurations and will conform to customer existing infrastructure. An on-premises or hybrid server deployment requires physical or virtual servers running a vendor-supported version of Linux or Windows. Containerised deployments are also supported. Detailed tuning of server hardware specifications occurs early in the implementation phase.
• System requirements:
  • Client: Modern browser or mobile device. Modern client operating system.
  • Server: Any Modern Unix (Linux, MacOS) or Windows OS

User support

• Email or online ticketing support: Email or online ticketing
• Support response times: Response time is same business day. Emails are monitored during business hours from Monday-Friday, 9-5, with responses as soon as possible during those hours. After hours and weekend response time depends on the urgency of the issue, though we do aim to respond within the day. Any urgent issue, at any time, is quickly prioritised with the customer contacted as soon as possible.
• 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: Onsite support
• Support levels: The annual subscription includes unlimited remote support via telephone and email. The functions are quite straightforward. Implementation includes online or on-site visits as necessary for full interoperability. An Acadiant technical account manager is supplied to each customer organisation.
• Support available to third parties: Yes

Onboarding and offboarding

• Getting started: Acadiant software is designed to be easy and intuitive to use, and generally little training is needed. We have created a comprehensive role-based user guide for first-time SMART users. In addition, we can provide email and telephone guidance, and reasonable on-site and remote training included within the subscription fee. The functions are quite straightforward, and we can provide reasonable training to Structured Judgement and other Mortality reviewers on the system, as well as help in organising user groups.
• Service documentation: Yes
• Documentation formats:
  • HTML
  • ODF
  • PDF
  • Other
• Other documentation formats: MP4
• End-of-contract data extraction: Routine exports are available in various human and machine-readable formats. Details of custom requests are covered under the terms of the Call-Off Contract.
• End-of-contract process: At the end of the contract, all access will be cancelled. Prior to the termination of the contract, all data can be returned to the customer in their requested format including .xlsx or other spreadsheet, .csv or .json. All personalised data will be deleted or destroyed. Acadiant can provide support with migration away from the service at extra cost, priced as per SFIA rate card.

Using the service

• Web browser interface: Yes
• Supported browsers:
  • Microsoft Edge
  • Firefox
  • Chrome
  • Safari
  • Opera
• Application to install: Yes
• Compatible operating systems:
  • Android
  • IOS
  • Linux or Unix
  • MacOS
  • Windows
• Designed for use on mobile devices: Yes
• Differences between the mobile and desktop service: Presentation is automatically adjusted for screen size and device capabilities. Touch interfaces supported when available. All system features and functionality are available across all devices, with both mobile and desktop services designed to be accessible.
• Service interface: No
• User support accessibility: None or don’t know
• API: Yes
• What users can and can't do using the API: We offer RESTful APIs as needed for integration on request. All data can be exported in a number of formats including but not limited to .xlsx, .csv, .pdf.
• API documentation: Yes
• API documentation formats: Open API (also known as Swagger)
• API sandbox or test environment: Yes
• Customisation available: Yes
• Description of customisation: Users can work with us for various customisations included as part of the subscription support with no additional fee for reasonable in-scope requests: for example, additional mortality forms, additional analytics, integration with business intelligence systems, etc. Reasonable out-of-scope customisations are available upon request at our published rates as indicated on the SFIA card and agreed in advance.

Scaling

• Independence of resources: The Acadiant platform is cloud native and supports Web scale.

Analytics

• Service usage metrics: Yes
• Metrics types: All editable records have an immutable, time-stamped audit trail of user activity. Each review form entry is time stamped with the user's name. The are are a number of filterable dashboards with various levels of granularity and embedded hyperlinks to the reviews forms. Filters include time frame, Key Learnings, phases of care, care scores, etc. Our metrics present at-a-glance statistics for high-level management information on executive dashboards to spot trends and outliers which can be drilled down, via hyperlinks or a graphical interface, into greater detailed reports.
• Reporting types:
  • API access
  • Real-time dashboards
  • Regular reports
  • Reports on request

Resellers

• Supplier type: Not a reseller

Staff security

• Staff security clearance: Staff screening not performed
• Government security clearance: Up to Baseline Personnel Security Standard (BPSS)

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: Less than 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
  • Physical access control, complying with another standard
• Data sanitisation process: No
• Equipment disposal approach: In-house destruction process

Data importing and exporting

• Data export approach: All data is downloadable in various formats at any time.
• Data export formats:
  • CSV
  • ODF
  • Other
• Other data export formats:
  • .xlsx
  • PDF
  • JSON
• Data import formats:
  • CSV
  • ODF
  • Other
• Other data import formats:
  • JSON
  • TSV

Data-in-transit protection

• Data protection between buyer and supplier networks:
  • Private network or public sector network
  • TLS (version 1.2 or above)
  • IPsec or TLS VPN gateway
• Data protection within supplier network: Other
• Other protection within supplier network: The level of network protection will depend on the bespoke hosting setup of each client, the details of which can be discussed upon request.

Availability and resilience

• Guaranteed availability: The target is 100% uptime. For on-premise and hybrid-cloud installations, of course, we depend on the uptime offered by the infrastructure on which the platform is running. SLAs are negotiable depending on the criticality of the service.
• Approach to resilience: The Acadiant platform is cloud native. We recommend multiple separated machine rooms for hybrid on-premises, private cloud installations and multiple zones for public cloud installations.
• Outage reporting: Integration with the customer's preferred reporting infrastructure is part of the implementation process. Email and / or phone notification can also be arranged. Service level response time to be determined in consultation with the customer.

Identity and authentication

• User authentication needed: Yes
• User authentication:
  • 2-factor authentication
  • Public key authentication (including by TLS client certificate)
  • Identity federation with existing provider (for example Google Apps)
  • Limited access network (for example PSN)
  • Dedicated link (for example VPN)
  • Username or password
  • Other
• Other user authentication: All authentication options are available as appropriate and in conformance with customer's standards and can vary by role. Another example is Active Directory Single Sign-On authentication.
• Access restrictions in management interfaces and support channels: All authentication options are available as appropriate and in conformance with customer's standards and can vary by role. Another example is Active Directory Single Sign-On authentication. Two-factor authentication for specific access is available if appropriate and desired.
• Access restriction testing frequency: At least once a year
• Management access authentication:
  • 2-factor authentication
  • Public key authentication (including by TLS client certificate)
  • Identity federation with existing provider (for example Google Apps)
  • Limited access network (for example PSN)
  • Dedicated link (for example VPN)
  • Username or password
  • Other
• Description of management access authentication: All authentication options are available as appropriate and in conformance with customer's standards and can vary by role. Another example is Active Directory Single Sign-On authentication. Two-factor authentication for specific access is available if appropriate and desired.

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: User-defined
• Access to supplier activity audit information: Users have access to real-time audit information
• How long supplier audit data is stored for: User-defined
• How long system logs are stored for: Between 1 month and 6 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: Information Commissioner's Office Certificate

Security governance

• Named board-level person responsible for service security: Yes
• Security governance certified: Yes
• Security governance standards: Other
• Other security governance standards: Information Commissioner’s Office Certificate
• Information security policies and processes: Acadiant maintains direct supervision over a limited staff with privileged access and a collaborative relationship with designated customer staff. A high degree of automation reinforces policy.

Operational security

• Configuration and change management standard: Supplier-defined controls
• Configuration and change management approach: The Acadiant platform is designed to minimise the exposed attack surface. Microservices are updated frequently and the scope of service in each is limited. Any new function goes through a security review during design and existing functions are reviewed periodically.
• Vulnerability management type: Supplier-defined controls
• Vulnerability management approach: Acadiant monitors vulnerability lists such as those maintained by NIST. Any identified security risk is patched and deployed after regression tests. The Acadiant microservice architecture minimises the scope of any vulnerability and allows for quick micro deployments.
• Protective monitoring type: Supplier-defined controls
• Protective monitoring approach: The Acadiant microservice architecture minimises the scope of any vulnerability and allows for quick micro deployments. We provide full telemetry and continuous monitoring of the software in the Trust's environment. Any anomaly in the data or intrusion incident results in an immediate response. Any identified security risk is patched and deployed after regression tests. We maintain full transaction logs for recovery.
• Incident management type: Supplier-defined controls
• Incident management approach: Incident management is defined and driven in cooperation with each customer group. Incidents are reported by telephone and /or email. Incident reports are provided in written form via email with remote or on-site follow up as necessary or appropriate.

Secure development

• Approach to secure software development best practice: Supplier-defined process

Public sector networks

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

Social Value

• Social Value:

  Social Value

  • Covid-19 recovery
  • Tackling economic inequality
  • Equal opportunity

  Covid-19 recovery

  At its foundations, Acadiant is designed to maintain operations through disruptive events. From the outset, Acadiant has not only been building software for remote working, but also has set itself up to support remote working. During the COVID-19 pandemic, this proved essential.; ; All Acadiant employees have been working from home with the tools and technology needed for software development and maintenance throughout the COVID-19 pandemic and beyond. We are continuing to seamlessly deliver the highest quality software and to maintain full continuity during the COVID-19 pandemic and ongoing.; ; Our software, which runs on any operating system and device, is fundamentally designed to support remote working. This is valuable for our customers as well as our employees.; ; Medical Directors, Mortality Leads, Structured Judgement Reviewers, Medical Examiners, Governance Leads, and Consultants have been able to use SMART’s real-time, intuitive dashboards and analytics to conduct their Mortality Review Group Meetings and Morbidity & Mortality Meetings remotely throughout the pandemic and continuing. If anything, working remotely has facilitated a larger quorum in many of the meetings, encouraging even broader Learning from Deaths.; ; Moreover, SMART supports the review of in-hospital and COVID-related deaths to improve patient care and safety. The Medical Examiner’s Advice and Scrutiny Form (ME-1B) has been enhanced so the Medical Examiner Officer can include relevant COVID-19 information about the deceased.; ; A COVID-19 Dashboard lists all patients who died with a primary or secondary diagnosis of COVID-19. In addition, tables and charts of COVID-19 deaths are further broken down by gender, age, length of spell, and various combinations of those categories, to help clinicians identify trends.; ; The Key Learnings section at the bottom of every Mortality Review form continues to serve as an important tool for reflection on all deaths—including those with COVID-19—at every stage of the pandemic and ongoing.

  Tackling economic inequality

  Acadiant is committed to equality and diversity, to creating a diverse workforce across gender, race, and age. Our engineer hiring process is gender-neutral, and of its two company directors, one is female. ; ; Similarly, in our partnerships we seek diversity of thought and the most capable partners. We find that the broader the range of people with whom we can partner, the more diverse the ideas, and the better the outcomes. ; ; In choosing our suppliers, we try to find those who share these values, for example working with companies that emphasise opportunities and leadership across gender and race. We are members of the Shuri Network, which supports women from minority ethnic groups in digital health, Ada’s List, which supports women in technology, and Tech London Advocates: HealthTech. We contribute to the communities in which we live and work, and have acted as mentors for the NHS Clinical Entrepreneur Programme, for the London tech community Level39, and for the Chartered Institute of Public Relations ; ; We pay our all suppliers promptly so that small businesses do not have to struggle with cashflow. We recognise the importance of prompt payment and comply with the Small Business Commissioner's Prompt Payment Code, and pay all our invoices within agreed terms, typically within 14 days.; ; Most importantly, we fundamentally believe that the Acadiant platform on which we build software solutions in patient safety, telehealth, and virtual care, can contribute to equitable access to health care and an improved, easier work experience for both employees and customers.

  Equal opportunity

  Acadiant is committed to equality and diversity, to creating a diverse workforce across gender, race, and age. Our engineer hiring process is gender-neutral, and of its two company directors, one is female. ; ; Similarly, in our partnerships we seek diversity of thought and the most capable partners. We find that the broader the range of people with whom we can partner, the more diverse the ideas, and the better the outcomes. ; ; In choosing our suppliers, we try to find those who share these values, for example working with companies that emphasise opportunities and leadership across gender and race. We are members of the Shuri Network, which supports women from minority ethnic groups in digital health, Ada’s List, which supports women in technology, and Tech London Advocates: HealthTech. We contribute to the communities in which we live and work, and have acted as mentors for the NHS Clinical Entrepreneur Programme, for the London tech community Level39, and for the Chartered Institute of Public Relations ; ; We pay our all suppliers promptly so that small businesses do not have to struggle with cashflow. We recognise the importance of prompt payment and comply with the Small Business Commissioner's Prompt Payment Code, and pay all our invoices within agreed terms, typically within 14 days.; ; Most importantly, we fundamentally believe that the Acadiant platform on which we build software solutions in patient safety, telehealth, and virtual care, can contribute to equitable access to health care and an improved, easier work experience for both employees and customers.

Pricing

• Price: £69,000 a licence a year
• Discount for educational organisations: No
• Free trial available: Yes
• Description of free trial: Acadiant offers an externally hosted demonstration site for a customer to safely explore the full functions of SMART using completely synthetic, but realistic, data. Together with the customer, Acadiant will design the integrations required for the customer’s existing clinical management systems. This is accessible with logins only; please email gcloud@acadiant.com.
• Link to free trial: Accessible with logins only, please email gcloud@acadiant.com.

Service documents

• Pricing document

  PDF

• Skills Framework for the Information Age rate card

  PDF

• Service definition document

  PDF

• Terms and conditions

  PDF

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