PHARE HEALTH LTD

Clinical noting concept extraction through artificial intelligence

Automatically and highly accurately identify structured concepts, including diagnoses, procedures, drug regimens and administrative statuses, from unstructured Electronic Healthcare Record data to support the comprehensive recovery of income for clinical activity, automated clinical and administrative workflows, and significant increase in data quality.

Features

• Auditing clinical coding for accuracy and completeness
• Live processing of data to identify clinical codes
• Structured identification of other clinical concepts, including medications
• Identification of administrative concepts from clinical noting, including RTT status
• Fully end-to-end automated coding workflow
• Co-pilot for clinical coders
• Curation of model outputs for direct ingestion by customers
• Integrated workflows with EHRs
• Fully de-identified service
• Autogeneration of auditing training materials and coder error trends

Benefits

• Faster turnaround time for clinical coding
• Patient treatment income generation
• Improved clinical coder productivity
• Improved clinical data quality
• Improved clinical productivity by automating front-end clinical coding
• More accurate waiting lists and patient statuses
• Patient cohorting by range of criteria
• Identification of appropriate patients for clinical trials

£100,000 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 lee@phare.health. Tell them what format you need. It will help if you say what assistive technology you use.

Framework

G-Cloud 14

Service ID

691044902636502

Contact

Lee Kupferman
07460739273
lee@phare.health

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 co-pilot solution can integrate with EHR providers and with clinical encoders to provide a seamless workflow for clinical coders, or operate as a standalone solution.
• Cloud deployment model:
  • Public cloud
  • Private cloud
  • Hybrid cloud
• Service constraints: Digital records (such as letters, discharge summaries or progress notes) are a precursor to being able to apply our artificial intelligence to identify codes. It may be that a healthcare provider does not have a fully digitised health care record, but that certain points of delivery (such as outpatients) are digitised, and so we can still support these specific areas.
• System requirements:
  • Electronic healthcare records or data warehouse accessible to 3rd party
  • Ability to access web-based products

User support

• Email or online ticketing support: Email or online ticketing
• Support response times: Within 24 hours
• 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: Phare Health provides full support during business hours alongside access to a comprehensive online knowledge base. Within the knowledge base, you'll find helpful articles, FAQs, and advice to troubleshoot common issues. ; Customers can also submit support tickets and receive prompt email responses from our technical support team within 24 business hours. These support tickets will be reviewed and assigned a service level with a corresponding resolution timeframe. These service levels will be made available when requested. ; Customers will be assigned a dedicated Technical Account Manager (TAM) who will act as your primary point of contact for all your support needs. Your TAM can provide proactive guidance, assist with complex requests, and help ensure your team gets the most out of the product.; Our technical support team possesses deep product knowledge and can readily answer any questions related to its functionality.; This support is included in the licensing costs of the platform.
• Support available to third parties: Yes

Onboarding and offboarding

• Getting started: Phare Health provides a comprehensive onboarding service including live onsite and online training alongside a training repository/knowledge base that can be accessed for self guided training. Each client has in place a dedicated account manager who facilitates the onboarding process and coordinates with our technical teams.
• Service documentation: Yes
• Documentation formats: PDF
• End-of-contract data extraction: Phare Health will only hold a copy of data stored in the customer's other systems. Output from the system will be written back into the users core systems throughout each user session.
• End-of-contract process: At the conclusion of the contract, Phare Health will provide evidence of the deletion of any customer data stored within it's system alongside removing user access. Any data that needs to be kept beyond the contract terms (for regulatory reasons) will be transferred to a secure hosting environment and confirmation provided to the customer as it is deleted (at the appropriate time).

Using the service

• Web browser interface: No
• Application to install: Yes
• Compatible operating systems:
  • Linux or Unix
  • MacOS
  • Windows
• Designed for use on mobile devices: No
• Service interface: Yes
• User support accessibility: WCAG 2.1 AAA
• Description of service interface: We will provide the following functionalities:; - Retrospective audit of a Trust's choice of cases (e.g. inpatient, outpatient, day cases); - Detailed view into original and suggested coding, and tariff implications for coding corrections; - Ability to view rationales and national standards for suggested code changes to increase efficiency of audit process ; - Automate coding workflows; - Ability to view a patient's clinical summary and pathway journey, indicating accurate waiting list and patient status; - Specialty-level auditing, with areas of coding improvement and financial opportunity highlighted within the Trust ; - Ability to view patient cohorts for administrative review
• Accessibility standards: WCAG 2.1 AAA
• Accessibility testing: We are testing this interface with end users, and actively working through web accessibility guidelines to ensure our interface is perceivable, operable, understandable and robust. Examples of requirements in development include:; - Navigable content: We are carefully considering how content is structured and ensuring consistent navigation across different parts of the application.; - Time adjustments: our interface is designed with consideration for users to read and use the content without being locked out or interrupted.; - Seizure and physical reactions: Our content is designed in a way that it does not cause seizures (e.g. no use of flashing lights) or physical reactions. ; - Readable and understandable content: Our interface is designed with clear language and explanations for any technical terms or phrases; - Text Alternatives: We provide text alternatives for any non-text content so that it can be changed into other forms people need, such as large print or simpler language.; - Keyboard Accessibility: We have made all functionality available from a keyboard. ; - Contrast and Color: We have designed the interface with sufficient contrast between foreground and background colours, particularly with text. Also, we are not using color as the only way of conveying information or indicating an action.
• API: Yes
• What users can and can't do using the API: Our APIs can be utilised in three key ways:; ; 1. NHS providers can connect surface our AI coding co-pilot within their core Electronic Health Record environment to support upstream automated clinical coding at the front end.; 2. At the backend, NHS providers can share with us their unstructured data for us to code in bulk using our AI tools; 3. We can then share back the results of our analysis, connecting directly with EHRs or a data warehouse to ingest structured, coded data
• API documentation: Yes
• API documentation formats:
  • Open API (also known as Swagger)
  • HTML
  • ODF
  • PDF
• API sandbox or test environment: Yes
• Customisation available: Yes
• Description of customisation: Trusts will be able to tailor the points of delivery to which we apply our model (e.g. outpatients, non-elective inpatients, elective inpatients). How we deploy, integrate and, to some extent, design our various products can also be customised according to their needs and practices.

Scaling

• Independence of resources: Our cloud infrastructure utilizes resource allocation and containerization technologies to ensure individual users are not impacted by others.

Analytics

• Service usage metrics: Yes
• Metrics types: Customers will be provided with regular reports outlining the volume of patient encounters that we have processed, the results of our analyses, and the qualitative and quantitative impacts of our analyses. ; For clinical coding, this will include the proportion of encounters where our results have differed from the original decision made by the Trust and the potential reimbursement impacts of this difference.; We will also provide trend analyses so providers can compare results across different specialties and understand which areas have the highest potential for impactful change.

Resellers

• Supplier type: Not a reseller

Staff security

• Staff security clearance: Other security clearance
• Government security clearance: Up to Security Clearance (SC)

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: Another external penetration testing organisation
• Protecting data at rest:
  • Physical access control, complying with CSA CCM v3.0
  • Encryption of all physical media
  • Other
• Other data at rest protection approach: Data at rest is encrypted using industry-standard algorithms, currently we use AWS CCM v4 but this may change in future. We encrypt all physical media.
• Data sanitisation process: Yes
• Data sanitisation type:
  • Explicit overwriting of storage before reallocation
  • 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: Via the existing, pre-requisite integration into the hospitals core systems. For data security reasons, everyday users will be unable to export data as required.
• Data export formats:
  • CSV
  • Other
• Other data export formats: FHIR & HL7
• Data import formats:
  • CSV
  • Other
• Other data import formats: FIHR & HL7

Data-in-transit protection

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

Availability and resilience

• Guaranteed availability: We offer a Service Level Agreement (SLA) with a specific uptime guarantee depending on the exact use case our software is being deployment for. Details regarding the SLA and compensation for downtime are available upon request.; Users will be refunded at a rate commensurate with the level of SLA breach if SLAs are not met.
• Approach to resilience: Our services are designed with redundancy across multiple geographic locations and utilize fault-tolerant technologies. We follow best practices from all major Cloud providers (AWS, Azure, GCP). Detailed information on data centre resiliency is available upon request.
• Outage reporting: Email alerts

Identity and authentication

• User authentication needed: Yes
• User authentication:
  • 2-factor authentication
  • Identity federation with existing provider (for example Google Apps)
  • Dedicated link (for example VPN)
  • Username or password
• Access restrictions in management interfaces and support channels: Access controls are reviewed quarterly as part of our Information Security Management Services which comply to ISO27001
• Access restriction testing frequency: At least every 6 months
• Management access authentication:
  • 2-factor authentication
  • Identity federation with existing provider (for example Google Apps)
  • Username or password

Audit information for users

• Access to user activity audit information: Users receive audit information on a regular basis
• How long user audit data is stored for: User-defined
• Access to supplier activity audit information: Users receive audit information on a regular basis
• How long supplier audit data is stored for: User-defined
• 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: Yes
• Cyber essentials plus: No
• Other security certifications: Yes
• Any other security certifications: NHS Data Security & Protection Toolkit

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 documented information security policies and procedures that cover all aspects of data security as part of our Information Security Management System that is compliant with ISO27001. These policies are reviewed and updated regularly, as well as audited internally and externally.

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: We meticulously track all service components via a detailed inventory and robust version control system, ensuring lifecycle transparency. Each change undergoes a thorough security assessment involving automated and manual testing, alongside an impact analysis to determine potential security impacts on data integrity, confidentiality, and availability. Changes are only implemented following approval from our Change Advisory Board, which includes security, operations, and compliance experts. Our procedures comply with relevant health data protection regulations and align with industry best practices such as ISO/IEC 27001.
• Vulnerability management type: Conforms to a recognised standard, for example CSA CCM v3.0 or SSAE-16 / ISAE 3402
• Vulnerability management approach: Application code is scanned regularly and we are alerted of any vulnerabilities. Patches to address application vulnerabilities that materially impact security will be deployed within 60 days of discovery. We use Synk to scan for vulnerabilities/threats which monitors multiple vulnerability sources (such as NVD).
• Protective monitoring type: Conforms to a recognised standard, for example CSA CCM v3.0 or SSAE-16 / ISAE 3402
• Protective monitoring approach: Potential compromises are reported through both manual and automated threat detection systems to security@phare.health. We have a documented incidence response plan which includes assessing task severity, required documentation, escalation paths, mitigations and resolution processes. Critical vulnerabilities assessed by Phase Health shall be patched or remediated in 2 days.
• 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: We have a fully detailed incident management process that is available on request and meets the requirements of ISO27001. We have pre-defined processes for common events e.g. user access issues. Users can raise an incident via the "Support" function within our applications and we provide incident reports to relevant users based on agreed SLAs.

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: No

Social Value

• Social Value:

  Social Value

  Tackling economic inequality

  Tackling economic inequality

  Phare Health's product enable healthcare providers to better understand the population that they serve and the level of service they are providing to the population. This enables providers to be better informed in addressing healthcare inequalities and the care required to provide patients with better wellbeing outcomes.

Pricing

• Price: £100,000 a licence a year
• Discount for educational organisations: No
• Free trial available: Yes
• Description of free trial: We offer new customers pilots of our tools to ensure that they deliver significant value before being procured. The scope of these pilots is subject to negotiation with individual customers.

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 lee@phare.health. Tell them what format you need. It will help if you say what assistive technology you use.