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OPTELLUM LTD

Optellum Virtual Nodule Clinic

Optellum Virtual Nodule Clinic is an AI-based clinical decision support software supporting the early identification and diagnosis of lung cancer patients, while reducing the load on the healthcare system.
It is clinically validated to improve patient outcomes vs. current standard of care.

Features

  • Patient Safety Net – configurable to meet reporting needs
  • Tracking & Management – patient management interface with status information
  • Lung Cancer Prediction – calculates nodule malignancy risk score
  • Access via web browser
  • Service metrics available on real time within the Dashboard

Benefits

  • Better care coordination: surfaces at-risk patients
  • Streamlines patient management; further improves care coordination
  • Enhanced risk stratification potential vs. current SoC
  • Avoided stress/risk for benign nodule patients
  • Better outcomes for malignant nodule patients

Pricing

£22,500 a licence a year

  • Education pricing available

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 disha.chopra@optellum.com. Tell them what format you need. It will help if you say what assistive technology you use.

Framework

G-Cloud 14

Service ID

7 6 5 0 3 5 6 8 5 0 0 7 3 0 2

Contact

OPTELLUM LTD Disha Chopra
Telephone: +44 1865745252
Email: disha.chopra@optellum.com

Service scope

Software add-on or extension
No
Cloud deployment model
Public cloud
Service constraints
There will be a downtime of approximately an hour when there is any planned upgrade to the already installed software at the customer premises. This will be planned with their IT department. There will be no impact on customers who are clinicians as they will not be using the technology outside of their working hours.
System requirements
  • Single RHEL 8+ VM
  • MSSQL 2017+ Database
  • 3GB local server storage per patient tracked
  • Compatible PACS configuration
  • Access to radiology report (API to RIS or HL7 messages)
  • Single Sign On (SSO) identity provider

User support

Email or online ticketing support
Email or online ticketing
Support response times
Respond within 2 hours during business hours
User can manage status and priority of support tickets
No
Phone support
No
Web chat support
No
Onsite support
No
Support levels
Level 1 support:
- Response within 2 hours during business hours
- provided by dedicated support team
- for help using software and solving basic problems

Level 2/3 support:
- response time varies with issue complexity
- provided by software engineering team
- for issues escelated from level 1 support

All users have access to full support at no extra cost.

Each user is assigned a customer success manager.
Support available to third parties
Yes

Onboarding and offboarding

Getting started
Optellum customer support will configure the service within the customers network. Once configured user and admin training is delivered via a online session as well as a user manual PDF.
Service documentation
Yes
Documentation formats
PDF
End-of-contract data extraction
No data is persisted in the cloud. The data is only on the customers internal database which they manage and are free to extract data as needed.
End-of-contract process
Optellum support staff will engage with the customer to decommission the service. This will mean uninstalling the client side application, and deleting or migrating data as the customers see fit.

Using the service

Web browser interface
Yes
Supported browsers
  • Microsoft Edge
  • Firefox
  • Chrome
  • Safari
Application to install
Yes
Compatible operating systems
  • Windows
  • Other
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
The service interface is a web based application hosted on premise at the customers site. This web based application is used for interacting with the customers internal data repositories in order to retrieve relevant radiology reports and CT scans. The application is used for querying these repositories for the required data before sending it to the cloud based component of the software which performs the main function of the service, calculating the Lung Cancer Prediction AI Score.
Accessibility standards
None or don’t know
Description of accessibility
Please refer to the WCAG 2.1 AA standard for Non-text Content, Use of colour, Contrast (minimum), Non-text contrast, No timing, Three Flashes or below threshold, Three Flashes, Page titled, Heading and Labels, On Focus, On Input, Consistent Navigation, Consistent identification, and Labels or instructions, which we meet and which, in our view, assure accessibility of our service for users with disabilities.
The interface is readily adaptable to other WCAG 2.1 standards to further improve accessibility in accordance with experience of users with disabilities and their feedback.
This also covers our response for the "User Support" and "Documentation" sections.
Accessibility testing
We have not yet commenced testing our interface with users of assistive technology. There has not been a requirement for this to date, but we are readily able to do so, according to user requirements.
API
No
Customisation available
Yes
Description of customisation
Optellum will consult clinical users to customise the product, including:
1) Configuring patient discovery AI to meet radiology reporting styles and clinical needs.
2) Patient location and class to consider for enrolment
3)Available clinical decisions

Scaling

Independence of resources
A job queuing system is implemented which allows us to monitor usage levels and scale as necessary.

Analytics

Service usage metrics
Yes
Metrics types
1)Total enrolled patients
2)New enrolled patients per month
3)Breakdown of number of each clinical decision within date range
4)number of LCP scores computed within time range

These can be retrieved via an analytics page within the client side application.
Reporting types
Real-time dashboards

Resellers

Supplier type
Not a reseller

Staff security

Staff security clearance
Other security clearance
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
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
  • Physical access control, complying with another standard
  • Encryption of all physical media
Data sanitisation process
Yes
Data sanitisation type
Explicit overwriting of storage before reallocation
Equipment disposal approach
A third-party destruction service

Data importing and exporting

Data export approach
1)It is possible for clinicians to export a PDF report via a download button for each patient.

2)A csv file of patients can be exported via the analytics page.
Data export formats
  • CSV
  • Other
Other data export formats
PDF
Data import formats
Other
Other data import formats
Our Service does not require data upload by the user

Data-in-transit protection

Data protection between buyer and supplier networks
  • TLS (version 1.2 or above)
  • Other
Other protection between networks
Only minimal data required for the service to operate is transmitted. This data is encrypted in transit via TLS.
Data protection within supplier network
Other
Other protection within supplier network
Data is not transferred within our network. It is stored in a secure database and only kept for as long as needed.

Availability and resilience

Guaranteed availability
The availability of our service is described in the "support level" question under the "User support" section of this application. And such availability is supported through a contractual warranty that Services will be performed with the standard of professional care, skill, and diligence, normally provided in the performance of similar services.
Approach to resilience
Our product is hosted on cloud and the cloud provider (Azure, Microsoft) is responsible for resilience of Azure environment.
Outage reporting
Outages would be reported to customers via email.

Identity and authentication

User authentication needed
Yes
User authentication
  • Username or password
  • Other
Other user authentication
Client:
- Customer provided single sign on provider using SAMLv2
or
- Username/password
Service:
- Private access key
Access restrictions in management interfaces and support channels
Only users specified via SSO attribute are able to access admin functions
Access restriction testing frequency
At least once a year
Management access authentication
Other
Description of management access authentication
SSO SAMLv2.
Only specified users with the correct SSO attribute may access management functionality.

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
Yes
Who accredited the ISO/IEC 27001
BSI, Certificate number - IS799048
ISO/IEC 27001 accreditation date
Awaiting first issue - assessment completed on 5th April 2024 and certificate number issued by BSI
What the ISO/IEC 27001 doesn’t cover
N/A
ISO 28000:2007 certification
No
CSA STAR certification
No
PCI certification
No
Cyber essentials
Yes
Cyber essentials plus
Yes
Other security certifications
No

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
Our information security policies are aligned to ISO/IEC 27001 standard. Adherence to policies are monitored by internal/external audits.

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
Change management and configuration management processes conforms to ISO13485 and ISO/IEC27001 standards and we have system in-place which covers planning, impact, approval, communication, fall back procedure and responsible individuals.
Vulnerability management type
Conforms to a recognised standard, for example CSA CCM v3.0 or SSAE-16 / ISAE 3402
Vulnerability management approach
1) Threat and vulnerability are assessed based on defined policies and procedures.
2) Patches are applied within 14days.
3) Threat information are gathered from many sources such as NCSC, Mandiant, ENISA, Crowdstrike, CISA
Protective monitoring type
Conforms to a recognised standard, for example CSA CCM v3.0 or SSAE-16 / ISAE 3402
Protective monitoring approach
1) A number of tools are used to monitor and alert any potential compromise e.g., Microsoft Defender for Endpoint Devices and Microsoft Defender for Cloud
2) Response to a potential compromise is based on incident management procedure
3) Response time to an incident is based on the the severity and priority of the incident.
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
1) Event Reporting Procedure in-place and communicated to all users which describes how to report any suspected or actual incident
2) Each incident is recorded and logged on the Incident Management System which Detection, Report, Analysis, Priority, Impact, Investigate, Review, Close, and Lesson Learnt

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)
  • Other
Other public sector networks
Individual NHS Trust/Health Board Network

Social Value

Social Value

Social Value

  • Fighting climate change
  • Covid-19 recovery
  • Equal opportunity
  • Wellbeing

Fighting climate change

Optellum VNC use can contribute to the fight against climate change. Specifically, it can enable emission reduction of, approximately, ~330 kg of CO2 consequential emissions (or ~3,200 kg of CO2 attributional emissions) p.a. at an institution/NHS Trust doing ~150,000 CT scans per annum.
That is because VNC was shown to safely facilitate ~20% reduction of unnecessary follow-up CT and PET/CT scans performed on benign-nodule patients. [https://pubmed.ncbi.nlm.nih.gov/33581913/] Each CT scan is estimated to generate ~1.1 of consequential (or 9.2 of attributional) kg of CO2 emissions, and PET/CT, under very conservative assumptions, is assumed to generate at the very least the same emission level as a CT scan [https://www.thelancet.com/journals/lanwpc/article/PIIS2666-6065(22)00074-8/fulltext]

Covid-19 recovery

Use of Optellum VNC is expected to support people (i.e., patients), communities, as well as organisations (i.e., NHS trusts) to manage and recover from the impacts of COVID-19.
Specifically, appropriate use of the LCP risk stratification capability is expected to help reduce the remainder of the Covid-related backlogs.

Equal opportunity

There is preliminary (inferred) evidence and customer feedback to suggest that the use of Optellum VNC can support in-work progression to help people. Specifically, that can be achieved by giving junior doctors training opportunities, and providing nurses with upskilling opportunities:
1)It gives opportunities for career development / job enrichment to nurses - e.g., by enabling them to administer the nodule clinic
- Hence, it gives junior clinicians access to an additional diagnostic resource and training support: an "Artificially-Intelligent Diagnostic mentor", which enables them to catch-up to the diagnostic accuracy of most senior clinicians
2)That is because the use of Optellum VNC was shown to improve the diagnostic performance of all readers, regardless of the experience level;
3)However, importantly, it was shown to improve the performance of junior readers the most

Wellbeing

There is preliminary evidence and customer feedback to suggest that the use of Optellum VNC is able to improve health and
wellbeing, specifically influence staff, suppliers, customers and communities through the delivery of the contract to support health and wellbeing, including physical and mental health.

Pricing

Price
£22,500 a licence a year
Discount for educational organisations
Yes
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 disha.chopra@optellum.com. Tell them what format you need. It will help if you say what assistive technology you use.