Pulsara

Pulsara UNITED

Pulsara UNITED transforms how care teams communicate and coordinate patient care. Leveraging its robust feature set (video, audio clips, images, monitor/ai integrations, messaging and more) to capture and exchange information, Pulsara unites distributed care teams within and across organisations for the triage, transport, and treatment of patients as events evolve.

Features

  • One communication channel per patient event
  • UK GDPR compliant prehospital and hospital communication using current technology
  • Capture and exchange critical patient information in real-time across organisations
  • Everyday solution that scales during stress events like COVID-19 surges
  • Universal clock for accurate and reliable call-to-intervention data
  • Secure messaging, audio, and video conferencing within a Patient Channel
  • Robust stroke, STEMI, trauma workflows with configurable teams and alerting
  • Pulsara API Integrations: ECG, Neuro AI, ePCR, EHR, on-call calendar
  • Pulsara HQ: Browser-based command centre for management of patient status
  • Pulsara PATIENT: On-demand telehealth via provider to patient live video

Benefits

  • Transform systems of care with integrated and streamlined communication
  • Unite distributed care teams within and across organisations
  • Deliver patients to definitive care faster through unified care coordination
  • Reduce call-to-intervention times across time-sensitive emergencies
  • Improve ambulance handover delays with prehospital alerting and early preparations
  • Improve timely admissions for A&E patients with pre-registration
  • Improve patient transfer operations through spoke-to-hub hospital communication
  • Reduce door-in/door-out times for time-sensitive emergencies
  • Support rural hospitals with tele-consult and live video at bedside
  • Achieve interoperability for patient care without pagers, faxes and Whatsapp

Pricing

£4,200.00 to £70,000.00 a licence

  • 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 gcloud-business@pulsara.com. Tell them what format you need. It will help if you say what assistive technology you use.

Framework

G-Cloud 13

Service ID

9 4 4 7 5 0 6 3 5 6 9 0 4 6 0

Contact

Pulsara Joey Branton
Telephone: +1 877-903-5642
Email: gcloud-business@pulsara.com

Service scope

Software add-on or extension
No
Cloud deployment model
Private cloud
Service constraints
None
System requirements
  • Mobile devices operating on Android or iOS
  • Desktop device with modern web browser
  • Allow Pulsara traffic through firewalls

User support

Email or online ticketing support
Email or online ticketing
Support response times
Our guaranteed response time is within 8 business hours.
Telephone calls to Customer Support are responded to within 2 hours.
User can manage status and priority of support tickets
No
Phone support
Yes
Phone support availability
24 hours, 7 days a week
Web chat support
No
Onsite support
Yes, at extra cost
Support levels
Pulsara provides remote support 365 days per year with a 2 hour maximum response time for support calls and an 8 hour maximum response time for support requests via our website and/or email.

Self service help is available online 24/7 via Pulsara's robust Knowledge Base and Training Academy in both written and video format.

With each update to the app, Pulsara provides Release Notes via email that explain the new features and functionality in detail: ▪︎ What's changed ▪︎ Who's impacted ▪︎ Why and when it would be used ▪︎ How to get started. All Release Notes are accessible in Pulsara's Knowledge Base.
Support available to third parties
Yes

Onboarding and offboarding

Getting started
Pulsara provides a defined project plan that is customised in collaboration with the customer to meet their organisation's unique needs. The Pulsara team works remotely with the customer to:

▪︎ Define the goals and benefits for implementing Pulsara
▪︎ Identify and engage all stakeholders
▪︎ Establish a timeline
▪︎ Conduct workflow evaluations for desired patient types, integrations, and feature utilisation
▪︎ Configure the system and alerting pathways
▪︎ Provision users
▪︎ Complete end-to-end table-top testing with all relevant parties
▪︎ Ensure that users are prepared for the sole use of the Pulsara platform prior to eliminating previous alerting and communication pathways.

Pulsara provides access to online training material in written and video format. It is a common Pulsara practice to develop specific training material to meet any needs that are not met with standard training material.
Service documentation
Yes
Documentation formats
HTML
End-of-contract data extraction
Users are able to download any data at any time during the contract.
End-of-contract process
Upon termination of the contract, Pulsara will disable all users except one admin. The remaining admin has 30 days to export any relevant data prior to disablement.

Using the service

Web browser interface
Yes
Supported browsers
  • Microsoft Edge
  • Firefox
  • Chrome
  • Safari
Application to install
Yes
Compatible operating systems
  • Android
  • IOS
  • MacOS
  • Windows
Designed for use on mobile devices
Yes
Differences between the mobile and desktop service
Pulsara was designed "Mobile First" and then expanded to include a desktop version. Patient-related communication and logistics functionality is fully available from mobile devices. The exception is administrator access, which is only via web app (desktop).

Pulsara HQ, a browser-based command center for centralised management of patient status, is designed to be performed via web app (desktop).
Service interface
Yes
User support accessibility
None or don’t know
Description of service interface
Mobile application and/or web browser (desktop).
Accessibility standards
None or don’t know
Description of accessibility
Users can apply accessibility features provided in their mobile or desktop device.
Accessibility testing
None.
API
Yes
What users can and can't do using the API
The Pulsara platform was built on an open API infrastructure that allows for the integration of technologies that can improve patient care. Current integrations that can be enabled at the customer's request include heart monitor/defibrilation data (ECG) and stroke imaging.

Pulsara's ECG integration provides medics the ability to quickly attach the original, high-quality image of the ECG into the mobile application while still on scene. Hospital team members receive an alert when the ECG is attached and can appropriately prepare for the patient prior to arrival. The ECG can later be downloaded and saved in the EHR (electronic health record).

Stroke imaging integration with Pulsara enables real-time sharing of neuro images, including CTP, MRI and CTA, with the entire stroke team.

The Pulsara API allows a user to interact with Patient Channel data within the Pulsara platform. This API is essentially a REST API utilising JSON to communicate data in the request and response payloads. All data models listed within should be sent/received as JSON objects.
API documentation
Yes
API documentation formats
PDF
API sandbox or test environment
Yes
Customisation available
Yes
Description of customisation
Each organisation can configure their patient types, teams, template messages, alerting pathways, and more to meet their unique communication and workflow needs.

Scaling

Independence of resources
Pulsara systems utilise dynamic load balancing to automatically distribute incoming application traffic across a scalable web server cluster.

Analytics

Service usage metrics
No

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
Complies with a recognised standard (for example CSA CCM version 3.0)
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
  • Other
Other data at rest protection approach
▪︎ Physical access control, complying with CSA CCM v3.0
▪︎ Physical access control, complying with SSAE-16 / ISAE 3402
▪︎ Encryption of all physical media
Data sanitisation process
Yes
Data sanitisation type
Deleted data can’t be directly accessed
Equipment disposal approach
A third-party destruction service

Data importing and exporting

Data export approach
Users can export aggregate data in the form of a CSV file via our online admin portal, Pulsara MANAGER.

Individual case data (Patient Summary) can also be exported in the form of a PDF.
Data export formats
CSV
Data import formats
Other
Other data import formats
Data upload is not supported at this time.

Data-in-transit protection

Data protection between buyer and supplier networks
  • TLS (version 1.2 or above)
  • Other
Other protection between networks
Data in transit is encrypted via a secure HTTPS connection using TLS 1.2, SHA 256 with 2048 bit key.
Data protection within supplier network
TLS (version 1.2 or above)

Availability and resilience

Guaranteed availability
Pulsara shall maintain a level of access to the system (excluding periods of emergency maintenance) "System Access Availability" of 99.9% 24 hours a day, 7 days a week, including holidays.

"System Access Unavailable" is defined as a reported unscheduled inability of all subscribed users of the customer to access the Pulsara system and verification that the problem is within Pulsara’s system. Credit for such is detailed in our Service Level Agreement and is available upon request.
Approach to resilience
All services are duplicated in multiple availability zones within AWS, and each set of instances is capable of handling our full service load.
Outage reporting
Users can subscribe to Pulsara's status page: https://status.pulsara.com

Identity and authentication

User authentication needed
Yes
User authentication
  • Identity federation with existing provider (for example Google Apps)
  • Username or password
  • Other
Other user authentication
Pulsara uses an OIDC compliant federated authentication integration.
Access restrictions in management interfaces and support channels
Access is role-based.
Access restriction testing frequency
At least every 6 months
Management access authentication
Dedicated link (for example VPN)

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
At least 12 months
Access to supplier activity audit information
Users have access to real-time 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
TAYLLORCOX
ISO/IEC 27001 accreditation date
29/12/2020
What the ISO/IEC 27001 doesn’t cover
Pulsara's systems are hosted with cloud infrastructure providers with SOC 2 Type 2 and ISO 27001 certifications, among others. The certified protections include dedicated security staff, strictly managed physical access control, and video surveillance.
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
ISO/IEC 27001:2013 certification

Security governance

Named board-level person responsible for service security
Yes
Security governance certified
Yes
Security governance standards
  • ISO/IEC 27001
  • Other
Other security governance standards
SOC II Type 2, HIPAA
Information security policies and processes
Pulsara is an ISO 27001:2013 certified company which informs and guides its information and security policies and procedures. These policies and procedures are distributed to staff via internal communication, published on Pulsara's intranet and reviewed and updated no less frequently than annually. Training (with assessments) is performed for new and significantly revised policies and procedures. Policies are sponsored by the Executive Leadership Team and reviewed by Pulsara's Compliance Committee.

▪︎ Workforce Sanction Policy
▪︎ Info Systems Activity Review Policy
▪︎ Assign Security Responsibility Policy
▪︎ Authorisation & Supervision Procedures
▪︎ Workforce Clearance and Screening Procedures
▪︎ Access Termination Procedures
▪︎ Access Authorisation, Establishment & Modification Policy and Procedure
▪︎ Security Reminders Policy
▪︎ Malware Protection Policy
▪︎ Log-in Monitoring Policy
▪︎ Password Management Policy
▪︎ Workstation Use Policy
▪︎ Workstation Security Policy

Operational security

Configuration and change management standard
Supplier-defined controls
Configuration and change management approach
All infrastructure and application code changes are:
1. Recorded and stored in version control.
2. Peer reviewed by two engineers who are not the author of the change before being merged into a release eligible branch.
3. Tracked with a ticket in Pulsara’s Application Lifecycle Management system.
4. Released with the same code management process (mobile, web, infrastructure and API code)
5. Branches follow a strict management methodology to ensure release integrity and continuity of code in each release, including hotifx/patch versions.
6. Promoted through a series of internal environments (stacks) before release to production.
Vulnerability management type
Conforms to a recognised standard, for example CSA CCM v3.0 or SSAE-16 / ISAE 3402
Vulnerability management approach
Application vulnerability testing is conducted to identify security flaws introduced in the design, implementation or deployment of an application. Vulnerability testing is done at least quarterly. In addition, third party penetration testing is done at least annually.
Protective monitoring type
Conforms to a recognised standard, for example CSA CCM v3.0 or SSAE-16 / ISAE 3402
Protective monitoring approach
Pulsara has implemented OSSEC (host based intrusion detection system) as well as many AWS cloud infrastructure tools.
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
Incidents are either identified by our monitoring systems automatically, by customers, by our support team, or by staff. Incidents are actioned and escalated appropriately depending on severity.

If required to resolve incidents, engineering staff are on-call 24/7, and processes are in place to ensure specialists and senior management are available if needed.

Once incidents are resolved, post-incident reviews are carried out to ensure continual service improvement. We work collaboratively to understand the causes of the incident and gain insight into the effectiveness of our response. Remediation tasks and process improvements are prioritised accordingly.

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

Fighting climate change

Fighting climate change

We have not yet explored how our service addresses climate change.
Covid-19 recovery

Covid-19 recovery

Since the COVID-19 pandemic started, many health systems have been overwhelmed by surges of patients needing emergent care. With no established systems for coordinating care in these circumstances, care teams endeavoured to orchestrate complex communications using old technologies like pagers, fax machines, and two-way radios.

Pulsara’s interoperable, flexible platform serves as a solution to allow care teams to quickly scale up to meet the demands of their COVID-19 patient loads, helping to mitigate patient surge, streamline and reduce patient transfers, and help minimise clinician exposure. Pulsara also supports emergency management centers to assist in resource allocation and load-balancing across regions.

During a particularly devastating winter storm in 2021, one major U.S. health system saw its daily number of calls and hospital transports double. During the post-holiday surge of COVID-19 patients, staffing levels were down 15% due to secondary contracting or exposure to the virus. By leveraging the Pulsara platform, paramedics began treating patients in place and put them on a list for follow-up by the clinical staff in medical command or sent them with a medic unit or alternate transport to an alternate destination, relieving overburdened hospitals.

Furthermore, Pulsara’s A&E Availability feature lets hospitals indicate whether they have the resources to accept new COVID-19 patients, quickly guiding ambulance team and transfer facility decision-making, ultimately helping to avoid hospital overcrowding and the need to make multiple phone calls to match patient demand with hospital supply.

Perhaps the biggest benefit of Pulsara is that care teams — from ambulance crews to A&E staff to specialists — can use the same tool every day for routine patient transfers, strokes, traumas, and behavioural health that they do for large-scale stress events like COVID-19. This ultimately means greater efficiency in care, leading to faster treatment times and happier clinicians.
Tackling economic inequality

Tackling economic inequality

We have not yet explored how our service works to tackle economic inequality.
Equal opportunity

Equal opportunity

Pulsara provides rural EMS and hospital organisations the ability to effectively consult, communicate, and coordinate patient care with more-resourced organisations that offer specialty care. This bring benefit by improving access to healthcare for those residing in disadvantaged or remote geographies.
Wellbeing

Wellbeing

Pulsara's purpose is to improve the lives of patients and those who care for them through innovative communication. The Pulsara platform connects healthcare providers in order to provide more efficient and effective care. This speeds time to treatment which has been shown to correlate with shorter lengths of stay and lower readmission rates for patients.

For healthcare providers, communication through Pulsara means less time spent in frustration due to lack of information or miscommunication from using archaic technologies; And more time for the things that matter - like patient care. Those on call can plan their return to the hospital based on real-time information about the patient including their ETA, review the ECG to pre-activate the cath lab, and direct patient care from anywhere.

At Pulsara, we envision a world where needless suffering is eliminated because entire communities can unite and communicate without friction.

Pricing

Price
£4,200.00 to £70,000.00 a licence
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 gcloud-business@pulsara.com. Tell them what format you need. It will help if you say what assistive technology you use.