FAQ’S

FAQ’s

Learn more about what makes our approach so unique while being very simple to adopt

Ease of Use

Workflows don't change and no extra staff or time required to acquire data

The workflows in the hospital do not change and no extra work is required to gather data. 

We use the same clinical coding the hospital sends to regulators and it’s a simple and quick integration.

For the avoidance of doubt, no long delays, no disruption, no workflow changes, no new people hired, no new tasks for clinicians.. just a data transfer of pseudo-anonymised data  to our secure system.

How do I see results?

For the retrospecitve reporting system (CRAB), we provide detailed monthly and annual reports that highlight overall performance but then drill down into issues, where they are located and how to resolve them.  

We also provide an expert tool to allow clinicians and managers to drill down into results by period, specialty, consultant, type of operation etc.  This goes down to the clinical coded record of each individual patient if needed to understand the chronology of their diagnoses and treatment etc.

For the prospective risk assessment tool, the system runs from the cloud so can be accessed at any desktop, tablet or handheld device.   The system then links to printers and/or systems like SAP to enable signature of the outputs by the patient/relatives as part of the consent process.

Money saved is in this financial year and shows on the bottom line

Our estimation of cost savings is based on many hospitals own internal costings for particular triggers of avoidable harm.  We agree a cost per trigger and then our monitoring over a period to identify the improvements in terms of harm but also the direct associated costs.  That means medications etc. required (things you are taking from a stock room) but doesn’t include extra overtime for staff, bed blocking etc.

Our partners see the results in their bottom line, in the same financial year.

Returns are roughly 30 times what we charge (excluding the reductions in clinical negligence costs that we estimate at 10%).

Results and Accuracy

Can we trust your results?

We have done extensive testing on the accuracy of our mortality and morbidity algorithms and have excellent results for each (the former looking at an 800k patient, 10-year data set and the latter via a study with Karolinska Hosptial in Sweden).

Since then, our partner hospitals across 11 countries have used our systems and found our results to direct them to real issues and savings in both financial and harm/mortality terms.

See our references page to read more about what people using our system think of it.

Where is the system hosted?

The systems are web hosted but under the strictest data protection and security protocols,

Our amazing IT team keeps us compliant with ISO27001 and ISO13485. We meet GDPR standards and we have also been tested as HIPAA compliant in the USA. It is also our privilege to have been approved by the NHS National authorities in the UK to host and process the national patient dataset – one of only a handful of private companies to be given such permission.

The resulting hosting arrangements are state of the art for information governance and security, and can be cloned into client’s countries as necessary.

Bottom line – integration is not difficult.

What's special about your approach?

We have a unique system that uses Ai-backed algorithms to map the clinical profile of each and every patient.  From this, we can:

  • triangulate outcomes relative to a risk-adjusted expectation, rather than coarse averages across hospitals in the region/country;
  • understand the patient’s journey through the hospital, and whether there is evidence of any avoidable harm along the way;
  • home in on problem areas – and examples of exceptional performance too – at any level, from the individual clinician, to team, specialty, and organisation.  In fact, the system has also been applied to map service configuration issues across a health economy or region.
  • Understand the root causes of the problems we find, because our system builds up the picture from an individual patient level, to know whether it is human error, process failures, or deficiencies in systems and facilities that are the driving factors.
  • Generate recommended clinical solutions – solutions that are designed to improve quality and get better outcomes for patients, but which are most often low cost to implement and can result in significant savings.to improve quality and get better outcomes for patients, but which are most often low cost to implement and can result in significant savings.

Why does risk adjustment matter?

Patients are individuals.  You can’t look at the average illnesses in a country and then use that information to diagnose a patient.  So why are hospital information systems trying to improve patient safety and outcomes in this way.

As an example, a hospital we know does the high risk operations for another hospital.  Simple average based information systems flag the first hospital up for having a rate of complications per operation that is higher than the average.  Of course they do.  They are doing harder operations but the inability to do real risk-adjustment for patients means that the results of these systems is no better than a ‘smoke alarm’ with many false positives for issues raised.

This undercuts faith in the systems and wastes time trying to fix things that aren’t broken.

We use our validated approaches to risk-adjust for both operative and medical patients to identify real issues.  We don’t stop there.  Our systems can drill down to the underlying issues.

Money saved is in this financial year and shows on the bottom line

Our estimation of cost savings is based on many hospitals own internal costings for particular triggers of avoidable harm.  We agree a cost per trigger and then our monitoring over a period to identify the improvements in terms of harm but also the direct associated costs.  That means medications etc. required (things you are taking from a stock room) but doesn’t include extra overtime for staff, bed blocking etc.

Our partners see the results in their bottom line, in the same financial year.

Returns are roughly 30 times what we charge (excluding the reductions in clinical negligence costs that we estimate at 10%).

Data Usage and Policies

What data do you use?

We use hospitals’ own administrative patient coding for all patients. In any given country, this will be their equivalent of ICD9/ICD10 coding for diagnoses and procedures. We are used to interfacing with hospitals to access the data in a secure and professional fashion.

We have easy, templated procedures for capturing the data we need, and skilled engineers well versed in legacy systems so that they can help clients regardless of the age and configuration of the IT they are operating with.

Where is the system hosted?

The systems are web hosted but under the strictest data protection and security protocols,

Our amazing IT team keeps us compliant with ISO27001 and ISO13485. We meet GDPR standards and we have also been tested as HIPAA compliant in the USA. It is also our privilege to have been approved by the NHS National authorities in the UK to host and process the national patient dataset – one of only a handful of private companies to be given such permission.

The resulting hosting arrangements are state of the art for information governance and security, and can be cloned into client’s countries as necessary.

Bottom line – integration is not difficult.

What is the breadth your systems cover?

We estimate we cover areas that represent 90% of US negligence claims.

We look at 146 surgical complications, 32 triggers, all patients, avoidable harm and mortality in hospital care across all specialty areas. Our Compass module can also be deployed into primary care to support more effective management of referrals and admissions and optimise patients to get the best possible care in the most efficient way.

Can we trust you with our data

The data we use is pseudo-anonymised so the hospital can cross reference to patient information from an identified but we cannot.  We never hold personal information on patients.

Data is held and managed in an ISO 27001 information security accredited environment. 

All staff who could have access to data are properly governance trained and certificated.

Evidenced data destruction in compliance with ISO standards is performed at the end of a job or on demand.  This involves the use of approved data destruction software or drive shredding if the drive is non-functional.  If a device has to be shredded, the whole process from its removal from the server to 6mm fragments needs to be evidenced.

In the UK, NHS hospitals mandate the use of the NHS private network (N3/HSCN).  This requires dedicated fibre connections, government approved firewalls and compliance with NHS IG standards.  HSCN systems must be kept completely separate from the internet other than through approved interfaces negotiated with NHS Digital.  C2-Ai operate internationally, requiring careful segmentation of systems and networks and maintenance and verification of all access logs.

We are compliant with the top 10 OWASP vulnerabilities evidenced with regular penetration testing to prove compliance.  The platform on which new C2-Ai products will be based is OWASP compliant. 

Workflows don't change and no extra staff or time required to acquire data

The workflows in the hospital do not change and no extra work is required to gather data. 

We use the same clinical coding the hospital sends to regulators and it’s a simple and quick integration.

For the avoidance of doubt, no long delays, no disruption, no workflow changes, no new people hired, no new tasks for clinicians.. just a data transfer of pseudo-anonymised data  to our secure system.

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