Govern outcomes, manage risk, and scale care delivery with confidence. Clinical risk, accountability, and outcomes visible end-to-end — for insurers and providers alike.
Care is now delivered across apps, providers, pathways, and settings — but risk, accountability, and outcomes are still assessed after the fact. Insurers can't see emerging risk early enough. Providers struggle to scale without governance drag.
You see the claim after the hospital admission. Earlier signals existed — you couldn't access them.
Patient moves from app to clinic to specialist. Who owns the outcome? Who even knows?
Guidelines exist, but are they followed? Which providers deliver outcomes, which generate variance?
Manual safety processes work at 100 patients. At 100,000, they collapse or cost more than the care.
You're underwriting care you can't fully see. Members move between providers, generate device data you can't validate, and outcomes are only visible when claims arrive. That's too late.
See emerging risk before acute events. Longitudinal member trajectories, not episodic snapshots tied to claims.
Did that wellness programme actually reduce acute events? Outcomes attribution that stands up to actuarial scrutiny.
Which pathways produce outcomes, which don't? Protocols become measurable, improvable, priceable.
Who's delivering value, who's generating unwarranted variation? Visibility into performance before contract renewal.
Clear provenance from intervention to outcome. Clinical decisions and escalations explicitly attributed and auditable.
Growth creates governance gaps. You launched with robust processes for a small clinical team. Now you're at 50x the volume. Manual safety management can't keep up. Indemnity exposure grows with every patient.
Safety infrastructure that scales with volume. Governance that doesn't eat operating cost as you grow.
When something goes wrong, responsibility is explicit and documented. Liability is clear because the audit trail is clear.
Clinician time on patients, not admin. Documentation generated from care delivery, not duplicated after.
CQC asks about clinical governance? The evidence is already structured. Not assembled the week before inspection.
New clinicians work within governed protocols from day one. Quality doesn't depend on institutional memory.
Six infrastructure components that make risk, performance, and outcomes governable across distributed care delivery.
Longitudinal patient state across providers. Provenance-preserving, queryable, UK Core FHIR R4 native.
Pathways codified, versioned, executable. Gap detection when steps are missed or overdue.
Device data validated before clinical use. Protocol-driven collection with clear responsibility chain.
Dynamic consent and access control. Who can see what, under what conditions, with what lawful basis.
Continuous hazard tracking across pathways. Risk assessments linked to features and interventions.
Consistent meaning across systems. SNOMED, value sets, mappings — treated as infrastructure.
Every infrastructure component implements governance invariants that hold regardless of scale: identity, consent, provenance, intent, responsibility, routing, outcome.
We're working with insurers and private providers who want to govern distributed care without rebuilding infrastructure from scratch. Start with a 30-minute discovery call.
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