Services Description

GPSoC Service Name / HI Hub & integrated modules including:
  1. Asthma and COPD Intelligence
  2. Fracture Prevention Intelligence
  3. Diabetes Intelligence
  4. Medicines Optimisation
  5. Risk Stratification, Case Finding & Interventions Management Programme

GPSoC Service ID /
  1. HI Hub-01 - Asthma and COPD Intelligence
  2. HI Hub-02 - Fracture Prevention Intelligence
  3. HI Hub-03 - Diabetes Intelligence
  4. HI Hub-04 - Medicines Optimisation
  5. HI Hub-05 - Risk Stratification, Case Finding & Interventions Management Programme

Functionality/Service Overview / Health Intelligence Ltd (HIL) has a number of comprehensive analytic services available for Long Term Conditions (LTC) management and medicines optimisation. All are based on the export of patient data from GP Practice clinical systems, the secure hosting of the data and provision of analytics services to authorised users over N3.
We pride ourselves on our ability to ensure patient data is securely exported and hosted via the N3 network. As part of our service we host all of the servers; provide a Disaster Recovery Service; provide a Customer Support Service (including Service Usage Reports); securely export your patient data and use it to populate all the reports within the dashboardsand programmes.
HI Hub-01 - Asthma and COPD Intelligence
HI Hub-02 - Fracture Prevention Intelligence
HI Hub-03 - Diabetes Intelligence
The clinical dashboards are available on HI Hub for GP Practice users, Commissioning Organisations e.g. CCGs or Local Authorities, and local providers (subject to customer agreements on data sharing). The dashboardsare designed to be an excellent audit tool of best clinical practice, which we ensure through our work with national level experts and reference to national guidance e.g. NICE.
Anumber of reports are available in the dashboards; these are designed to give the user insights into their patients who have a specific LTC:
  • Prevalence and Incidence of the LTC
  • Patients who are likely to have the LTC (data indicates a diagnosis, but the Practice is yet to record a diagnosis)
  • Patients at high risk of the LTC
  • Primary preventionof the LTC
  • Patients at risk of healthdecline
  • Management of patients with the LTC (detailsrecommended clinicalprocessesand highlightsgaps in care)
  • Lifestyle factors
  • Medicines Management
  • Opportunities to intervene – cohort identification
Within each report the data is profiled by age, gender and ethnic group in support of health equality considerations. If additional reports are required to support payment processes, e.g. Local or Direct Enhanced Schemes, we can develop these in line with your needs. All reports provide benchmarking and time series analysis.
HI Hub-04 - Medicines Optimisation
This service provides a range of solutions that revolve around reviewing prescribing for patients and includes a consideration of several elements of Medicines Safety and Medicines Optimisation. There is a huge potential to improve prescribing and this set of tools supports the following aspects
  • Medicines Safety – The PINCER study identified that 5% of emergency admissions to hospitals were accounted for by GP prescribingrelating to some 15 medicines. This includes patients with certain conditions that lead to a contraindication. A Medicines Safety Dashboard details all patients who should be reviewed.
  • Medicines Rules Engine – with options to use Health Intelligence’s authored rules, First Data Bank authored rules or rules specified by the userorganisation. The deployment is not at the point of prescribing, but like all other HI Hub solutions is an audit solution.
  • Clinical Rules Aggregator – All clinical rules are run against the population of patients allowing a view of all medicines related issues for all patients. This solution allows the user to see the totality of all Clinical Rules that are being “breached” or “triggered” for the population of patients and to support the selection of patients who meet certain criteria. A user can, in a straightforward manner select complex queries of the data, and for example would be able to select a cohort of patients who are on 8 or more repeat prescriptions, where there was at least one safety rule triggered, where there was potential to make savings and where the patients being selected also had two or more LTCs and was aged over 75 years old.
  • Cohort Assignment – this process supports a Managerselecting a cohort of patients identified for an intervention, e.g. a medicines management review and directs them to a work group for action
  • Medicines Management Review and Report – this process supports the member of a work group to undertake a medicines management review for the patient (holistically – not just on a specific trigger) and to record their recommendations re: monitoring, further review or a change in medication.
Taken as a whole, this service offers potential to transform the safety of prescribed medication and to significantly reduce costs, improve effectiveness and outcomes for patients.
HI Hub-05 - Risk Stratification, Case Finding & Interventions Management Programme
Health Intelligence has a population based risk stratification solution and uses a number of algorithms to predict patients at risk. These include the Nuffield Institutes update to the Kings Fund Combined Predictive Model, which predicts the risk of one or more emergency admission. The solution is agnostic regarding the choice of algorithm. The service includes the calculation of the predictive power of the model (sensitivity, specificity and positive predictive power calculation, etc.). Once the risk has been calculated, the solution supports case finding for a range of both pre-configured and user defined interventions intended to address the risk and needs of patients. Evaluation of the interventions uses the cross sector longitudinal nature of the patient record that is delivered as part of the service.
These are powerful population level solutions capable of transforming the care of patients who are at greatest risk/need. The functionality provided to General Practice includes the facility to block refer patients, in an information governance compliant manner over to one or more intervention providers.
Current Integrations with Principal Clinical Systems:
Our system integrates with all principal clinical systems, this occurs via regular bulk exports of defined data sets (excluding sensitive codes) from defined cohorts of patients. The definitions are based on the data that is required to populate the clinical dashboards.
These bulk exports are currently performed using MIQUEST and this method will be used until the GPSoC mechanism interface is available upon which time all exports will be using the GPSoC IM as expected in April 2015
Support / Our solutions are delivered as hosted managed services, where we warrant the provision of the service.
The dashboard reports that are delivered are clinical governance reports and should not be used directly to inform patient care. A statement to this affect is provided within the application. The main reason for this is that the data is exported periodically and more recent clinical data may be available within the GP Practice’s Clinical System.
We take a proactive approach to the support we provide to our users with our Healthcare Development Managers being at hand to meet with any customers (typically CCGs, Local Authorities and Local Area Teams) when required.
OurHelpdesk Service operates 8:30 am to 5:30 pm; Monday to Friday (excluding Bank Holidays).Users may contact the Helpdesk by email, telephone or fax. The Helpdesk formally logs all calls, assigns a unique reference number and logs all associated times including initial response and resolution times.
Our Service Reports report on all agreed SLA’s which as a minimum always include:
  • Service Availability within Standard Service Hours
  • Service Availability outside Standard Service Hours
  • Helpdesk Incident – Initial Response
  • Helpdesk Incident – Resolution
All customer documentation, user guides and helpful information is built into HI Hub, so users can access them whenever they need.
Ongoing user training is always available to the customer, delivered via over the phone training sessions with the Support Services Training Team.The training focuses not only on the use of the tool, but on the business benefits that the tool delivers to GP Practices and other users.
We offer an unlimited user license model, meaning there are no licensing restrictions and the whole NHS community are able to make use of the cross sector solutions.
Standard Service Performance & Support:
High Level release and change management process:
Service Availability
Availability Standard: / Standard service hours are 8:00am to 6:00pm (Mon - Friday – excluding Bank Holidays) where we aim to deliver 100% availability with an availability standard (SLA) set to 99%.
We agree contractual remedies for any reduction in service, measured over a quarter below 99% (in line with the GPSoC contract).
Outside of standard service hours, all heavy data processing is undertaken, the system is backed up, software releases occur and any preventative maintenance is undertaken to minimise disruptions for the users.Whilst we do not have a SLA associated with user access to the system outside of standard service hours,users are free to access the service 24 hours a day.
Incident Fix Times Standard: / Severity Level / Impact Description / Resolution Time
1 / Critical Impact/System Down / Within 8 Hours
2 / Significant Impact / Within 48 Hours
3 / Normal/Minor impact / Within 7 days
4 / Low/Informational / Within 28 Days
Helpdesk Standard: / The Helpdesk is available between 8.30am and 5.30pm Monday to Friday (excluding Bank Holidays).
Email address:

Telephone: 01270 527373
All calls and emails will be responded to within 1 hour of being logged.
Dependencies / We currently undertake all aspects of the provision and deliver a fully hosted and fully managed service, therefore we are responsibility for obtaining the data (subject to the GP Practices agreement); its secure transfer over N3, its landing and loading into our HI Hub.
The only exception to this is that we are dependent on the principal system suppliers interface mechanism for bulk data extraction.
Infrastructure dependencies
N3 connectivity is required.
A supported web browser is required, this is one of:
  • Internet Explorer 7 to 11
  • Firefox
  • Chrome
  • Safari

Local Personnel dependencies
A nominated person, usually the Practice Manager will be required to go through administration training on the commissioned HI Hub modules.
Related Products or Services / Where multiple products and services are offered by the Suppliers that have some form of interdependency e.g. one product or service needs to first be in place before this one can be provided or vice-versa then this should be identified here
All of our modules can be deployed independently of each other. So no interdependencies exist.
Related Products or Services that are enabled or can be provided more efficiently consequent to this Product or Service being in place
As all of our HI Hub modules utilise the same core services, provisioning of a new HI Hub service when one is already deployed will result in a significantly reduced lead time (and a price discount regime applied).
Related Products or Services that need to be in place to enable this Product or Service or allow this Product or Service to be delivered more efficiently
As all of our HI Hub modules utilise the same core services, provisioning of a new HI Hub service when one is already deployed will result in a significantly reduced lead time (and a price discount regime applied).

Pricing Information

Pricing Approach
Unlimited user licences apply for all HI Hub modules that are commissioned. There is no limit on the number of GP Practice users of the HI Hub system or commissioning organisationusers or customer authorised local provider users (e.g. the local hospital or community trust). This flexible pricing approach is designed to support unrestricted access (by authorised users) to the HI Hub reporting services.
The only restriction relates to the need to have appropriate information governance arrangements established prior to enabling access. / Standard Price (£’s)
Asthma and COPD Intelligence
£950 per GP Practice per annum
Fracture Prevention Intelligence
£950 per GP Practice per annum
Diabetes Intelligence
£950 per GP Practice per annum
Medicines Optimisation
£1,500 per GP Practice per annum
Risk Stratification, Case Finding &Interventions Management Programme
£1,500 per GP Practice per annum / Unit Price (£’s);
Individually Asthma and COPD Intelligence, Fracture Prevention Intelligence and Diabetes Intelligence
£950 per GP Practice per annum
Medicines Optimisation
£1,500 per GP Practice per annum
Risk Stratification, Case Finding &Interventions Management Programme
£1,500 per GP Practice per annum
Where alternative prices are available for variant levels of service, these must be elaborated below. These variant services must be consistent with those identified within Annex A of Schedule 4.1 (Supplier Solution).
None
Description of Variant Service (as elaborated in Annex A of Schedule 4.1 (Supplier Solution) / Price of Variant Service
Service Variant description 1: / Unit Price (£’s);
Unit of charge (e.g. per practice, per device, per patient etc.);
Time period (e.g.one-off charge, per month, per quarter ,per annum etc.)
Service Variant description 2: / Unit Price (£’s);
Unit of charge (e.g. per practice, per device, per patient etc.);
Time period (e.g.one-off charge, per month, per quarter,per annum etc.)
Service Variant description 3: / Unit Price (£’s);
Unit of charge (e.g. per practice, per device, per patient etc.);
Time period (e.g.one-off charge, per month, per quarter, per annum etc.)
ETC. / ETC.
Integrations with Principal Clinical System Providers / Where there is a current or proposed integration with a Principal Clinical System Provider, details should be provided of any price differences that apply for:
Compliant / non-compliant Lot 1 integrations or variations; and
Price Variations that are dependent on the identity of the Principal Clinical System Provider
No price differences apply
Invoicing Terms / Invoice frequency (e.g. monthly, quarterly, annually)
Monthly in arrears
Invoice delivery period (e.g. 5 working days after end on month; 15th of month following service period etc.)
On last day of service period (end of the month).
Other invoicing terms:
None
Payment Terms / Due date for payment (e.g. 30 days after receipt of invoice)
30 days after date of invoice
Details of any early payment discounts
None
Any other payment terms
None
Discounts / Details of any volume discounts, including details of the volume bands and the discounted price applying to each discount band
An order volume discount will apply to standard/unit price as detailed below:
0-75 GP Practices – no discount
76-100 GP Practices – 14% discount
101- 250 GP Practices – 19% discount
251-500 GP Practices – 24% discount
500 GP Practices – 30% discount.
For clarity this discount regime will be applied prior to any multiple service discounts.
Details of any multiple service discounts, including the service combinations that qualify for a discount and the discounted prices applying to each combination
The following multiple service discounts will apply, where a customer commissions additional services (within the initial order) for all their Practices:
- 2 HI Hub Modules (Services) – 10% discount
- 3 HI Hub Modules (Services) – 15% discount
- 4 HI Hub Modules (Services) – 17% discount
- 5 HI Hub Modules (Services) – 20% discount.
Where an existing HI Hub Customer commissions additional services (subsequent to the original order) a multiple service discount will still apply at the following rates:
- 1 additional HI Hub Modules (Services) – 7% discount
- 2 additional HI Hub Modules (Services) – 12% discount
- 3 additional HI Hub Modules (Services) – 15% discount
- 4 additional HI Hub Modules (Services) – 17% discount.
For clarity this discount regime will be applied in addition to any volume discounts to the price after the volume discount has been applied.
Details of other available discounts. e.g.to different customer types(e.g. large/small; new/existing), by geographical area, by sector
None
Dependencies / Detail all dependencies on 3rd parties (e.g. Call Off Ordering Party, Practice, other supplier) relating to the provision of the product or service
None
Infrastructure dependencies (networks, hardware, software etc.)
None
Service dependencies
None
Local Personnel dependencies
None
Related Products or Services / Where multiple products and services are offered that have some form of interdependency e.g. one product or service needs to be first in place before this one can be provided or vice-versa then this should be identified here;
None
Related products or services that can be provided at a lower price consequent to this product or service being in place
None
Related products or services that need to be in place to enable this Product or Service or to allow this Product or Service to be delivered more efficiently
A customer licence has to be in place with First Databank before the medicines related clinical rules referenced (as an option) within HI Hub04 can be used.
Resource Based Pricing / Where charges contain an element of charging for staff time (e.g. training, consultancy services or bespoke activity) then such charges should be referenced to the SFIA day rates contained within the supplier details section of the cataloguetogether with any non-staff components contained within the charge (e.g. training materials, room hire etc.)
None, we deliver a very simple pricing model, with training free of charge.We deliver unlimited user licenses for the GP Practice, its associated Commissioner and Providers within the local community. For on-site training delivered as part of the service deployment, we would expect to use the customers own training facilities.
Other pricing information / Deployment arrangements: costs, duration and activities associated with the deployment of this product or service
Costs: There will be no additional costs for deployment of the service.
Duration: The service is typically established within one month with the vast majority of the customer’s GP Practices deployed within 2-3 months.
Activities: The service offered is a fully managed service and this includes service deployment activities. We will provide data hosting, data sharing and data access agreements to ensure the information governance and security arrangements are all clearly documented and robustly managed. We will discuss the initiative with the Local Medical Committee and each GP Practice in support of their review and sign-up to the service. The deployment will be fully managed, training provided and customers supported in realising the benefits.