Kainos Evolve Limited

Shared Care Record and Interoperability Platform

Modern Standards (HL7, FHIR) based Platform as a Service, with eform and workflow capability, hosted on AWS, supports Alerts, event sequencing notifications, activity streaming, medication, clinical portal, consent management, interoperability.
User Centred Design, Agile, Open Standards, Cloud, Data Integration, Aggregation and Normalisation, Integrated Care Platform, Service Design.

Features

  • Integration Framework to aggregate and normalise data from disparate sources.
  • Patient Centric Clinical Portal for simple access to aggregated data.
  • Single Sign-on and Context Launch from other Clinical Systems.
  • Role based access and configuration.
  • Data Analytics capability to support secondary use purposes.
  • Enabled for Artificial Intelligence (AI) with AI service capabilities.
  • Interoperability using InterOpen Care Connect FHIR profiles.
  • AWS hosted within HSCN (N3) Platform as a Service.
  • Fully Managed Service to ISO 270001 accreditation.
  • Fast, Agile, Service-Led engagement, optimised around change management/digital transformation.

Benefits

  • Reduced time, effort, resources required to chase missing information.
  • Better informed decisions leading to earlier diagnosis and treatment.
  • Better informed treatment plan leading to better patient outcomes.
  • Enhanced patient safety e.g. improved medication management.
  • Leverage existing assets available within the system.
  • Incremental, fast, service design led, agile delivery with minimal disruption.
  • Tailored capabilities to maximise return on investment.
  • Fully managed service using enterprise AWS capabilities for business continuity.
  • Securely managed within HSCN (N3). No local servers/maintenance required.
  • AI/Data normalisation capabilities can assist in further transformation.

Service scope

Service scope
Software add-on or extension No
Cloud deployment model Public cloud
Service constraints Full details of the Evolve SCR service is included in the attached service definition document.
System requirements None.

User support

User support
Email or online ticketing support Email or online ticketing
Support response times Our standard support response times range from 60 minutes to 5 days depending on the incident categorisation and prioritisation as defined in a tailored service level agreement (SLA) per service.
The tailored SLA also defines the agreed hours of support service availability which can range from 24x7 to weekdays 09:00 to 17:00.
User can manage status and priority of support tickets Yes
Online ticketing support accessibility None or don’t know
Phone support Yes
Phone support availability 24 hours, 7 days a week
Web chat support Web chat
Web chat support availability 9 to 5 (UK time), Monday to Friday
Web chat support accessibility standard None or don’t know
How the web chat support is accessible For many of our support clients we configure private chat groups to allow the client real-time access to the support team.
However, we have not performed any web chat testing with assistive technology users.
Web chat accessibility testing For many of our support clients we configure private chat groups to allow the client real-time access to the support team.
However, we have not performed any web chat testing with assistive technology users.
Onsite support Yes, at extra cost
Support levels Our mature cloud support service blends continued service improvement with defect resolution, to ensure user needs, business goals and performance targets are realised, and user satisfaction is maximised.

We offer a range of support levels (3rd & 4th line) which are aligned to client’s support requirements and defined in a tailored service level agreement. Our support methodology is based on the rigour of ITIL and the flexibility of Agile principles and a Dev Ops culture. This blend results in a robust break-fix service and pragmatic service targets which are ITIL-aligned and underpinned by our ISO 9000, ISO 20000 and ISO 27001 accreditation.

Support is included as part of the service cost.

A typical support team is led by a technical account manager who is responsible for day-to-day support and allocation of support requests to multiple cloud support engineers. This approach provides a resilient support service with sufficient cover to ensure all support requests are managed in an effective and efficient manner.
Support available to third parties No

Onboarding and offboarding

Onboarding and offboarding
Getting started The system has been designed to be intuitive to use. During delivery, training material will be created against user stories which can be imported into a customer based knowledge base system which can then be accessed from within the platform.

Formal solution training is provided by Kainos with train the trainer approach to end user training provided by the customer project team.
Service documentation Yes
Documentation formats
  • HTML
  • PDF
  • Other
Other documentation formats PPT
End-of-contract data extraction Kainos shall make the Evolve API's available to provide the Customer with the capability to extract data from within Evolve. All data is stored in a FHIR standard format providing a simple and future proofed way to extract data from Evolve into another system.
End-of-contract process Exit management costs are excluded for the contract and can be scoped on a customer by customer basis.

After the end of the contract the Evolve service will be provisioned for a period of one month to enable the Trust to extract the required data from Evolve. Following extraction of the data, Kainos will permanently remove all data held for the customers within 90 days.

Using the service

Using the service
Web browser interface Yes
Supported browsers
  • Internet Explorer 11
  • Firefox
  • Chrome
  • Safari 9+
Application to install No
Designed for use on mobile devices Yes
Differences between the mobile and desktop service The Evolve SCR solution leverages NHS Smartcards to provide fast, just in time provisioning and authentication of users. While the Evolve platform has been designed to work on a range of mobile devices, the SCR solution is currently only supported on Windows Desktops in line with support for NHS Smartcards.
Accessibility standards WCAG 2.1 AA or EN 301 549
Accessibility testing Evolve has a team of highly experience usability experts who have conducted extensive usability testing with a wide range of end users including users of assistive technology.

The user interface of Evolve SCR is built in line with WGAC 2.1 accessibility standards and makes content more accessible to a wider range of people with disabilities, including accommodations for blindness and low vision, deafness, hearing loss etc.

Evolve has a team of dedicated user experience designers whose role it is to perform user research and design the UI of the application to be clean and intuitive to use while taking into account industry guidelines regarding clinical safety and accessible.

The National Patient Safety Agency (NPSA) guidelines document regarding safe on-screen display of medication information is one such standard whose principles are consider as part of all screens that are included within the Evolve platform. Examples of principles that are adhered to include consistent use of abbreviated units of measure across the platform (e.g. mL, mmol) and using national standard drug names.
API Yes
What users can and can't do using the API The API capability is principally designed to allow the exchange of data using standards such as HL7v2 or FHIR. Kainos have a number of interfaces and API's developed and are able to create specific solutions against clients requirements.
API documentation Yes
API documentation formats
  • Open API (also known as Swagger)
  • HTML
  • ODF
  • PDF
API sandbox or test environment Yes
Customisation available Yes
Description of customisation What -
A high level of configurability allows individual customers to customise to their own specific requirements and to introduce functionality at a rate that suits them.

Information is imported into the system via interfaces or entered directly. The platform can also link out to external systems and display content from external systems in a patient context manner.

Customers can create eforms and workflow which includes tasks and notifications.

How -
Out-of-the-box and customised templates within the solution provide a highly flexible customisation approach. Care professionals have the ability to personalise their home screen with widgets (screen panels), providing them relevant information at a glance. Users have the ability, at any time, to customise their dashboard with widgets from the library using drag and drop functions. Users with the appropriate level of permissions can create their own ad-hoc care recipient lists.

Who -
Business users can customise Evolve Digital Hospital, programming skills are not required. Widgets are provided out of the box, they can also be customised or created by administrators using available data sets.

Scaling

Scaling
Independence of resources Evolve SCR runs on a multi-tenant, cloud hosted platform, and as such, a key requirement is that the solution fully supports demands of multiple concurrent deployments.

Analytics

Analytics
Service usage metrics Yes
Metrics types - Service Availability.
- Patient access.
- User activity.

All delivered via a mix of graphical reports.
Reporting types Reports on request

Resellers

Resellers
Supplier type Not a reseller

Staff security

Staff security
Staff security clearance Other security clearance
Government security clearance Up to Security Clearance (SC)

Asset protection

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 Supplier-defined controls
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 another standard
  • Encryption of all physical media
  • Other
Other data at rest protection approach Any sensitive data is encrypted both at rest and in transit using 256 AES symmetric key encryption. The Evolve solution uses industry standards for the encryption of patient sensitive data at rest. Amazon Web Services are used i.e. EC2 Elastic Block Storage (EBS) drives are encrypted using AES-256; AWS Relational Database Service (RDS) data encryption AES-256 and AWS S3 using AES-256.
Data sanitisation process Yes
Data sanitisation type Explicit overwriting of storage before reallocation
Equipment disposal approach Complying with a recognised standard, for example CSA CCM v.30, CAS (Sanitisation) or ISO/IEC 27001

Data importing and exporting

Data importing and exporting
Data export approach Kainos shall make the Evolve API's available to provide the Customer with the capability to extract data from within Evolve. All data is stored in a FHIR standard format providing a simple and future proofed way to extract data from Evolve into another system.
Data export formats Other
Other data export formats FHIR
Data import formats
  • CSV
  • Other
Other data import formats
  • FHIR
  • HL7 v2
  • CDA

Data-in-transit protection

Data-in-transit protection
Data protection between buyer and supplier networks
  • TLS (version 1.2 or above)
  • IPsec or TLS VPN gateway
  • Legacy SSL and TLS (under version 1.2)
Data protection within supplier network
  • TLS (version 1.2 or above)
  • IPsec or TLS VPN gateway
  • Legacy SSL and TLS (under version 1.2)

Availability and resilience

Availability and resilience
Guaranteed availability The Evolve architecture is designed for continuous operation, and a target availability level of better than 99.9% is anticipated (excluding planned maintenance). Planned maintenance episodes are minimised as much as possible and are only required in exceptional circumstances – non-disruptive approaches to software release, patching, database maintenance are used to maximise the availability of the solution.

Resilience techniques such as load balancing/service discovery, replication of data and duplication of server roles are employed to minimise the impact of component failure. Extensive monitoring and alerting tooling is deployed at all tiers; this enables issues to be quickly identified and addressed, often without end-user impact.
Approach to resilience Available on request.
Outage reporting - Public Dashboard.
- API.
- Email alerts.

Identity and authentication

Identity and authentication
User authentication needed Yes
User authentication
  • Dedicated link (for example VPN)
  • Username or password
  • Other
Other user authentication Access is controlled via username and password authentication, linked to Active Directory.
Access restrictions in management interfaces and support channels Access is controlled via Multi-Factor Authentication for the background cloud infrastructure and by username and password from whitelisted IP addresses for the web administration portal.
Access restriction testing frequency At least once a year
Management access authentication 2-factor authentication

Audit information for users

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

Standards and certifications
ISO/IEC 27001 certification Yes
Who accredited the ISO/IEC 27001 BSI
ISO/IEC 27001 accreditation date Originally: 11/03/2011; Latest Issue: 03/01/2017.
What the ISO/IEC 27001 doesn’t cover Information security outside of the design, development, testing and support of IT solutions.
ISO 28000:2007 certification No
CSA STAR certification No
PCI certification No
Other security certifications Yes
Any other security certifications
  • Data Security and Protection Toolkit (NHS IG Toolkit)
  • Cyber Essentials

Security governance

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 Kainos is ISO 27001 certified and operates an Information Security Management System which undergoes an external BSI certification audit annually to ensure continued compliance with this standard.
All Kainos staff comply with the Kainos Information Security Policy, in addition to any other standards specified within the Kainos Information Security Management System. Staff are briefed on policies and processes via awareness training and must adhere to these at all times.
As an ISO27001 certified company Information Security is an important consideration for Kainos; in line with our responsibilities it is our policy to ensure that:
- Information will be protected against unauthorised access.
- Confidentiality of information will be assured.
- Integrity of information will be maintained.
- Regulatory and legislative requirements will be met.
- Business continuity plans will be produced, maintained and tested.
- Information security training will be available to all staff.
- All breaches of information security, actual or suspected, will be reported to, and investigated by the Kainos Information Security Manager and communicated appropriately to customers.

Operational security

Operational security
Configuration and change management standard Supplier-defined controls
Configuration and change management approach We have an established configuration and change management approach in line with our ISO 20000 service management process.
Vulnerability management type Supplier-defined controls
Vulnerability management approach Our operational management team monitor metrics from our vulnerability management software in addition to the service provided from our hosting provider.

- Maintain a list of assets that are assessed against industry notifications
- Manage subscriptions to vulnerability notification services
- Regular use of vulnerability scanning software
- Use of external managed security services that assess threat vectors and provide proactive advice/intelligence
- Regular internal and independent testing of infrastructure and applications
- Operate an internal security working group that proactively publishes information about vulnerabilities and best practices.
Protective monitoring type Supplier-defined controls
Protective monitoring approach - Use of specialist intrusion detection systems
- Regular security testing and baselined results
- Proactive analysis of security and system event data
- Response to an incident is dependent on perceived impact, threat and exposure – it could range from no response being necessary through to full incident response involving senior business individuals and law enforcement agencies
- Security incident management process is implemented
- Security related incidents assessed and responded to in line with support processes .
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 Pre-defined processes

Kainos Support Services is certified by the British Standards Institute as operating an IT Service Management System that complies with the requirements of ISO 20000.

We have an established incident management process as part of ISO 20000.

Reporting Incidents

Users can report incidents directly via our dedicated Service Desk, by email or online via the Kainos Incident Management System (KIM).

Incident Reports

Evolve produces timely, reliable, accurate reports for informed decision making, effective communication and quality management. Kainos provides the client with formal monthly reporting detailing performance against the SLA and agreed Key Performance Indicators (KPI).

Secure development

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

Public sector networks
Connection to public sector networks Yes
Connected networks NHS Network (N3)

Pricing

Pricing
Price £650 per person per day
Discount for educational organisations No
Free trial available No

Service documents

pdf document: Pricing document odt document: Skills Framework for the Information Age rate card pdf document: Service definition document pdf document: Terms and conditions pdf document: Modern Slavery statement
Service documents
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