Case studies

A US value-based care organisation wanted its care managers to run comprehensive medication reviews with patients who take several long-term medicines, and a clinical pharmacist to sign off every review.

The review spans 2 roles with different needs. Care managers need a structured form they can complete while on the phone with the patient. The pharmacist needs the whole patient chart, a queue of reviews waiting for sign-off, and a record of who approved each one.

We designed a medication review workflow for care managers and an approvals queue for a new clinical pharmacist role with full chart access, then led the build with the client's development partner. Each review records who completed it and who signed it off. Before release we reviewed the requirements, tests and user guide from clinical, product and engineering angles.

Large health systems were asking a US value-based care organisation for evidence of its security before they would sign. It needed to know which HITRUST certification would satisfy them, what it would take and how long.

HITRUST i1 fitted what the health systems were asking for, but it leaves little room. Every control area has to pass, so one weak area can fail the whole assessment.

We assessed readiness across the client's code, cloud infrastructure and third-party suppliers, and planned a phased programme in which each phase ended in a decision for the client, with HITRUST's fixed waiting periods built into the timeline.

Assessment and programme plan delivered, 2026.

After a concussion, England Rugby's Graduated Return to Activity and Sport (GRAS) sets 6 stages and the earliest day each can start. It applies to every community player, whatever their age. At grassroots clubs the record often lives on paper or in a group chat, and the coach picking the team is usually a volunteer.

The rules are clear. What clubs lacked was one record of which stage each player had reached, who recorded it and when the next stage could open.

A return-to-play record that follows the 6 GRAS stages. The physio records each check as it happens, and later stages stay locked until their earliest day, counted from the injury: day 8 for non-contact training, day 15 for full contact and day 21 for a match. Only the physio can record or change a stage. The app never decides when a player moves on. It follows GRAS as published in August 2023. England Rugby has not reviewed or endorsed it.

Grassroots rugby runs on volunteer coaches. They plan at the kitchen table, coach on a wet pitch with no signal, and track age-grade rules, attendance and concussion return to play on paper.

The tools clubs already use handle fixtures, availability and payments. Planning a session, running it pitch-side and recording what happened to each player was still done by hand.

Session plans a coach builds from a drill library, with age-grade contact rules built in, and separate views for coaches, players, parents and physios.