Solutions
For organisations accountable for outcomes over time
PULSE is built for care models where the patient's direction of travel — not the last value — determines the clinical and financial result.
From population responsibility to patient-level review
Figure 01- Population responsibility01
The organisation is accountable for outcomes across a defined patient population over years.
- Trajectory reconstruction02
PULSE reconstructs each available longitudinal record into one ordered patient trajectory.
- Trajectory-based prioritisation03
Patients whose trajectory is moving away from their own baseline surface for closer attention.
- Patient-level review04
A physician reviews the trajectory, the supporting observations, and the linked evidence, then records a decision.
PULSE sits between the population an organisation is accountable for and the individual review where a decision is actually made. Band widths are illustrative proportions, not patient counts.
Primary commercial focus
Risk-bearing primary care
PULSE helps organisations responsible for long-term outcomes reconstruct patient context, identify emerging longitudinal risk, prioritise clinical review, and connect findings to evidence.
Buyer
Provider groups, ACOs, and multisite care networks that carry clinical and financial accountability for a defined population over years rather than visits.
Operational problem
Chronic risk develops continuously while the record captures isolated events. By the time a threshold is crossed, the change has usually been visible in the record for months, spread across laboratories, encounters, and notes that were each read in isolation.
Patient-review workflow
PULSE prepares the patient trajectory ahead of the review step the organisation already runs — annual review, chronic-care follow-up, or pre-visit preparation — so the clinician starts from a reconstructed history rather than a search.
What PULSE contributes
- Emerging chronic-risk progression
- Repeated abnormal results
- Care gaps
- Patient-review prioritisation
- Physician time allocation
- Cross-site consistency
Organisational value
- Longitudinal deterioration surfaced while it is still actionable
- Limited clinical capacity directed toward the patients who need it
- The same review structure applied across clinicians and sites
- Findings retained with the observations and evidence behind them
Example pilot structure
- 01
Population
One defined cohort with several years of connected record history.
- 02
Retrospective run
PULSE is applied to historical cases the clinical team already knows.
- 03
Physician review
Clinicians adjudicate findings, corrections, and missed information.
- 04
Controlled pilot
Output enters one agreed review step with defined success criteria.
Also served
Other care and research models
Longitudinal-care networks
Programmes built on repeated measurement need a consistent way to read those measurements as trajectories rather than as a stack of results.
- Repeated measurements resolved into one trajectory per biomarker
- Biomarker trajectories with quantified uncertainty
- Standardised review structure for every consultation
- Cross-site consistency across a growing network
- Follow-up prioritisation based on direction of travel
Clinical research and validation
Research partners use PULSE as a longitudinal analysis layer over real-world cohorts, and as a system under evaluation in its own right.
- Longitudinal cohort analysis
- Retrospective evaluation on held-out data
- Medical AI benchmarking against defined comparators
- Physician adjudication of model output
- Joint technical reports where agreed
Tell us about your clinical workflow
We start from the population you are accountable for and the review step where the output would be used.