Business case
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The benefits, evidence, obligations, costs and assurances for Clinical Branches, each labelled with its source and the roles it matters to, ready to adapt for your internal submission.
77
hospitals live across Australia and Canada
20.8 pts
improvement in prescribing appropriateness where adopted, in the WACHS and UTS evaluation
21.8 pts
improvement in guideline compliance where adopted, in the WACHS and UTS evaluation
48.1s
average time to complete a pathway, platform data
Joint evaluation of the platform by the WA Country Health Service (WACHS) and the University of Technology Sydney (UTS), funded by the Digital Health Cooperative Research Centre (DHCRC-0248). Prescribing was compared before and after implementation in a balanced sample of three adopter and five non-adopter hospitals, and the estimates describe an effect observed where the platform was adopted. WACHS deploys the platform as AMPS. Read the evaluation snapshot (PDF).
Safety and quality
Better prescribing decisions at the point of care, and patients at risk identified before harm occurs.
More appropriate prescribing
A 20.8 percentage point improvement in the probability of an appropriate prescription where the platform was adopted, in the evaluation's preferred model adjusted for patient, workforce, occupancy, hospital and time effects.
Higher guideline compliance
A 21.8 percentage point improvement in guideline compliance where adopted, across a balanced sample of three adopter and five non-adopter hospitals.
Better emergency telehealth prescribing
Optimal antimicrobial prescribing at the WACHS Emergency Telehealth Service rose from 28% to 68%, and inadequate prescribing fell from 22% to 4%, across three NAPS-defined audit periods alongside pharmacist-led education.
Reduced broad-spectrum antimicrobial use
At a regional NSW hospital, ceftriaxone use fell by 69%, from about 128 to 40 defined daily doses per 1,000 occupied bed days, over a 12-month virtual stewardship programme that used Clinical Branches to review every patient on an antimicrobial. Read the conference poster (PDF).
Recommendations acted on more often
In the same programme, uptake of stewardship recommendations rose from below 45% to above 65% over twelve months, as reviewing every antimicrobial built rapport with the medical and surgical teams. Read the conference poster (PDF).
Patients at risk of hospital-acquired complications flagged
Hints screen every patient for risks such as medication harm, duplicated therapy, doses unsuited to renal function and inappropriate antimicrobial use. Each service selects its hints from a shared library of thousands.
Vancomycin AUC dosing from a single level
Bayesian AUC dosing from a single level, validated against two patient cohort reference sets, synthetic data and clinician feedback, and presented at Medicines Management 2025. Available to sites participating in testing while TGA Class IIb conformity assessment is underway. Read the validation poster (PDF).
Safer transitions of care
Reconciliation produces a patient-friendly medication list and a medication management plan shared with the next site of care, with alerts for medicines omitted at discharge.
Workforce and efficiency
Clinician and pharmacist time directed to where it matters, with less duplicated documentation.
Decisions in under a minute
Pathways take 48.1 seconds on average to complete, on web or on the native iOS and Android apps, online or offline.
Specialist-informed guidance where specialist advice is hard to reach
In the joint WACHS and UTS evaluation, clinicians valued the platform most when infectious diseases advice was difficult to access, giving them specialist-informed guidance to confirm and structure their decisions.
Pharmacist time directed to the highest-risk patients
The pharmacy and stewardship ward lists rank patients by the hints each service enables, with completed care and risk-banded interventions in view.
Prompts clinicians find useful
In a 12-month virtual stewardship programme at Far West Local Health District that reviewed every patient on an antimicrobial, 84% of 2,214 hints were rated useful by the reviewing pharmacists. Every hint carries a usefulness rating, so low-value rules can be refined or retired. Read the conference poster (PDF).
Documentation as a by-product of care
Seeking guidance creates the record of assessment, audit entries and follow-up tasks, so clinicians do not document the same decision twice. At pilot sites, mobile scribing captures medication histories at the bedside.
Governance and accreditation
A quality improvement cycle that records its own evidence, with content under version control.
Accreditation evidence from routine care
Decisions, audits and hint responses are mapped to NSQHS Standards 1, 3 and 4 and the ACSQHC antimicrobial stewardship quality indicators, captured during routine care rather than sampled retrospectively.Decisions, audits and hint responses become evidence for antimicrobial stewardship and medication safety Required Organizational Practices, captured during routine care rather than sampled retrospectively.
Quality improvement cycles benchmarked against peers
KPI dashboards and the decision heat map compare your service with peer groups when both opt in, and each procedure change is recorded with version, author and reviewer.
Content that stays current
Every pathway is checked nightly against its source guideline, with changes flagged for review against the pathway recommendations. A built-in governance cycle ensures peer review and approval of all clinical content, and each decision records the pathway version used.
Continuous appropriateness audit
Appropriateness is recorded during review, in established categories, replacing the annual sampled audit campaign.
Traceable restricted antimicrobial approvals
Every approval code issued through the platform carries an explicit clinical justification, under your local policy.
Visibility and analytics
Practice, patient risk and service activity visible across every site, from routine decisions rather than sampled audits.
Unwarranted variation identified
The decision heat map shows how often each branch is taken by site, region and patient cohort, separating warranted from unwarranted variation to target education.
Patient outcomes linked to guidelines
Length of stay, readmission and risk of hospital admission are linked to each decision path and patient cohort, on a dashboard with data export.
The value of the pharmacy service
Pharmacy dashboards report histories, reconciliations, patients without recent review, and interventions by ward, team and pharmacist.
Stewardship reporting across domains
Dashboards for antimicrobial, opioid and VTE stewardship, including oral morphine equivalents, naloxone use and VTE assessment within 24 hours.
Implementation and delivery risk
A managed service that goes live quickly, with little effort asked of clinical teams.
Guidelines converted with little effort from your team
Your complete set of guidelines and procedures is converted into draft pathways and decision support rules for clinician review. For one remote nursing program, our team built 86 primary care pathways in about 120 hours, with clinician review.
Live in two to six months
Environment, configuration and single sign-on in four to eight weeks, while your clinicians review the converted content, then onboarding in two to four weeks per site group.
One codebase, configured for you
Your pathways, hints and settings are configuration, not custom code. The identical codebase runs across all deployments, so every service receives each improvement.
Low data dependency
Only the patient identifier and location are mandatory, so decision support runs at sites with limited integration, including paper-based sites and offline on mobile.
Go-live protected from integration delays
Fallback paths keep the project moving, such as a manual ward list while HL7 feeds are completed. Operates alongside Epic, Cerner, MedChart and iCM.
Over 99.99% uptime
A single five-minute outage in three years of operation, on redundant infrastructure with automated backup, and zero-downtime releases.
Obligations it helps you meet
The standards most business cases are written against.
NSQHS Standard 1: Clinical Governance
Action 1.27 evidence-based care and action 1.28 variation in practice, through pathways, version control and the decision heat map.
NSQHS Standard 3: Antimicrobial stewardship
Actions 3.18 and 3.19, with continuous appropriateness audit aligned to the ACSQHC antimicrobial stewardship quality indicators.
NSQHS Standard 4: Medication Safety
Medication reconciliation, best possible medication history and high-risk medicines under action 4.15, including anticoagulants and opioids.
Clinical care standards
Opioid Analgesic Stewardship in Acute Pain and VTE Prevention clinical care standards, through dashboards, hints and audit.
View the full standards and evidence mapping
Antimicrobial stewardship Required Organizational Practice
Evidence from routine prescribing decisions, prioritised review and continuous appropriateness audit.
Medication reconciliation and safety
Best possible medication history, reconciliation and patient-friendly medication lists at transitions of care.
Costs and commercial terms
Predictable licensing, with the costs a finance team will ask about set out in advance.
Per-bed annual subscription
Licensed per bed, per year (per clinic for community sites), so cost scales with the size of each site rather than with use. No per-user, per-transaction or per-alert charges.
Upgrades, support and hosting included
Hosting, maintenance, security patching, all releases and upgrades, updates to the shared content library, support and training are included in the licence.
Fixed-fee implementation
Implementation is a one-off fixed fee, which can be tied to delivery milestones, and is reduced where integrations such as single sign-on already exist.
One licence for a whole network
Statewide and network agreements are priced as a single licence, with unified data and new sites added by configuration rather than new contracts.
A break-even prepared for you
For a typical regional site, the annual licence breaks even at about one hour of pharmacist or clinician time released per week. Our team prepares the analysis against your bed numbers and staffing costs.
No lock-in
Data, metadata and configuration are returned at no charge in an open format, with certified destruction and service continuity through any transition.
Security, regulatory and supplier assurance
The documentation ICT, privacy, procurement and risk teams will ask for.
Certified information security
ISO 27001:2022 and ISO 27017:2015 certified, from a JAS-ANZ accredited certifier, with annual independent penetration testing.
Data held in-country
Australian-owned and hosted in AWS Sydney, with no offshore access, and separate database partitions for each jurisdiction.Canadian data held in Canada, on infrastructure separate from the Australian service.
Regulatory status
Decision support functions are supplied under the TGA exemption for clinical decision support software. The vancomycin AUC calculator is undergoing TGA Class IIb conformity assessment and is available only to sites participating in testing until it is included in the ARTG. The post-market record shows no reportable adverse events, recalls or data breaches since November 2022.The platform carries no software as a medical device function in Canada and is exempt from Health Canada medical device licensing.
Clinical judgement stays with the clinician
Clinical Branches supports clinical judgement rather than replacing it, and has never modified a medication order inside any EMR.
An independent supplier
No pharmaceutical relationships, and revenue only from health services, so there is no commercial interest in increasing medicine use.
Published shared responsibilities
A shared responsibilities matrix and device information are published for review before procurement.
Evidence register
Where each figure comes from, so it can be cited at the right strength.
Request the business case pack
An executive summary, a break-even analysis for your sites, the standards and evidence mapping, and the security, hosting and shared responsibility documentation.
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