Our commitment to patient safety, trust, and responsible healthcare technology

Eight years ago when I sat around a holiday table with my family of physicians, the discussion turned to the challenges they faced every day. One comment about physicians being the highest-paid data collectors in the world is what helped spur the idea for Notable in the first place. 

Inspired by that conversation, we did a study on the flow of data in healthcare from a patient to the payer and back. What we discovered was quite profound – it took anywhere from 22 to 35 sets of hands per claim for the data to flow from one end to the other and back. Not only is that highly inefficient, but it also opens up dozens of opportunities for errors to happen, for information to be misplaced or mishandled, or for patient safety to be compromised. 

As we have built Notable and defined our mission to simplify and optimize healthcare for humanity, there are a few things from those early days that have remained foundational. Among them is a recognition and adherence to the medical field’s four main ethical principles: Autonomy, Beneficence, Non-Maleficence, and Justice. A responsible approach to technology in healthcare requires adherence to these core principles, with a special emphasis on patient safety. 

Today, the healthcare workforce is increasingly a combination of humans and intelligent software, and both must be held to the same standards when it comes to governance, safety, and patient safety. With this in mind, I’m sharing an overview of our six core principles for patient safety, trust, and responsibility. These principles apply to everything we build and how we utilize data, and they have been with us from the very inception of the company.

• Safety and Reliability: Notable ensures that human domain experts are designing and guiding the training of intelligent models using deliberately curated data with appropriate consent and adherence to privacy laws. We audit and test our products by comparing the actual behavior with the expected behavior, which is established by our domain experts, to maintain the highest standards of patient safety. This is done across a statistically significant number of samples and scenarios. The review team at Notable includes technical experts, as well as licensed healthcare providers.
• Transparency and Accountability: We share our logic and infrastructure with our customers, and collaborate with them when customizing our products for deployment. We also provide clear explanations of our basic processes, including the selection of data inputs, how they are processed, and how we confirm the reliability of our outputs, ensuring patient safety at every step.  
• Effectiveness: Each customer is assigned a dedicated team from Notable for consistent feedback and collaboration to ensure that the customer’s goals are being met. 
• Equity & Accessibility: Outputs are evaluated to ensure that clinical information is accurate to optimize quality and safety. This includes reviewing for any evidence of inherent biases reflected in medical records as part of our internal quality control. Additionally, we continuously update the Notable platform to ensure that we can communicate in a wide variety of languages and alternative forms of communication to minimize barriers to use.
• Continuous Learning and Improvement: We maintain communication and collaboration with our customers to gain insights into our performance, and what steps we can take to improve. We have intentionally designed our platform to be flexible and agile, and we can quickly adapt to keep up with the evolution of technology and shifts in the healthcare landscape. 
• Security and Privacy: We act as a Business Associate and do not repurpose or sell patient data. We ensure that data is accessed, utilized, and stored responsibly by logging how it is collected and used. This enables operators to audit how data is used to power intelligent models. We request and use the minimum necessary data, and have a security team focused on information security, risk management, and compliance. These include background checks of all staff and contractors, data encryption in transit (TLS1.2+) and at rest (AES256), multi-factor authentication, anti-malware policies, and vulnerability detection and remediation programs. Notable maintains compliance with several frameworks including:
• HIPAA Compliance
• HITRUST Certification
• PCI Compliance
• ISO 27001 Information Security Management System
• NIST 800.53b

Our approach is designed to safeguard users while fostering innovation, allowing us and our partners to leverage the latest technology to challenge the healthcare status quo. You should be able to trust Notable in the same way we demand trust for ourselves and our own families.

Learn more about how we create secure and delightful healthcare experiences for all.