Health
AI-Enabled Workflow Modernisation
xWave
xWave Technologies helps healthcare professionals manage diagnostics with intelligent clinical decision support technology.
Proof point
Designed and built a clinically consequential healthtech platform with AI-supported workflow capability.
Complexity
Healthcare diagnostics
Radiology referral appropriateness
Clinical decision support at the point of care
Capabilities
Business-Aligned Platform Engineering
Systems Integration & Data Architecture
AI-Enabled Workflow Modernisation
Delivery Governance & Capability Support
Problems addressed
Low-value or inappropriate diagnostic imaging
Referral quality variation
Clinical workflow integration
Impact
99.4%
reduction in time to order referrals
The situation
xWave Technologies helps healthcare professionals manage diagnostics with intelligent clinical decision support technology.
Threadable designed and built a clinically consequential platform for xWave while establishing the governance and delivery capability required to scale safely in regulated healthcare environments.
What made the work complex
01
Healthcare diagnostics
The platform supports healthcare diagnostics workflows where clinical context, referral quality and regulated operation matter.
02
Radiology referral appropriateness
This added operational or technical complexity that shaped how Threadable approached the work for xWave.
03
Clinical decision support at the point of care
The work operated in a clinical context where reliability, governance and consistent rule application mattered.
Threadable’s role
Platform build
Designed and built a clinically consequential healthtech platform.
AI-supported workflows
Supported intelligent clinical workflow capability inside regulated healthcare processes.
Delivery governance
Established governance and delivery capability required to scale safely.
Capability transfer
Helped xWave mature into a self-sufficient delivery organisation.
How the work came together
Pressure
Clinical decision support needed to operate inside regulated healthcare workflows where appropriateness and reliability mattered.
Threadable role
Threadable designed and built the platform while supporting governance, delivery and capability maturity.
Resulting capability
xWave gained a clinically consequential platform and stronger internal delivery capability.
Outcomes and impact
Threadable designed and built a clinically consequential platform for xWave while establishing the governance and delivery capability required to scale safely in regulated healthcare environments.
Clinical workflows supported
The platform helped support radiology decision-making inside regulated healthcare contexts.
Capability matured
Threadable supported governance and delivery capability as xWave developed internal leadership.
Platform confidence improved
The product could scale with stronger architecture, governance and operational control.
Efficiency
99.4%
reduction in time to order referrals
Scale
30%
scans improved via CDS
Efficiency
15%
scan volume reduction
Market context
Approximately 350 million radiology scans are performed annually across Europe at significant cost, with a substantial proportion of requests estimated to be inappropriate or unnecessary.
Client perspective
One of the most enjoyable and educational experiences I have had in my career to date has been working alongside Threadable. They provided us with ‘as-required’ access to a broad team of skilled specialists with commercial, strategy, technical and operational capabilities to create a highly secure digital platform that has resulted in us gaining traction quickly with hospitals and clinical institutions across the world. As our business grows we continue to leverage their strategic, technical and healthcare domain experience.
Mitchell O'Gorman
CEO, xWave
What mattered
The Challenge: Inefficiencies in Radiology Referrals
Radiology scans are a crucial component of modern healthcare, with approximately 350 million scans performed annually across Europe at a cost of €40 billion. However, an estimated 30% of scan requests are inappropriate or unnecessary, leading to wasted resources, increased healthcare costs, and potential adverse patient outcomes. In 2020, xWave partnered with the European Society of Radiology to address these inefficiencies through digitisation, automation, and AI-driven improvements to the referral, protocoling, and scheduling process for radiology procedures. They sought a scalable and intelligent platform that would: • Improve Patient Outcomes by ensuring appropriate procedures at the point of referral. • Reduce Costs for healthcare providers by eliminating unnecessary scans. • Optimise Resource Allocation by identifying and leveraging excess capacity in healthcare facilities.
The Solution: xRefer – A Cutting-Edge Digital Referral Platform
Threadable was selected to design and develop xRefer, a next-generation multi-tenancy platform that empowers clinical institutions to manage their radiology referrals and scan requests efficiently. By implementing a robust IT strategy, Threadable ensured the platform was scalable, interoperable, and AI-enhanced to drive intelligent decision-making. The platform provides: • Integrated AI and Machine Learning: Automates referral validation and optimises scheduling to enhance efficiency. • Role-Based Access Control: Custom roles and permissions for different stakeholders within each organisation. • Flexible Approval Workflows: Configurable processes to align with institutional policies. • Comprehensive Dashboard: Real-time tracking to ensure adherence to referral protocols. • Seamless Integration: Works with existing referral methods and allows hospitals to receive referrals even if they do not use xRefer. • HL7 FHIR Interoperability: Designed for seamless data exchange with healthcare systems. • Robust Security & Compliance: A fully managed environment, built on AWS, with audited access controls, ensuring compliance with HIPAA and ISO standards for handling Protected Health Information (PHI).
The Impact: Smarter Radiology Referral Management
With Threadable’s expertise in IT strategy, structured delivery model and integrated platform development, xRefer is transforming the radiology referral landscape. By digitising and automating the workflow, the platform is reducing inappropriate referrals, cutting healthcare costs, and improving patient outcomes. As a scalable and interoperable solution, xRefer is well-positioned to drive efficiency across public and private healthcare systems, setting a new standard for radiology workflow management.
Capabilities used
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