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The shared spine

One foundation for care, relationships and facility operations

Care, Engage and Flow work from shared records. Choose the products your organisation needs, then review how patient, staff and facility information carries into the next task without building a separate record for every team.

Care, Engage and Flow on shared records

How the products share one architecture

This page is for the people who assess how NextHealth is built: how records are shared, how access is controlled, which interfaces exist, where the software runs and how a rollout is planned. The NXH One page makes the operational case for connected products. Here you can check the mechanics behind it.

The shared data foundation

Eight objects connect the work

Care, Engage and Flow use the same underlying objects. Product scope, roles and permissions decide what each team can see and change.

  • Patient

    One patient identity from the first enquiry through clinical care and follow-up.

  • Person and staff

    The same staff identity connects workforce records with clinical responsibilities.

  • Facility

    One facility record gives each product the same organisational context.

  • Service and price

    A shared catalogue keeps services and prices connected across products.

One spine
  • Encounter

    The visit record connects clinical activity with the work around it.

  • Document

    Documents remain connected to the people, facilities and work they support.

  • Action and CAPA

    Corrective and preventive actions share the context of the issue being addressed.

  • Ledger and revenue

    A common financial record connects care activity with the commercial record.

How shared records behave

Each example is a supported connection between products. Whether it is active depends on the products and licences selected, and on the permissions each person holds.

From enquiry to patient
An enquiry in Engage can become a registered patient in Care without retyping. Review existing patient matches where human confirmation is required.
From care to follow-up
A clinical event in Care can raise an incident or complaint in Flow. The selected operational workflow then supports investigation and the recorded response.
From charge to campaign
A charge raised in Care reaches the linked Engage client, so its revenue can be reviewed beside the client’s recorded source.
From staff record to care
Staff licences in Flow sit on the same person record used in Care. The facility remains responsible for credential review and treatment authorisation.
From one facility to the group
Care supports a patient record across branches, while facility price lists and group reporting retain the local context needed to interpret the work.
From one product to another
Staff can sign in from Care to Engage without a second password. Organisation-wide identity federation, such as SAML, OIDC or SCIM, is a separate requirement to confirm with our team before it enters your scope.

Choose the products around the work

Care handles the patient and clinical encounter. Engage handles the commercial relationship before and after a visit. Flow handles facility records, investigations and operational review. NXH One is all three sold together as one package and connected on the shared foundation; it is not a fourth application to install.

You can begin with the product scope your facility needs and evaluate the connected workflows that matter next. Care plans, Engage add-ons and separately selected Flow modules still define what is available. Sharing a foundation does not mean every function is included in every purchase or every staff member can see every record.

Illustrative example: a handover that respects permissions

This example uses synthetic data. A clinician signs the visit of a synthetic patient, Layla Haddad, in Care. If the Engage connection is licensed for the facility and Layla has consented to sharing with Engage, Care sends Engage a signed-visit event. The event carries a hashed patient reference, a visit reference and the time of signing. It does not carry the clinical note. When the booking began in Engage, Engage can complete that visit against the booking it already holds, without holding Layla’s clinical record.

The same discipline applies inside Care. Each view of a patient’s chart is recorded with who opened it, which page and whether the person is in the care team. Where a group requires it, a person outside the care team is asked for a clinical access grant before the chart opens. Changes to audited records are recorded as well.

Both connections follow entitlement and consent, so an event is the result of settings your organisation chooses, not an automatic copy of the record.

NextHealth is Alpha Health Group’s health technology division, shaped by healthcare operating and regulatory consulting experience.

Common questions

  • No. Select the Care plan, Engage core and add-ons, and Flow modules that match your requirements. Shared architecture does not make every capability part of every purchase.

  • No. NXH One describes the connected use of Care, Engage and Flow on the shared foundation, rather than a separate fourth application.

  • No. Roles and permissions remain part of the platform. Review access arrangements against the responsibilities of your staff and the scope of the deployment.

  • No. The described Care connection includes human confirmation of patient matches. Carrying information forward without retyping does not remove that identity review.

  • Bring a patient journey or operational handover that currently crosses teams. Review the relevant products, the shared context and the responsibilities at each step.

Not answered here? Contact the team

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Choose a task that crosses teams. We will walk through the relevant products and show the record, the next action and the permissions behind it.