Governance That Travels, Data That Doesn't.

Governance That Travels, Data That Doesn't.
Three products. One governance layer. Zero compromises.
Healthcare's biggest problems all share the same root cause.
The root cause isn't technology. It isn't regulation. It's that current systems force an impossible choice: lock data down (killing innovation) or share freely (killing trust). There has never been a middle ground — until now.
85% of Clinical Trials Are Delayed
Enrollment takes years. Participants disengage. Coordinators drown in admin. Promising therapies wait while paperwork stalls progress. Phase III delays cost $600K–$8M per day.
Patients Juggle 5+ Apps
To talk to their own care team. GPs, specialists, allied health, mental health — all on different platforms. Messages get lost. The patient becomes the messenger. Care falls through the gaps.
18+ Months to Close Data Agreements
Organisations want to collaborate on research. Legal says no. Bilateral agreements take 12–18 months each. By the time they're signed, the research window has closed.
Privacy isn't about restriction. It's about appropriate flow.
This is Contextual Integrity — a privacy framework developed over 20 years at Cornell Tech by Professor Helen Nissenbaum. Over 5,000 academic citations across law, computer science, and public policy. We turned it into production infrastructure.
Validated Before It Happens
Every data flow is validated against contextual norms before it happens.
Technically Impossible
Violations aren't against policy — they're technically impossible. The system itself prevents them. No policy gaps. No human errors. No misconfigured permissions.
Same Patient Data — Different Contexts — Different Rules
✓ Doctor shares test results with specialist — Appropriate
✓ Researcher accesses de-identified outcomes — Appropriate
✓ Insurer receives relevant billing codes — Appropriate
✗ Marketer accesses patient records — Blocked architecturally
Three products on one privacy-first foundation.
Engage
One secure inbox for patients and their care team. Surveys, messages, and reminders in the app they trust. Free for patients.
Participate
End-to-end clinical trial and study management. From protocol PDF to configured trial in minutes. Your AI-powered command center.
Data Coalitions
Collaborate on data across organizations without it ever leaving your systems. Agree on governance once—share forever.
The foundation: A Contextual Integrity layer validates every data flow automatically. Each product strengthens the others.
Participate: For clinical trials that patients complete.
TRIAL MANAGEMENT
Configurable protocol workflows with real-time amendment tracking and regulatory-grade audit trails from first patient in to database lock.
SITE OPERATIONS
Multi-site coordination with performance dashboards, enrollment analytics, and decentralized trial support across geographies.
SMART DATA CAPTURE
Electronic consent, patient-reported outcomes, and context-aware surveys that cut coordinator admin burden in half.
AI INTELLIGENCE
Participant-trial matching, dropout risk prediction, and automated protocol extraction — 15 operational AI features built in, not bolted on.
PARTICIPANT RETENTION
Trial discovery, gamification, and end-to-end encrypted messaging that directly attack the industry's 30% dropout problem.
PRIVACY BY ARCHITECTURE
Contextual Integrity embedded at every layer — compliant data collaboration by design, not by paperwork.
Engage: Our patient communication platform.
"The digital gateway to achieve your healthcare goals"
Survey responses - before, during, and after clinical trials and studies
Portable patient narrative
Linking at-risk patients with non-clinical health services prior to hospital discharge
End-to-end encrypted messaging
HIPAA-compliant video calls (WebRTC)
Multidisciplinary care team coordination
Patient communities for shared conditions
Clinical trial discovery and enrolment
Enduring patient engagement beyond trials
Wearable device integration
Built with Flutter for iOS and Android
Data Coalitions: To collaborate without compromise.
COALITION GOVERNANCE
Multiple organisations establish shared data norms once, then collaborate on every future request without renegotiating.
CONTEXTUAL INTEGRITY ENGINE
Built on a 20-year academic framework with 5,000+ citations — privacy violations aren't just flagged, they're architecturally impossible.
AUTOMATED STEWARDSHIP
Data sharing agreements that take 18+ months today close in weeks, with every request evaluated against governance norms in milliseconds.
DATA MARKETPLACE
Publish, discover, and access governed data products with tiered pricing — turning cross-org data collaboration into a revenue stream.
MULTI-JURISDICTION COMPLIANCE
HIPAA, GDPR, PIPL, and PDPA enforced through a single framework with immutable, regulator-ready audit trails.
CROSS-INDUSTRY INFRASTRUCTURE
Healthcare proves the architecture; mining, financial services, and government adopt proven infrastructure.
Perfect for cross-border trials, research networks, and pharma partnerships.
One app. Every conversation. No new portal to forget.
Unified Care Team Inbox
GP, specialists, allied health, mental health — one encrypted thread per patient. No more faxes or phone tag.
End-to-End Encryption
Olm protocol. Keys on device only. Even Flusso can't read messages. No other clinical platform offers this.
Clinical Trial Discovery
Patients swipe through trials matched to their health profile. Recruitment happens where patients already are.
Wearable Integration
Apple Health, Fitbit, Oura data feeds eligibility screening and monitoring. Contextual consent for every flow.
Gamification
Points, badges, streaks. Designed to drive survey completion rates above industry benchmarks by making participation feel rewarding, not burdensome.
Accessibility-First
Offline support, voice input, large text, 48px touch targets. Designed for the people most often left out.
Protocol PDF → running trial in minutes. Not weeks.
AI Protocol Import
Drop a PDF or DOCX. AI extracts arms, endpoints, eligibility, randomisation — with confidence scoring. You verify; you don't rebuild. Saves 2–4 weeks of setup.
Full Protocol Management
ICH E6(R3) aligned. Arms, randomisation, objectives, endpoints, IRB tracking, site monitoring, protocol deviations — all in one platform.
Observational Studies
Dedicated workflows for observational and longitudinal research. Not forced into trial workflows for non-interventional work.
Shared Surveys Library
Build once, deploy across any trial or study. Clone, version, share across your entire portfolio with zero duplication.
AI Recruitment Engine
Eligibility pre-screening, diversity dashboards, wearable-based qualification. Patients matched and reached via Engage.
REDCap Sync
Bidirectional integration via Flusso Connect. Use both platforms without double entry. No disruption to existing workflows.
Everything you configure in Participate is delivered to participants through Engage. No new app for them to download — and no new research portal for them to forget.
Share data across organisations. The data never leaves.
Governance-First Architecture
Coalition members agree on sharing norms once. Every subsequent request is auto-validated. 80% pre-approved instantly. Legal friction eliminated by design.
No PII Custody
Data stays in your systems. Only governance rules flow between organisations. Zero breach liability — because there is no data processing.
CI Elements Engine
Define activities, attributes, subjects, roles, norms, and transmission principles. Visual configuration — not legal documents.
Data Marketplace
Register, tag, version, and publish data assets. Access requests with governance evaluation. Organisations earn revenue from their data contributions.
AI Sensitivity Detection
Automated classification per context — the same data may be sensitive in one context and entirely appropriate in another. Context-aware, not field-locked.
Cross-Border Compliance
HIPAA, GDPR, PDPA, PIPL built in. Regulatory changes become configuration updates, not architecture rebuilds.
Governance that travels. Data that doesn't. Your legal team will approve sharing on this platform that they'd never greenlight anywhere else — because violations are architecturally impossible, not just against policy.
Each product makes the others more valuable. No competitor can replicate this.
Engage → Participate
Patients discover trials through their healthcare inbox. Wearable data enriches eligibility. Enrollment happens where patients already are. Result: faster enrollment, higher retention.
Participate → Coalitions
Trial outcomes contribute to coalition datasets automatically. Shared surveys work across trials and studies. Cross-site insights grow with every study. Result: richer research datasets, faster real-world evidence.
Coalitions → Engage
Research insights improve care recommendations. Marketplace revenue flows to data contributors. Governance norms protect patient trust. Result: patients stay engaged because they see the value.
This is a platform, not a bundle. The integration is architectural — built into the governance layer, not stitched together with APIs. The more you use, the more valuable each product becomes.
Your command center. Their companion app.
"We built Flusso because clinical trials shouldn't be this hard — for anyone on either side."
What Your Team Sees in Participate
AI extracts protocol arms, endpoints, eligibility from PDF in minutes — not weeks of manual entry.
Survey instruments and ePRO schedules push to participants as notifications — completed in under 3 minutes.
Retention dashboards and risk alerts deliver predictive flags before disengagement happens.
Multi-site coordination and audit trails provide real-time visibility across every site, simultaneously.
What Participants Experience in Engage
One app for GP, specialists, and their trial — no new download, no portal to forget. Their existing healthcare routine.
Surveys as smart notifications, not email attachments — feels native, part of their daily routine.
Plain-language consent — "Your heart rate data monitors medication safety." Transparency that builds trust.
Full visibility into who sees their data — trust through transparency is what turns 70% retention into 85%+.
When governance travels, everything changes.
Use Case 1
Multi-Site Rare Disease Research
Five hospitals. Twelve patients each — nowhere near statistical significance alone. With Data Coalitions, they form a governed research network in weeks, not years. Participants are already on Engage. Trial workflows run through Participate. Combined cohorts of hundreds. No new legal agreements. The research that was impossible last year becomes routine this year.
Use Case 2
GP Network to Research Pipeline
A network of 200 GP practices joins a Data Coalition. Patients use Engage for care coordination. When a pharmaceutical company needs a diabetes cohort, coalition governance norms pre-approve the query. Eligible patients are surfaced through Engage with contextual consent. GPs refer in minutes, not weeks. Practices earn marketplace revenue.
Use Case 3
Cross-Border Phase III Trial
A trial spans Australia, Singapore, and Hong Kong. Each jurisdiction has different privacy laws. Participate manages the protocol. Engage keeps participants connected. Data Coalitions handle cross-border governance with CI norms that satisfy all three regulatory regimes simultaneously. Global trial data that actually globalises.
Security isn't a feature we added. It's how we're built.
Zero-Trust Encryption
End-to-end encryption via Olm protocol. Keys on device only. Flusso cannot read patient messages — by design, not by policy. No other clinical platform offers this level of security.
Contextual Integrity Architecture
82+ database tables implementing the CI framework. Three-tier governance evaluation engine. Violations aren't just against policy — they're architecturally impossible.
Regulatory Alignment
HIPAA, GDPR, PDPA, PIPL, NHMRC, ICH E6(R3), 21 CFR Part 11. Cross-border compliance built into the architecture. Regulation changes = configuration updates, not code changes.
Immutable Audit Trail
Every data access, consent decision, and governance evaluation — permanently logged. Ethics committee audits take hours, not weeks. NHMRC-compliant reports exportable on demand.
Most platforms say "we comply with HIPAA." Flusso says "violations are technically impossible." That's a fundamentally different conversation — and it's why legal teams approve sharing on our platform that they'd never greenlight elsewhere.
Responsible AI for Healthcare
Smart automation, human oversight.
For Research Teams
AI Protocol Import
PDF to configured trial with confidence scoring. Minutes, not weeks of manual setup.
Dropout Prediction
Flag participants at risk of disengaging before they leave. Intervene early, retain more.
AI Pre-Screening
Accelerate eligibility assessment. Surface promising candidates, flag exclusions automatically.
Protocol Variance Detection
Catch deviations automatically. Real-time compliance monitoring across every site.
For Participants & Coalitions
Trial Discovery
AI matching surfaces relevant trials based on health profile, location, and preferences.
Personalised Engagement
Reminders and content that adapt to individual preferences and schedules. Right time, right channel.
Contextual Classification
Automatically classify data sensitivity per context, not per field — the CI way.
Collaboration Recommendations
Surface compatible datasets and mutually beneficial partnerships across the coalition network.
Our AI is operational, not clinical. No diagnosis. No treatment recommendations. Non-SaMD by design — meaning faster iteration, no lengthy regulatory review. Your data is never used to train models.
One platform that does what no combination of competitors can.
Competitors can replicate features. They cannot replicate the architecture. Contextual Integrity must be built from the ground up — and Flusso has a 3–5 year head start.
Built on 20 years of academic research. Validated by industry leaders.
Academic Foundation
Built on Helen Nissenbaum's Contextual Integrity framework (Cornell Tech). 20 years of peer-reviewed research. 5,000+ academic citations across law, computer science, and public policy. The most rigorous privacy framework in academic literature — now in production.
Clinical Research Advisory
Prof. Nikolajs Zeps — Director of Cancer Research Operations, Monash University. Co-author, Australian Clinical Trials Handbook. Founding Director, Australian Clinical Trials Alliance. His involvement signals the platform has been shaped by someone who has run thousands of real-world trials.
Leadership
Ben Szymkow (CEO) — Privacy-preserving ML, AI governance. Former Head of Ops at OpenMined, former CTO at Cognitivo.
Andrew Dobbins (CCO) — 20+ years enterprise sales, APAC & Japan. Former Group VP at Verizon Business.
From conversation to value in weeks.
Start with Participate
If your most pressing challenge is your next clinical trial — protocol setup, enrollment, or retention.
Start with Engage
If your priority is care coordination across a provider network or improving participant communication.
Start with Coalitions
If multi-site data collaboration or cross-organisational research is your most immediate bottleneck.
We designed this to be low-risk. No platform contract on day one. Pick one product, run a pilot against your real workflows, and decide based on results. The network effects compound — each product you add makes every other product more valuable. Most organisations adopt a second product within six months.
Governance That Travels, Data That Doesn't.
Three products. One governance layer. The platform that solves healthcare's trust problem — so patients complete trials, providers coordinate care, and organisations collaborate on research that was previously impossible.
Ready to see what becomes possible?
Schedule a Discovery Call
30 minutes. Tailored to your organisation's specific challenges — not a canned demo. We come prepared with your workflows in mind.
Visit flusso.ai
Explore product details, case studies, and the Contextual Integrity framework behind the platform.
Get in Touch
Email us at contact@flusso.ai​ and we will respond within one business day with a proposed agenda tailored to your team.