Clinical Quality Analytics software for Clinical Documentation Improvement (CDI) is widely used by large healthcare networks that serve hundreds of thousands of patients. They report that implementing CDI activities (such as more appropriate coding and improved DRG accuracy) leads to improvements in critical tracked metrics and consequently reduces missed revenue opportunities, bringing in additional millions in reimbursements. What strategies do these healthcare networks implement to drive such sustainable results?
If CDI specialists can't provide timely, ongoing feedback to clinicians and request clarifications regarding unclear or contradictory documentation based on the patient's chart review, this negatively affects critical tracked metrics and ultimately leads to lost opportunities in reimbursement.
Clinical quality analytics apps are helpful tools to ensure that coding is accurate and that there will be no problems with reimbursement.
Clinical Documentation Challenges
- CDI specialists spend days of manual work gathering and organizing data from various systems, so they can't inform clinicians quickly about discovered gaps in documentation
- Gaps in clinical documentation prevent improvements in metrics like the Case Mix Index (CMI), which are critical, especially in emergency departments
Organizational Measures to Implement Clinical Quality Analytics
Simply using analytics software to automate workflows isn’t enough. Many organizational efforts are needed.
- Provide education and mentorship to clinicians to assist them in gaining a better understanding of how the quality of their clinical documentation affects further coding
- Offer coaching and assistance for physicians focused on improving the accuracy of their documentation
- Provide access to the analytical solution for clinicians to help them conduct a self-review of their quality scores and better engage in clinical documentation improvement activities
What Benefits Can Be Expected from Using Clinical Quality Analytics Software
CDI specialists get the ability:
- of near real-time access to CMI control chart to review CDI metrics
- to immediately understand of differences in documentation behaviors between physicians
- to conduct trend analysis
- to review individual clinician performance and provide specific feedback
How Belitsoft Can Help
Belitsoft is an outsourcing company that specializes in custom healthcare software development. We help top healthcare data analytics companies build robust data operating systems.
For integrated data platforms developed to collect, store, process, and analyze large volumes of data from various sources (Electronic Medical Records, clinic management systems, laboratory systems, financial systems, etc.), we:
- Automate data processing workflows (cleansing, standardization, and normalization).
- Configure scalable data warehouses.
- Set up and implement analytical tools for creating dashboards, reports, and data visualizations.
- Ensure a high level of data security and compliance with healthcare regulations such as HIPAA.
- Integrate machine learning and AI into analytics.
We also help build specialized analytical applications like the Clinical Quality Analytics software to visualize into one dashboard Financial data, MS-DRG, APRDRG, CMI, Capture rates, Major diagnostic categories, Severity of illness, Mortality rates and Case volumes.
If you're looking for expertise in data analytics, data integration, data infrastructure, data platforms, HL7 interfaces, workflow engineering, and development within cloud (AWS, Azure, Google Cloud), hybrid, or on-premises environments, we are ready to serve your needs. Contact us today to discuss your project requirements.
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