"Care Gap Closure: Chart Scrubbing, Outreach, and Scheduling"
via Forms
Validates care gaps then automatically exports evidence or triggers patient scheduling outreach.
Est. ROI
12x
Go-live
4-6 weeks
Contents
Value overview
This flow improves quality scores by interpreting chart data to identify true care gaps. It saves $25-$100 per care gap closure identified, brings in $50-100 per scheduled appointment, and saves 2-10 nurse chart reviewer minutes per chart reviewed.
50,000+
charts reviewed system-wide
95%
accuracy rate
17,000+
charts automatically reviews in first year
14.6%
total CGO rate (inc. chart review)
1,100+
scheduled mammos without staff
5,100+
women completed experience
How it works
This flow addresses a registry/list of patients with suspected open or overdue care gaps. It runs a clinical algorithm for one specific care gap to confirm the patient's true status in the EMR—determining if the patient is truly overdue or if a data point was missed, making them compliant or closed for that care gap. It then takes the next best action of either exporting the closure/exclusion evidence found to the EMR (e.g. evidence of a mammogram this year, or evidence of a bilateral mastectomy that excludes them from the breast cancer screening measure) or outreaching the patient to schedule an appointment to close the gap via SMS/Email.
Trigger & Data Ingest
AI Processing
Output / Action
EHR data ingest
Automated job via SFTP sent to Notable with a list of patients, encounters or orders to scrub or with PDF documents that need to be classified or OCRed.
LLM
OCR documents to pull out pertinent information to parse, use LLMs to summarize complex and large amounts of data into a human readable format for findings
Patient Outreach
Voice call, SMS, Email