Quality Performance
Care Coordinator
Care Gap Closure

Flow 2

HCC, Care Gaps

This flow scrubs charts for evidence of screening and outreaches to patients to schedule if needed.

Expected ROI

132%

Time to deploy

<2MO

Speed to value

HIGH

Contents

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Value overview

Secures high-margin quality incentive payments for meeting HEDIS/Star measures. Generates fee-for-service revenue from the mammogram procedure itself.  Reduces manual chart scrubbing and outreach time for care teams and population health managers.  Promotes life-saving preventive care and improves long-term health outcomes for the patient population.

Revenue growth

  • Incremental appointment volume
  • Increase quality incentive revenue

Cost savings

  • Improve staff productivity
  • Reduce manual chart review time
  • Reduce patient outreach time

Quality & experience

  • Promotes preventive care
  • Improves long-term health outcomes
  • Makes patients feel cared for

How it works

Flow diagram

This flow addresses a registry 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 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 gap.

Patient outreach

Save time for staff by sending broadcast communications for unanticipated events at scale

Patient outreach

Save time for staff by sending broadcast communications for unanticipated events at scale

Outputs & interfaces

Once the flow has run, Notable will either reach out to patient to schedule, or export the evidence back to the EHR.

See examples of patient outreach and EHR export in the demos below:

Patient outreach

Save time for staff by sending broadcast communications for unanticipated events at scale

Patient outreach

Save time for staff by sending broadcast communications for unanticipated events at scale

Customer proof

MUSC logo

Montefiore streamlines clinical evidence with Notable’s AI, boosting care quality and performance

6x ROI and over 4,000 incremental care gaps closed through AI-powered chart scrubbing

MUSC logo

132%

Expected ROI