Comprehensive views of clinical documentation reveal improvement opportunities.
More and more hospitals have established Clinical Documentation Improvement (CDI) programs and teams to more closely evaluate variation in coding practices across their institutions. Quantros works closely with our clients to identify the possible sources of variations and what types of codes may present concern in light of CMS and other penalty-based programs.
Accurately documenting the severity of medical conditions is critical to supporting value-based care. Our CDI solutions provides a methodology to monitor comparative differences from multiple angles: between both hospitals and between physicians, both in terms of actual vs. expected adverse outcomes, and in terms of differences in expected patient resource requirements. Maximize quality, value and reimbursements. Minimize penalties.
The most comprehensive clinical outcome measures in the industry.
Pinpoint areas where inadequate documentation or coding look to potentially be driving poor outcomes by:
- Analyzing use of MCC, CC and non-complication codes.
- Identifying cases that look to be complex (based on patient demographics, etc.), but don’t have complex codes associated with the claim.
- Highlighting areas where similar cases seem to have sizeable differences in the information being captured about the patient.
- Confidently compare disparate patient populations to one another on a level playing field.
Support your organization in creating coding and documentation education plans around:
Organizations can review their data by drilling down all the way to the patient level in detail, identifying how the data was coded to ensure accuracy and completeness. Get essential insights as percentile scores from an intelligent dashboard.
“Quantros’ customer service and training has been a breath of fresh air. Quantros’ support staff provides exceptional training, and what’s more, they’re proficient at data analysis.– Administrative Director, Quality, Management
Southeast Georgia Health System is using Quantros’ Outcomes Analytics solutions to measure, manage, and monitor their healthcare delivery nearly two years ahead of the release of CMS data. By having this data in closer to real-time they are able to understand performance challenges and address those in advance of CMS releasing performance and assessing penalties.