Case Study: Supporting Value-Based Care at Atrius Health

Situation: Accountable Care Organizations (ACOs) require access to clinical data to satisfy reporting requirements and facilitate quality care initiatives. Because critical patient information is often stored in narrative form in the electronic health record (EHR), Atrius Health had difficulty obtaining certain information for quality metric reporting, accurate clinical documentation, and patient safety-net initiatives.

Solution: Using Linguamatics I2E, Atrius Health created queries to extract clinical data from free-text fields within clinician progress notes and clinical reports. For example, Atrius Health now queries unstructured echo reports to analyze heart pump function and identify high-risk heart failure patients.

Success: At-risk patients are easier to identify, allowing Atrius Health to close gaps in care. For example, in 2017 Atrius Health identified 92 otherwise undocumented congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) patients. This has helped Atrius Health to gain between $75,000 and $150,000 in additional annual risk-adjusted revenue per disease area.

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