Uncovering Previously Undiagnosed Medical Conditions to Improve Patient Care with IKS Health Clinical Chart Review
Client Profile:
IKS Health analyzed over 125,000 charts through a Clinical Chart Review across four healthcare organizations. The analysis focused on several key areas within the charts: hierarchical condition category (HCC) recommendations, average risk adjustment factor (RAF) score improvement, revenue growth from accepted recommendations, and return on investment (ROI).
Challenge:
- Inaccurate risk assessment and gaps in patient care result from a shortage of resources, such as staff, software, and limited data availability.
- Limited ability to properly recognize previously undiagnosed conditions that significantly impact the quality of care for patients.
Approach:
- IKS Health clinicians conducted a detailed analysis of the last two years of patient records to capture previously undiagnosed HCC eligible chronic conditions.
- IKS Health clinicians shared non-validated HCC recommendations and inferred diagnosis for client physician review and bi-directional feedback.
- Once a HCC recommendation was made, it was assigned to the client for review.
Results:
- IKS Health Clinical Chart Review positively impacted the overall quality of care by uncovering previously undiagnosed conditions for patients.
- IKS Health clinicians were able to find an average of 0.70 more potential HCCs per chart, leading to a 19X return on program investment.
- Across 4 diverse clients, the IKS Clinical Chart Review program led to a 0.207 improvement in RAF score per patient.
To learn more about IKS Health Value-Based Care, contact us today at info@ikshealth.com.
