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Uncovering Previously Undiagnosed Medical Conditions to Improve Patient Care with IKS Health Clinical Chart Review

Pulished on: June 25, 2024

Care Enablement, Clinical Documentation, Patient-Centered Care

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 solutions, contact us today at info@ikshealth.com.

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Uncovering Previously Undiagnosed Medical Conditions to Improve Patient Care with IKS Health Clinical Chart Review

Client profile:

Challenge:

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Results:

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