The requirements of both value-based and fee-for-service reimbursement create immense pressure to deliver timely, accurate and compliant clinical documentation. This has contributed to a wave of burnout among clinicians and care teams, while creating significant downstream challenges for coders, clinical documentation improvement (CDI) and quality teams, among others.
Nuance’s unique approach to CDI, backed by artificial intelligence (AI) for healthcare and in-workflow clinical guidance, ensures that every patient receives an accurate clinical story. With a full portfolio of Nuance CAPD solutions that leverage AI and natural language processing (NLP), Nuance is the strategic development partner for leading EHRs with a unique approach that is widely embraced by clients.
Hospital staff burnout is fueled by documentation rework and retrospective queries and burnout leads to an exponential rise in medical errors, denials, and increased costs.
Physicians do not have to choose between quality time with patients and quality documentation. They can easily detail diagnoses, problems and procedures using Nuance next‑generation computer‑assisted physician documentation (CAPD) solution for quality and compliant documentation using real-time intelligence at the point of care.
Even with an active clinical documentation improvement (CDI) program, consistently achieving the type of improvements necessary for value-based care requires a new approach. Real-time intelligence, delivered at the point of care while the physician is documenting has more impact on patient care decisions than retrospective queries. Adding more CDI staff to broaden coverage may not be feasible, nor does it make sense in an ambulatory environment where the physician drives the documentation and coding process. In today’s value-based care environment, where clinical and financial outcomes are inextricably linked, in-workflow solutions with relevant in-context clinical guidance empowers physicians and CDS teams—delivering unmatched outcomes:
Nuance’s unique approach to computer-assisted physician documentation, backed by artificial intelligence (AI) for healthcare and in-workflow clinical guidance, ensures that every patient receives an accurate clinical story across the continuum of care. Our solutions help physicians and CDI teams by providing advice, clarifications and support at the right time.
Nuance’s AI heritage builds on decades of clinical expertise and experience with EHR workflow designed to improve physician engagement. Nuance trailblazed the development of CAPD with an emphasis on just-in-time guidance to support in-workflow processes during the physician’s clinical thought to drive a better experience and higher quality documentation as early as possible. Traditional CDI addresses documentation gaps with manual, retrospective record reviews and requests to physicians for more clinical detail. Nuance’s comprehensive portfolio of in-workflow CAPD solutions brings the right information to the right care provider at the point of decision making, reducing post-discharge and out-of-context queries and increasing physician satisfaction.
Nuance CAPD solutions are supported by opportunity assessment tools and services to monitor program performance and analyze physician activity. Our methodology helps clients target physicians who may need assistance transitioning to new documentation improvement standards and provides extensive practice with positive behavior modification during change.