Hospital Association of Southern California (HASC) and Dexur have recently come together in a promising partnership aimed at amplifying healthcare quality excellence. Dexur, bring an innovative data, software, and artificial intelligence (AI) platform, focusing on Healthcare quality excellence. With solutions leveraging data directly from CMS Medicare, advanced algorithms, and cutting-edge AI-driven technology, Dexur has been instrumental in aiding hospitals and healthcare organizations to enhance their performance metrics and quality outcomes.

Enhanced Offerings for HASC Members

This collaboration brings forth a plethora of benefits to HASC members. They will gain complimentary access to Dexur’s AI Advisor’s free version, a glimpse into Dexur’s comprehensive suite of services. The free version generates a limited yet high-value set of AI insights derived from available Medicare claims data, sparing members the need to provide additional data. The full solution offering for HASC members is given below:

1. Comprehensive Program-to-Case Analysis: Offering a top-to-bottom view that starts with a cross-program overview (including CMS Star Rating, Leapfrog, VBP, HRRP), then delves into specific programs (such as CMS Star Rating), further narrows down to individual domains (like Readmissions), and finally drills down to specific measures (e.g., COPD Readmissions), culminating in detailed insights at the case/event/encounter level. This approach provides a granular, holistic perspective of performance, facilitating targeted interventions and improvements.

2. Predictions and Guidance: Hospitals will receive forecasts and advice for their CMS Star Ratings, HRRP, Leapfrog, VBP, MSPB, and other measures, looking one to three years ahead. This forward-looking perspective is crucial for strategic planning and improvement.

3. Simulations: Both manual and AI-powered simulations will be provided, offering pathways to achieving a CMS 5-star rating, improving Leapfrog scores, avoiding HRRP penalties, and maximizing VBP payouts. These simulations allow hospitals to explore various scenarios and outcomes.

4. AI Advisor: Automated insights and early warning alerts regarding quality measures will be generated. This feature helps hospitals proactively manage their performance metrics and implement timely improvements.

5. Dashboards and Reporting Software: Consolidating all relevant measures (such as readmission rates, mortality, and HCAHPS) will be provided in one place. Additionally, tracking of disparate data sources will be facilitated to measure progress against goals and actions, offering a comprehensive view of performance.

6. Goal Setting: Hospitals can set realistic and strategic goals based on simulations and organizational priorities. This alignment ensures that teams are focused and coordinated in their efforts to achieve improvements.

7. Evidence-based Quality Management: Dexur's platform will track actions and interventions to confirm their effectiveness in meeting set goals. This approach ensures that the measures taken are data-driven and result-oriented.

8. AI-based Risk Factor Identification: Using advanced AI algorithms, the platform will automatically identify risk factors impacting quality measures. This capability allows for more nuanced and targeted interventions.

9. Best Practices: Hospitals will have access to expert-curated research and best practices for enhancing quality outcomes. This knowledge base is crucial for informed decision-making and adopting proven strategies for quality improvement.

10. Incident and Case Management: Implementing a robust system for tracking and managing incidents and cases, enabling hospitals to efficiently identify, investigate, and resolve risk, quality, and safety issues. This system ensures compliance with regulatory requirements, facilitates continuous improvement, and enhances overall patient safety and care quality.

11. Chart Abstraction Module: Dexur's chart abstraction software enhances its AI-driven unified platform, offering hospitals a comprehensive solution for quality and risk management. This integration advances healthcare management by streamlining data abstraction, improving operational efficiency, and providing deep AI-driven insights for better compliance and performance in programs like CMS Star Rating and Value-Based Purchasing.

12. Dexur's AI-powered Medical Coding Auditor: Dexur’s Coding Auditor uses AI to identify coding opportunities that may impact quality (e.g., Risk Adjusted Rates) and revenue outcomes. The AI system proactively identifies missing codes, ensuring no discrepancies remain in the claim file submission, thereby optimizing the accuracy and completeness of medical coding for enhanced financial and quality performance.

13. Dexur's Peer Review: Peer review upholds care standards by evaluating colleagues' work, ensuring compliance, and fostering collaboration. Dexur's Unified Solution streamlines this process with a comprehensive platform for automated data collection and analysis. It enhances collaboration, ensures regulatory compliance, and supports performance improvement, ultimately leading to better patient outcomes and provider success.