This white paper highlights how healthcare organizations can significantly reduce costs and enhance operational efficiency by consolidating multiple functions into a single platform with Dexur's AI Unified Quality and Risk Management software. Dexur offers an AI-powered unified system for managing quality, safety, risk, and incidents. By adopting Dexur's integrated software, healthcare providers can streamline their operations and achieve a higher standard of care at a reduced expense.

The Challenges faced by Healthcare Organizations

Healthcare organizations face many challenges with the current state of quality, safety, risk, and performance reporting software. The necessity of purchasing multiple software solutions for managing different aspects of healthcare operations significantly elevates financial stress.

This segmented strategy can multiply costs by two to ten times and imposes burdensome, repetitive data entry tasks on staff. Such division of tools leads to disjointed workflows, where the synchronization between quality, risk, clinical, and performance management becomes problematic.

1. Excessive Spending on Software: Healthcare providers face relentless expenses due to constant change orders, ongoing configuration changes, recurring costs for break fixes, and the complexity of managing numerous data connections.

2. Increased Risks and Incidents: The lack of integration among various software solutions can lead to increased risks, as data oversight becomes more challenging, and critical signals may be missed or delayed. Also, separating quality and risk management functions from the rest of the organization can lead to isolated data assets, making it difficult to have a unified view of organizational performance and risks.

3. Slower Operations: The efficiency of hospital operations is compromised by the need to navigate and operate multiple software systems, which inevitably slows down processes.

Dexur's Unified Solution

Dexur addresses these challenges by offering a comprehensive solution that integrates various data sources, including Medicare claims data, NHSN Data, HCAHPS data, and hospital-supplied quality measures data. The software provides sophisticated analytics tools for in-depth analysis, enabling teams to focus on crucial areas influencing star ratings and healthcare outcomes.

Key Capabilities of Dexur's Software:

• 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 performance perspective, facilitating targeted interventions and improvements.

• 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.

• 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.

• 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.

• 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.

• 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.

• 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.

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

• 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.

• Incident and Case Management: Implementing a robust incident and case management system enables hospitals to efficiently identify, investigate, and resolve risk, quality, and safety issues. This system ensures regulatory compliance, facilitates continuous improvement, and enhances overall patient safety and care quality.

• Chart Abstraction Module: Dexur's chart abstraction software integrates with its AI-driven unified platform, providing hospitals with a comprehensive quality and risk management solution. This integration streamlines data abstraction, improves operational efficiency, and offers deep AI-driven insights for better compliance and performance in programs like CMS Star Rating and Value-Based Purchasing.

• 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.

• Dexur’s Peer Review: Peer review maintains care standards by comparing peer performance, ensuring compliance, and fostering collaboration. Dexur's Unified Solution streamlines this with automated data collection and analysis, enhancing collaboration, compliance, and performance improvement.

Dexur's unified software solutions deliver superior healthcare quality and efficiency, fostering cost savings and innovation. Our custom AI-driven unified quality, safety, risk, and incident management software enhances CMS Star Ratings, HRRP, HACRP, VBP, and other quality programs.

To receive the complete white paper on how Dexur's unified software can transform your healthcare operations and help to improve quality simultaneously, please email dexur@dexur.com.