Solventum™ 360 Encompass™ Clinical Documentation Integrity System

Clinical documentation drives much of the data that health care organisations use for analysis and reimbursement. The ability to assess and share this data in real-time is increasingly important as the health care industry transitions to value-based payments.

As organisations expand their CDI programs many find they aren’t staffed to meet the increased patient volume. With Solventum 360 Encompass CDI, CDI teams can be even more productive as they strive to improve documentation for the patient. This will leave more time for teams.

The computer assisted CDI features in Solventum 360 Encompass provide teams with workflow tools to records and track queries, access CDI edits and reference material. These tools not only assist with query response rates they also boost CDI Specialist productivity.

In addition, Solventum 360 Encompass System’s top-rated computer-assisted coding tools reveal hidden diagnoses and procedures buried deep within the documentation to help establish patient risk and severity more accurately.

Solventum’s advanced prioritization algorithm analyzes unstructured data using natural language processing to identify the following types of high-priority reviews:

• Organization-specific focus DRGs, including those that trigger bundled payments
• Cases for which there are multiple principal diagnoses or procedures or cases without a complication or comorbidity affecting the DRG.
• Cases related to pediatric populations
• Cases for which the length of stay doesn’t correlate with the patient’s severity of illness or risk of mortality
• Records with auto-suggested diagnosis and procedure codes and an auto-suggested working DRG
• Cases that include an automated query to the physician computer-assisted physician documentation (CAPD)
• Documentation that includes clinical indicators of a condition without a corresponding diagnosis
• Cases where there may be an early-warning quality indicator that may need a documentation review
• Documentation of quality work for industry methodologies specific to DRGs in the codeset with custom edit configuration using Solventum™ 360 Encompass™ Audit Expert System

Solventum 360 Encompass not only prioritizes cases, but it also provides insight and clinical logic into why each case is a priority opportunity. Users can customize and define the types of cases for review as well as assign custom hierarchies of worklists (e.g., based on system, facility, team or user). Solventum 360 Encompass also uses machine learning to continually update and improve CDI priorities based on new documentation. Detailed Reporting allow CDI teams to continually monitor and improve outcomes, impact of the program, and accuracy of the algorithm and priority cases.

Solventum 360 Encompass identifies potential quality flags concurrently, helping organizations ensure accurate value-based reimbursement related to All-cause Readmissions (ACRs).

As with Solventum's other artificial intelligence engines, Solventum 360 Encompass provides users with details about each identified quality indicator, such as the inclusion/exclusion criteria, methodology and reason for inclusion. Quality and CDI teams can act immediately to correct documentation or enhance care planning in real time.

For hospitals to meet the rising demands of competition, compliance and patient care, they must have an efficient and accurate revenue cycle management system.
But what does that really look like?

It looks like a single platform coding, clinical documentation and quality. It looks like coders and CDI teams using one application, putting an end to disjointed workflows and communication breakdowns. It’s timely, complete query responses with full confidence. It’s big-picture insights so hospitals can stay ahead of market changes.

It looks like your teams, workflows and applications focused on improving patient care using the Solventum 360 Encompass System combined with Solventum™ CDI Physician Engage Workflow Solution and our Solventum CDI services.