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UMC健康系统通过XSOLIS的CORTEX®解决方案、医生咨询和拒绝管理服务扩展其成功

UMC Health System Extends Its Success with XSOLIS' CORTEX® Solution, Physician Advisory and Denials Management Services

CISION 等信源发布 2023-09-19 20:57

可切换为仅中文


AI-backed platform provided operational efficiency and improved payer relations, leading to expansion

AI支持的平台提供了运营效率和改善的付款人关系,从而扩大了

NASHVILLE, Tenn. , Sept. 19, 2023 /PRNewswire/ -- XSOLIS, the artificial intelligence (AI) technology company creating a more efficient healthcare system, announces an expansion of its collaboration with UMC Health System, building on a successful track record of improving the provider's operational efficiency and reducing administrative waste.

田纳西州纳什维尔,2023年9月19日/PRNewswire/-XSOLIS,人工智能(AI)技术公司,创建一个更高效的医疗保健系统,宣布扩大与UMC医疗系统的合作,建立在成功的记录之上提高提供商的运营效率,减少行政浪费。

The 500-bed hospital and Level 1 trauma center in Lubbock, Texas, was able to better streamline patient placement to support the growing percentage of observation patients..

位于德克萨斯州Lubbock的500张床位的医院和1级创伤中心能够更好地简化患者安置,以支持越来越多的观察患者。。

Since implementing XSOLIS' CORTEX® platform in October 2020, as well as its award-winning Physician Advisory Services and Denials Management Services, UMC Health System has harnessed the power of AI and predictive analytics to reduce time conducting utilization review case reviews and better allocate staff members.

自2020年10月实施XSOLIS的CORTEX®平台及其获奖的医生咨询服务和拒绝管理服务以来,UMC卫生系统利用人工智能和预测分析的力量,减少时间进行利用率审查案例审查并更好地分配工作人员。

Bidirectional integration of CORTEX with UMC Health System's electronic medical record has also allowed for broader adoption of XSOLIS' proprietary Care Level Score™ – a predictive, AI-driven numerical representation of medical necessity..

皮质与UMC医疗系统的电子病历的双向整合也允许更广泛地采用XSOLIS专有的护理水平评分™-医疗必要性的预测性,AI驱动的数字表示。。

'CORTEX analytics are accessible in shared views which has created continuity across teams, making it easier for everyone to work toward the same goals versus our previous, more siloed approaches,' said CIO Bill Eubanks, UMC Health System. 'Physicians, nurses and utilization review teams now have more efficient conversations and increased alignment on patient status and discharge readiness.'.

UMC Health System的CIO Bill Eubanks说:“可以在共享视图中访问皮质分析,这为团队之间的连续性创造了连续性,使每个人都更容易实现相同的目标医生,护士和利用审查团队现在可以进行更有效的对话,并加强对患者状态和出院准备情况的调整。

More seamless information sharing was expanded when UMC Health System added a national payer to XSOLIS' connected network in May 2021. This has resulted in increased and earlier alignment with payers during case reviews, a decreased exception rate, and increased operational efficiency. XSOLIS' AI-driven platform and provider-payer network has allowed both UMC Health System and its payer partners to focus on the right cases at the right time..

2021年5月,UMC卫生系统向XSOLIS的互联网络添加了国家付款人,扩大了无缝信息共享。这导致案例审查期间与付款人的一致性增加和更早,例外率降低,运营效率提高。XSOLIS的AI驱动平台和提供商付款人网络允许UMC医疗系统及其付款人合作伙伴在正确的时间关注正确的案例。。

'We were so pleased with our results with XSOLIS that we stopped using previous utilization review solutions, as well as another outside Physician Advisory group,' said UMC Health System director of case management, Kayla Long, MSN, RN, ACM. 'The data transparency we now have access to is unprecedented and has constantly illuminated areas for improvement.

“我们对XSOLIS的结果非常满意,以至于我们停止使用以前的使用审查解决方案,以及另一个外部医生咨询小组,”UMC健康系统病例管理总监,凯拉朗,MSN,RN,ACM说我们现在可以访问的数据透明度是前所未有的,并且不断照亮需要改进的领域。

As a result, we've shifted our focus to mitigate denials, which improved our financials and strengthened payer relations.'.

因此,我们将重点转移到减少否认,这改善了我们的财务状况并加强了付款人关系。

As part of UMC Health System's renewal, expanded services include additional payer connections as well as case management analytics to drive further staff efficiency and cost savings to the organization.

作为UMC卫生系统更新的一部分,扩展的服务包括额外的付款人联系以及案例管理分析,以进一步提高员工效率并为组织节省成本。

'UMC Health System has been a shining example of the transformation that can occur for providers and health plans when they apply AI-driven insights with a comprehensive approach to address challenges within their organization,' said XSOLIS CEO Joan Butters. 'We recognize that each customer has distinct needs, and we are thrilled to continue partnering with UMC Health System's leadership as they navigate some of the industry's most pressing issues, such as missing revenue opportunities and enabling limited staff to operate with unparalleled efficiency.'.

XSOLIS首席执行官Joan Butters说:“UMC卫生系统一直是提供者和健康计划在采用人工智能驱动的见解和全面方法应对其组织内部挑战时可能发生的转变的一个光明榜样。”我们认识到每个客户都有不同的需求,我们很高兴继续与UMC医疗系统的领导层合作,因为他们处理了一些行业最紧迫的问题,例如缺少收入机会并使有限的员工能够以无与伦比的效率运营。

When health systems embrace technology solutions in conjunction with services, UMC Health System highlights how benefits can be maximized across all stakeholders, driving more collaboration with payer partners to better serve the patient and member populations.

当卫生系统将技术解决方案与服务结合起来时,UMC卫生系统将强调如何在所有利益相关者中实现最大化效益,推动与付款人合作伙伴开展更多合作,以更好地为患者和成员群体服务。

To explore XSOLIS' capabilities, visit www.xsolis.com. To learn more about UMC Health System, visit https://www.umchealthsystem.com/.

To explore XSOLIS' capabilities, visit www.xsolis.com. To learn more about UMC Health System, visit https://www.umchealthsystem.com/.

About XSOLISXSOLIS is a platform, data science and solutions innovator serving health plans, hospitals and payer organizations nationwide to create a more efficient healthcare system. Through its purpose-built solutions and industry-leading AI, XSOLIS breaks down healthcare silos to accelerate data-driven decision making and collaboration across a connected network of providers and payers.

关于XSOLISXSOLIS是一个平台,数据科学和解决方案创新者,为全国范围内的健康计划,医院和付款人组织提供服务,以创建更有效的医疗保健系统。通过其专用解决方案和行业领先的AI,XSOLIS打破了医疗保健领域,加速了数据驱动的决策制定和跨提供商和付款人连接网络的协作。

CORTEX®, its AI-driven technology platform, is the first and only solution to use real-time predictive analytics to continuously assign an objective medical necessity score and assess the anticipated level of care for every patient. CORTEX eliminates waste through the science of data using automation, transparency and objective insights to ensure appropriate care settings, enabling more efficiency across the healthcare system.

CORTEX®是其AI驱动技术平台,是第一个也是唯一一个使用实时预测分析来持续分配客观医疗必要性评分并评估每位患者预期护理水平的解决方案。CORTEX通过数据科学使用自动化,透明度和客观见解消除浪费,以确保适当的护理设置,从而提高整个医疗系统的效率。

XSOLIS is headquartered in Nashville, Tennessee. For more information, visit www.xsolis.com..

XSOLIS总部设在田纳西州纳什维尔。欲了解更多信息,请访问www.xsolis.com。。

About UMC Health SystemUMC Health System is a national award-winning health system comprised of over 4,900 team members and more than 60 care locations. We are proud to be the primary teaching hospital to Texas Tech University Health Sciences Center and to provide the best care to West Texas and Eastern New Mexico.

关于UMC健康系统UMC健康系统是一个全国性的获奖健康系统,由4900多名团队成员和60多个护理地点组成。我们很自豪成为德克萨斯理工大学健康科学中心的主要教学医院,并为西德克萨斯州和新墨西哥州东部提供最好的护理。

Whether you are managing a chronic condition, dealing with an unexpected illness, or simply working to stay healthy, we are passionate about getting you well and helping you stay that way. To learn more, visit umchealthsystem.com. At UMC, Our Passion is You. .

无论您是在管理慢性病,应对意外疾病,还是仅仅努力保持健康,我们都热衷于让您健康并帮助您保持这种状态。要了解更多信息,请访问umchealthsystem.com。在UMC,我们的激情是您。 .

SOURCE XSOLIS

XSOLIS来源