Florida Hospital Achieves Significant Quality Improvements Plus $72.5 Million in Increased Appropriate Reimbursement with Nua...
27 April 2016 - 10:30PM
Business Wire
Adventist Health System affiliated hospitals to
implement enhanced CDI solution embedded with Cerner's clinical and
financial health IT system
Nuance Communications, Inc. (Nasdaq: NUAN) today announced that
Florida Hospital has realized significant improvements in its Case
Mix Index (CMI), resulting in $72.5 million increase in appropriate
reimbursement since the implementation of Nuance CDI. Additionally,
Florida Hospital reduced its observed-to-expected mortality rates
by 48 percent and achieved ICD-10 compliance. These clinical and
financial improvements were a direct result of the substantial
increase in clinical documentation integrity, accuracy and
physician engagement that resulted from Nuance’s clinically-focused
CDI solution.
Florida Hospital deployed Nuance’s CDI program, powered by the
JATA Compliant Documentation Management Program®, at Florida
Hospital in summer 2014 and completed an expansion across eight
affiliated hospitals by May 2015.
After driving great success over several years, Florida Hospital
will expand its program and leverage the enhanced Nuance
Clintegrity™ CDI solution embedded within Cerner's Millennium®
electronic health record and revenue cycle solutions. This
integration will provide clinicians and clinical documentation
specialists with a seamless and highly-efficient workflow that
supports the quality of physician documentation with minimal
disruptions. Nuance clients will also leverage computer-assisted
physician documentation (CAPD) technology, which provides automated
CDI clarifications to physicians, integrated into Cerner’s Document
Quality Review solution.
“Both financially and clinically, implementing Nuance’s CDI
program has been a tremendous success,” said Jeff Hurst, SVP and
senior finance officer at Florida Hospital. “Since deploying, we’ve
seen a 29 basis point increase in CMI that equates to a $72.5
million increase in appropriate revenue over two years. Physician
participation is also a strong success measurement and we’ve seen
up to 92 percent response rates and strong engagement from
physicians in our CDI program.”
“Having Nuance’s CDI solutions embedded within Cerner Millennium
will provide clinicians with a singular view of the application,
eliminating the need to transfer information between multiple
programs, reducing workflow steps and creating a more efficient
process,” said Rick Heise, SVP of Revenue Cycle, Cerner. “Through
this enhanced solution, hospitals will be able to more accurately
document a patient’s care process and diagnosis and will be
positioned to collect appropriate reimbursement for delivered
care.”
Exceeding CDI Goals and National AveragesBased on
national averages, Florida Hospital aimed to improve its CMI by
eight basis points through more thorough and accurate clinical
documentation of the patient care delivered. Instead, its CMI
improved from 1.59 basis points pre-implementation to 1.88 by fall
2015. CMI basis points at Florida Hospital are worth approximately
$2.5 million a year, resulting in a total of $72.5 million
appropriate reimbursement increase.
“We focused on improving the integrity of our documentation and
making sure everything was as timely, thorough, and accurate as
possible,” said Hurst. “Our physicians deliver great care and we
focused conversations with them on ensuring that they get measured
and rewarded for it, a process that plays an important role in a
health system’s publicly-reported outcomes.”
Before the Nuance CDI implementation, Florida Hospital’s
observed-to-expected mortality rates were well above the national
average, which related to gaps in clinical documentation. Working
with Nuance to establish an Advanced Practice CDI™ program and
other key documentation integrity initiatives, Florida Hospital
more accurately documented the disease acuity of its patient
population, which resulted in reduced observed-to-expected
mortality rates by 48 percent in less than a year. The health
system is now tracking toward the top quartile of the industry
average because of continuous improvements. Clinicians now provide
a more complete picture of a patient’s health and recommend better
treatment plans, ultimately providing better patient outcomes.
Excellent Physician EngagementStrong relationships and
alignment between Florida Hospital’s administration and physician
leadership were instrumental in the success of the CDI program.
Education and engagement of 2,200 medical staff — only 20 percent
employed by the organization — drove the documentation initiative.
With physician response rates to CDI clarifications between 87 and
92 percent, medical teams are fully engaged and working to connect
timely and accurate documentation to the high-quality care they
provide.
“Nuance’s award winning clinically-focused CDI approach leads to
a 4-8 percent improvement in CMI, and more importantly, better
overall quality ratings and patient care,” said Satish Maripuri,
EVP and GM of the Nuance Healthcare Division. “As healthcare
providers struggle with decreasing reimbursements and enhanced
focus on quality outcomes and proper risk adjustment, we work with
our clients and strategic allies such as Cerner to deliver CDI
solutions that optimize both clinical and financial outcomes as
demonstrated at Florida Hospital.”
Nuance’s fully-managed, compliant CDI program has a leadership
history as the No. 1 CDI program in the industry as ranked by
hospital administrators, most recently reported by the 2015 Black
Book Clinical Documentation Improvement Solutions survey. The
program touches all aspects of an institution’s clinical
documentation process through technology and professional services.
To learn more about Nuance’s CDI program, please visit the Nuance
website.
About Nuance Communications, Inc.Nuance Communications,
Inc. (NASDAQ: NUAN) is a leading provider of voice and language
solutions for businesses and consumers around the world. Its
technologies, applications and services make the user experience
more compelling by transforming the way people interact with
devices and systems. Every day, millions of users and thousands of
businesses experience Nuance’s proven applications. For more
information, please visit: www.nuance.com. Connect with Nuance on
social media through the healthcare blog, What’s next, as well as
Twitter and Facebook.
Nuance and the Nuance logo are trademarks or registered
trademarks of Nuance Communications, Inc. or its affiliates in the
United States and/or other countries. All other company names or
product names may be the trademarks of their respective owners.
The statements in this press release relating to future plans,
events or services, are forward-looking statements which are
subject to specific risks and uncertainties. There are a number of
factors which could cause actual events or results to differ
materially from those indicated in such forward looking statements,
including fluctuations in demand for the Nuance products, and the
continued development of Nuance products. The reader is warned not
to rely on these forward-looking statements without reservation,
since these are simply reflections of the current situation. Nuance
disclaims any obligation to update any forward-looking statements
as a result of developments occurring after the date of this
document.
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Nuance Communications, Inc.Ann Joyal, 781-565-4155Media
Relationsann.joyal@nuance.com
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