Improve Hospital Case Mix Index with Azure solutions-based Advanced Analytics: 3-month Implementation

RSM in partnership with ClinIntell will utilize Microsoft Azure-based predictive analytics to identify potential gaps in hospital severity reporting, resulting in decreased net revenue realization. RSM will advise clients on identifying and defining opportunities for improved severity reporting at the provider and clinical condition level. The implementation analyzes a hospital’s unique patient population utilizing the organization’s inpatient claims and clinical data. Throughout the implementation, RSM will provide hands-on support to assist the hospital organization in severity capture and margin improvement realization.

What is the RSM ClinIntell solution?

• Severity reporting is assessed under the inpatient Medicare Severity Diagnoses Related Grouping (MS-DRG) system at all levels of the organization (provider, specialty group, clinical condition)
• Algorithms are based on a predictive model that provides insight into full severity reporting of an individual hospital’s unique patient population via the analysis of inpatient claims data
• ClinIntell is a Microsoft Azure solutions-based data analytics firm that has pioneered patient population severity reporting assessments, turning hospital data into actionable insights
• Based on 150M+ claims data, the solution’s algorithms have been refined, calibrated, and validated for over a decade

How is the RSM ClinIntell Solution Different?

• It is the only tool in the market that provides documentation improvement opportunities specific to each hospital’s unique patient mix
• It is population focused versus the traditional chart focused CDI (Clinical Documentation Improvement) approach
• Because the solution utilizes each client’s unique patient population, it removes the reliance on benchmarking as an approach to assess performance and identify opportunities
• No software to install

Other benefits of the RSM ClinIntell solution’s analytics:

• The analytics support not only margin improvement initiatives through severity Case Mix Index (CMI) capture, but can also drive operational and other quality improvement initiatives, including:
• Quality-related conditions gaps (Elixhauser Readmission and Mortality, HCCs)
• Operational - Length of Stay severity gaps

RSM US LLP’s Partnership with ClinIntell, Inc.

• RSM is partnering with ClinIntell to accelerate hospital’s results for inpatient severity CMI capture and margin improvement by providing boots on the ground, elbow to elbow support throughout implementation
• Utilizing ClinIntell’s data analytics, RSM will work with the hospital organization to assess and provide actionable insights for severity capture down to the individual provider level. RSM will then work with the hospital to implement the margin improvement strategies identified
• RSM will prepare and guide clients through a successful implementation, integrating people and operational workflows into the solution
• With RSM’s hands-on, customized approach, hospitals should realize impact within 90 Days of implementation

Proven Results

• On average, clients report an ROI of 28:1
• References - All clients are 100% referenceable

*Pricing and duration will vary based on hospital size and scope.

Click here to learn more