Clinical documentation made easy with AI – Halifax Health

Halifax Health simplified the mundane works during the wee hours for physicians and CDI specialists. Tom Stafford, CIO of Halifax Health, said the clinical documentation was a laborious task for their staff which is now made effortless using AI technology. Stafford explained that their documentation specialists used to look for a needle in the haystack, by literally going to every floor for reviewing charts. When issues were detected, they used to make the charts more attractive and clean. Also, once the patient is discharged, to reopen his/her documents was a tedious task and also caused frustration.

At HIMSS20, Stafford showed AI-powered documentation technologies, which has been useful to make health system CDI a priority. He cleared it that until the usage of this technology that is two years ago two departments were wasting time on their tasks.

The first category of people were physicians who faced clinician burnout. Too many clicks wasted their time for keeping records. Plus they were to be good technical writers who could document contextually and accurately. This had to be done accurately, without which their Health grade score would get affected. In addition to this, the institution also gets affected as it is a case-mix index issue that arises ultimately. The second category is clinical documentation specialists were assessing the records of the physician to make sure if it needed any revisions or any particulars in documenting.

So this technology dares to overcome the problems faced by physicians and documentation specialists. Stafford will show how cloud-based artificial intelligence is used to provide documentation guidance for specificity. The benefits of closed-loop workflows between clinicians and CDI teams are that, that they are improving their finances, case mix index, and accurate reimbursements. The case reviews and severity queries changed drastically.

This technology is a savior in many terms, it saves the paperwork between physicians and documentation specialists. A few more benefits are it has natural language processing and helps in setting the rules around the engine. The most complex cases are reflected on screen making it easy for physicians to work speedily instead of meddling in documents like the old way. The setting of alerts is possible in this machine which helps the doctors to review them in case of need, and planning the whole day. Summing up the topic he said it has made meaningful changes in the lives and productivity of everyone.