InterQual AutoReview™ is a unique cloud-based solution that automates the InterQual® Initial and Episode Day 1 medical reviews at the point of the admission decision, using real-time data from your EHR. This breakthrough in robotic process automation can eliminate up to 75% of the time it takes your UM staff to conduct InterQual reviews, and allows them to focus on the exceptions that require their clinical expertise. The solution also provides real-time decision support, potentially reducing inappropriate admissions and denials. Integrated in Your Workflow: This flexible solution as a service (SaaS) is integrated into leading EHR applications and connected to case management systems. Automatically Conducts an InterQual Review Right from the EHR: Simply submit an order to admit from your EHR, and InterQual AutoReview springs into action—extracting the necessary data to create and populate InterQual Initial and Episode Day 1 reviews. Includes Data from the Source of Truth: Automated reviews eliminate manual data-entry errors and contain the clinical values extracted from the EHR. The result is an accurate medical review that promotes transparency and trust between providers and payers. Transmits Reviews Directly to the UM/CM System: Staff can validate reviews and make any necessary edits from within their existing workflow. Authorization requests can then be sent to payers using InterQual Connect™ at a time the hospital chooses. Provides Instant Notification Back to the EHR: Ordering clinicians see the care determination as soon as the admission order is submitted. Providing clinical decision support at the point of decision helps clinicians ensure the appropriate level of care is chosen from the start. Leverages Natural Language Processing (NLP): Many critical pieces of clinical information are stored in free text, such as imaging narratives. NLP models, trained by clinical experts, extract discrete clinical data from this text to complete specific criteria points within the InterQual review. Extracts Clinical Data to the Cloud: The auto-review process is launched the moment a clinician submits an order to admit. Using the diagnosis as a guide, InterQual AutoReview sorts through multiple sources of information, both structured and unstructured, within the EHR. It extracts the relevant clinical data available at the moment of admission and transmits it securely to the cloud. The process continues to run, extracting new and updated data every 2-4 hours, up to 24 hours from the time the order was submitted. Prepares InterQual Reviews: Using robotic process automation and NLP, InterQual AutoReview analyzes the structured and unstructured data acquired from the EHR at the moment of admission and maps the discrete data to the codified InterQual Criteria. Next, the solution creates InterQual Initial and Episode Day 1 Reviews, and transmits them to your participating UM/CM system. Over the next 24 hours, the solution uses the new clinical data extracted from the EHR to update the Episode Day 1 Review in the UM/CM system. At any time during that 24-hour period, a case manager can evaluate the Episode Day 1 Review, and save or complete it. This will halt the update process, and allow the case manager to use the automated review in your normal approval workflow. Security: Information security is of the utmost importance, and compliance is complex. InterQual AutoReview has met the rigorous standards required to protect your sensitive data and is HITRUST-certified.

Change Healthcare is inspiring a better healthcare system. We are a leading independent healthcare company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. Our comprehensive suite of software, analytics, technology-enabled services and network solutions take costs out of the healthcare system by driving improved results in the complex workflows of payers and providers by enhancing clinical decision-making and simplifying billing, collection and payment processes, and enabling a better patient experience. We are creating a stronger and more efficient healthcare system that enables better patient care, choice, and outcomes at scale.

The Clinician Journey with Avo Assistant:

• Reviews Patient Chart: Clinician reviews the patient chart prior to encounter, receiving an automated chart snapshot and best next step summary in the EHR based on the patient records and institutional guidelines.
• Records Patient Conversation: Clinician meets with the patient and records the conversation on mobile using Avo’s scribe technology, or using existing ambient software. 
• Generates Documentation: Clinician goes back to workstation and in one-click auto-generates documentation in any format, thanks to easy prompting available behind-the-scenes in Avo Builder.
• Submits Orders and Billing Codes: Clinician uses Avo Pathway to check protocol for admitting this patient and pends orders based on the latest evidence. Clinician submits note with MEAT criteria for accurate billing. 

Avo’s clinician support platform empowers healthcare organizations to standardize care and reduce burnout by effortlessly incorporating guidelines and protocols into the clinical workflow. By centralizing the latest information and transforming it into actionable tools in the EHR (or outside of it), Avo simplifies everyday tasks like pre-charting, care planning, documentation, ordering, and more. 

Avo’s foundational product, Avo Pathway, is a medical reference tool that comes with a free library of digitized society guidelines and top calculators. In addition to customizing pre-built templates from leading medical societies and academic medical centers, health systems can leverage their own content to turn pages of guidelines and protocols into useful clinical tools.  

Avo’s time-saving AI product, Avo Assistant, is an end-to-end clinical workflow tool that helps healthcare organizations reduce burnout by automating every day tasks like pre-charting, care planning, documentation (with ambient listening) and ordering. 

The platform is EHR integrated and powered by its "no-code" Avo Builder, which allows systems to use drag-and-drop functionality to customize Avo products. After a quick one-time install, updates can be published immediately without needing IT support. 

Avo was built for clinicians, by clinicians. Randomized control trials have shown that Avo saves clinicians 50% of their time on average and has improved admission delays to the ED by 30%. Importantly, nearly 100% of Avo users advocate for more Avo use cases after implementation. At Avo, we believe there is a better way to standardize care - with love, not alerts. 

• Easily create and customize clinician tools with a versatile “Builder”: Create interactive clinician tools that can be deployed across a variety of use cases by leveraging “drag and drop” features and templates that pull in relevant evidence-based guidelines and patient information into the workflow to help drive clinician efficiency and aid in decision making. 
• Simply deploy and maintain clinician tools in the EHR with little-to-no technical resourcing: Implement quality improvement, cost reduction, and reimbursement initiatives in the clinical workflow without requiring months of IT resourcing; after a simple initial install, tools can be created and updated with 0 technical resourcing. 

• Drive meaningful clinician adoption with love, not alerts: Drive clinician adoption of organizational initiatives with a tool that clinicians love to use because it empowers them to be more efficient and stay up-to-date on the latest evidence without adding technical or administrative burden to their workflow.