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Description
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Clients
Product Capabilities
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EHR integrations
Client types
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
InterQual Connect™
InterQual Connect™

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Categories

Solutions

Description

Product Description:
With InterQual Connect™, payers can easily automate all authorization requests, even those requiring medical review, within their existing systems. Providers receive quicker authorization approvals for most requests and payers only need to touch the exceptions that can’t be approved automatically—no more duplicative medical reviews or wasting precious staff time on routine authorizations. - InterQual Medical Review & Authorization: InterQual Connect is a flexible SaaS solution, integrated into payer and provider health information systems. It pairs the leading InterQual® Criteria, now available as a web service, with proven and secure connectivity. - A Unique Solution: The only integrated solution to enable full auto authorization, including medical review. - Uses Existing IT Infrastructure: No new hardware, software or IT staff required. - Easy to Implement: Time to value can be as little as 60 days when using a certified Change Healthcare Alliance Partner. - Provides Fast, Secure Connectivity: Uses the proven authorization gateway. - Keeps Users in Existing Workflows: Providers submit an authorization request, and payers receive the request and medical review from within their current UM/CM workflow. - Delivers Real-time InterQual Access: Just-in-time content from our cloud platform helps ensure you get the latest version, but you can choose when to make the switch. - Aligns with InterQual Hospitals: Payers benefit from the shared clinical language with thousands of InterQual hospitals plus a direct connection to those hospitals already on the InterQual Connect cloud. - Supports Payer/Provider Collaboration: Helps reduce the costs and hassle of prior authorization, while providing full transparency of payer criteria to providers. - Medical Review Service: Optimized for integration, this web service delivers seamless access to the InterQual medical review within your UM/CM system or payer’s provider portal. You get the same leading evidence-based InterQual Criteria combined with our modern, user-friendly interface. The SaaS platform helps you reduce your IT burden, providing realtime access to content. You receive software and content upgrades automatically without waiting for installation and validation, but still maintain control of when to switch to the newer content. You also gain the freedom to make the Medical Review Service available throughout a networked system, such as a multi-hospital and outpatient network or multi-location payer. The Medical Review Service works with any modern browser. - Secure Authorization Connectivity: Our cloud platform and authorization gateway enable the creation of a secure network of connected payers and providers by providing a common language, standard API protocols, access controls and routing rules. Providers transmit an authorization request, complete with an InterQual medical review, through the gateway directly to a payer. The payer system then applies business rules and the InterQual Criteria to this request, and instantly delivers the authorization status back through the gateway to the provider. The gateway has been deployed as part of our cloud solutions, and currently supports thousands of authorization transactions per week between connected payers and providers. It is optimized for our interoperable (XML) medical review format, and can also support the HIPAA X12 278 transaction standards.
About Change Healthcare:
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.
Product Description:

Ask Avo acts as a “digital front door” for clinicians, helping them navigate their complex EHR with ease. Ask Avo is actionable, allowing providers to ask for a patient chart summary pre-visit, a care gaps analysis, an ambient note, an order placement, and more. This unique combination of clinical decision support paired with real-time actions not only enhances provider decision-making but also saves them valuable time and improves patient outcomes.

About Avo:

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. 

Compatibility level

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Clients

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Product Capabilities

Ask Avo is designed to integrate seamlessly into EHR systems, leveraging nationwide patient data from HIEs to provide relevant and trustworthy responses based on the latest system and society guidelines. Unlike conventional AI consult tools, Ask Avo's EHR integration allows it to consider important patient context without manual data input, ensuring efficiency and accuracy. Ask Avo is currently integrated with Epic via the App Showroom and Athena, with a Cerner and Meditech integration available by the end of 2024.

Ask Avo is designed to integrate seamlessly into EHR systems, leveraging nationwide patient data from HIEs to provide relevant and trustworthy responses based on the latest system and society guidelines. Unlike conventional AI consult tools, Ask Avo's EHR integration allows it to consider important patient context without manual data input, ensuring efficiency and accuracy. Ask Avo is currently integrated with Epic via the App Showroom and Athena, with a Cerner and Meditech integration available by the end of 2024.

Ask Avo is HIPAA secure and SOC 2 Type II certified.

Ask Avo is much more than a clinical summary aggregating information from often out-of-date and irrelevant sources. It is designed to generate responses from recent content relevant to the institution whose clinicians are using it. The tool's unique design includes a proprietary questioning system triple verification against trusted guidelines, and offers clinician visibility and control, further enhancing its reliability. For example, when a clinician “Asks Avo” a question, the AI rephrases the question on the backend based on what it believes the clinician intended to ask. At the same time, its’ large-language-model questions and verifies the response for accuracy, relevancy, and comprehensiveness. The clinician then has full visibility into where the response was sourced from and has the power to change the source if they wish. Avo believes that AI must understand its limits, and thus the product allows clinicians to click the “AI Critic” button to see where there may be clinical gaps in the response. The product was purpose-built to assist, not dictate.

Ask Avo pulls from 2K+ society guidelines and approved research content including pathways and order sets to produce relevant results.

Ask Avo evidence is constantly reviewed and updated by the team of clinical informaticians and AI software.

Ask Avo is never one-size-fits-all. Using Avo's customizable, back-end Builder, healthcare systems can swiftly customize and upload their own guidelines to Avo’s Knowledge Base and work with Avo’s team of informatics and technical experts to determine various guidelines’ relevance in clinical settings. In other words, health systems are empowered to implement AI within their own determined limits, prioritizing responses based on their guidelines and unique patient populations. They don’t need IT resources to do it, which is generally the key blocker to implementing AI solutions in the EHR. Systems have access to drag-and-drop functionality via Avo’s Builder platform to customize Ask Avo, and updates can be published immediately without needing IT support. Because Avo offers an end-to-end workflow solution, clinicians can also seamlessly integrate Ask Avo into many aspects of their work. For example, once a clinician asks the tool a question and receives a response, they can easily pull that response in their everyday tasks like pre-charting, documentation, and ordering, among much else.

Ask Avo is never one-size-fits-all. Using Avo's customizable, back-end Builder, healthcare systems can swiftly customize and upload their own guidelines to Avo’s Knowledge Base and work with Avo’s team of informatics and technical experts to determine various guidelines’ relevance in clinical settings. In other words, health systems are empowered to implement AI within their own determined limits, prioritizing responses based on their guidelines and unique patient populations.

Ask Avo can produce a Chart Synopsis & Care Guide, which enables clinicians to quickly pull a snapshot on the patient in an easy-to-view format, including highlighting any care gaps that may have been missed.

Ask Avo is designed to integrate seamlessly into EHR systems, leveraging nationwide patient data from HIEs to provide relevant and trustworthy responses based on the latest system and society guidelines. Unlike conventional AI consult tools, Ask Avo's EHR integration allows it to consider important patient context without manual data input, ensuring efficiency and accuracy. Ask Avo is currently integrated with Epic via the App Showroom and Athena, with a Cerner and Meditech integration available by the end of 2024.

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:
  • Clinical Reference tool (AI-UptoDate in the EHR with patient context)
  • Documentation Assistance 
  • Ordering Assistance
  • Pre-Charting Assistance 
Pediatric use cases:

Driscoll Children's is one of the early adopters of Ask Avo

Users:

All clinicians 

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Website / public online sources

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Meditech, athena, eClinicalWorks

Hardware Compatibility:

None provided

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

Does not exist within most/all EHRs today 

Differentiators vs Competitors:
  • EHR Integration ond Actionability: Tools not integrated into the EHR are never top-of-mind for clinicians and therefore require a huge investment from health systems to drive up adoption. Additionally, point solutions slow clinicians down instead of streamlining everything they need in one place. Ask Avo is designed to integrate seamlessly into EHR systems, leveraging nationwide patient data from HIEs to provide relevant and trustworthy responses based on the latest system and society guidelines. 
  • Customizable, Actionable & Easy to Deploy: AI consult tools currently in the market simply produce a basic clinical summary, aren’t customizable, and lack critical, hospital-specific guidelines that meet the needs of local populations. Additionally, many tools require a tremendous amount of time and effort for IT teams to create, implement, and maintain. Ask Avo is never one-size-fits-all. Using Avo's customizable, back-end Builder, healthcare systems can swiftly customize and upload their own guidelines to Avo’s Knowledge Base and work with Avo’s team of informatics and technical experts to determine various guidelines’ relevance in clinical settings. In other words, health systems are empowered to implement AI within their own determined limits, prioritizing responses based on their guidelines and unique patient populations. 
  • Trustworthy, Relevant & Transparent: Studies have shown that, especially in healthcare, ChatGPT is prone to hallucinations and incorrect or irrelevant source citations, in some cases referencing research that does not even exist. Health system decision-makers often lack insight and control into how AI tools on the market will guide their clinicians.Ask Avo is much more than a clinical summary aggregating information from often out-of-date and irrelevant sources. It is designed to generate responses from recent content relevant to the institution whose clinicians are using it. The tool's unique design includes a proprietary questioning system triple verification against trusted guidelines, and offers clinician visibility and control, further enhancing its reliability. 
  • In a recent study of Ask Avo, 61 clinicians were asked to question both Ask Avo and ChatGPT 4o with the same 10 clinical prompts that involved questions about complex patient scenarios. After receiving a response, the physicians rated the answers based on trustworthiness, actionability, relevancy, comprehensiveness, and format-friendliness. Ask Avo outperformed ChatGPT 4o on all fronts with an average of 33% better ratings across all criteria and was statistically significantly better. Clinicians' feedback included, “Ask Avo is MUCH better than ChatGPT. I love the citations built directly into the source and the ability to easily pull those citations up on the same tab. I love the "AI Fact-Check" option that makes the limitations clear as well. This is excellent” and “This program cited its sources, which increases my comfort and trust in it tremendously.”

Keywords

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Company Details

Founded in 2007

Founded in 2018

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