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Service Focus Areas
CARE-AI helps small and Critical Access Hospitals move from episodic QI to continuous, Medicare-reimbursable QA, combining AI-driven care reviews with expert QI/PM to close gaps, delivering benefits of $1–2.5M annually.
Clinical Assurance for Rural Excellence-AI (CARE-AI)
Providing a full spectrum quality assurance program, CARE-AI decreases HACs, HAIs, PSIs, LOS, readmissions, reencounters, compliance exposure, and total costs of care. It improves care transitions to home, primary care and post acute.
How it works:
CARE-AI keeps a constant eye on care, measures performance, and gives teams clear feedback and dashboards to spot and fix problems early. It helps clinicians follow protocols and guidelines, use the right order sets, keep documentation accurate, and align care with policies and clinical standards. The system finds gaps, escalates urgent issues fast, and backs staff with experts and straightforward training. It also aligns program costs for reimbursement and helps capture reimbursement with improved documentation, all while building steady, repeatable processes focused on performance. Most importantly, it delivers everyday quality assurance and learns from every case so improvements stick and keep getting better.
Components of CARE-AI Quality Assurance
01.
Care Delivery
Care delivery within an episode of care (e.g. inpatient encounter).
02.
AI Care Review
Agentic AI Algorithms review quality against thousands of clinical guidelines & standards
03.
Results & Gap Closures
Reviews include details on care quality, clinical guidelines, regulatory standards, core measures, PSIs, HACs, HAIs, eCQMs, documentation, etc.
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Care gaps closed near real time by clinicians.
Analytics
04.
Performance sorecards, dashboards for clinical teams and hospital administrators.
Quality Project Management
05.
Complex change managed by skilled quality project management.
Learning Collaboratives
06.
Cross department, organization, system learning collaboratives provide an opportunity to share improvement best practices
CARE-AI
Care Insights to Dashboards to Facilitated Quality Improvement Projects
With limited quality improvement resources, CARE-AI can provide full quality improvement team project management support to support care redesign.
Why Small & Critical Access hospitals Adopt CARE-AI
Thin Margins, Limited Staff, Increasing Complexity are Just a Few Challenges CARE-AI Tackles
Preventable harm and missed documentation is too costly to ignore. An AI-powered quality review platform continuously scans every patient encounter against evidence-based guidelines, flags risks, and routes to the right person/service.
Benefits include:
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Reduce preventable harm and cost-of-care: Catch missed steps in bundles and protocols in real time to lower HACs, HAIs, PSIs, LOS, readmissions, transfers.
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Turn insights into accountable action: Route issues to clinicians to closing gaps, reducing variation, and standardizing care.
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Improve documentation, coding, and revenue capture: Surface missing orders, notes, and risk severity/variable documentation.
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Offset the investment under CAH rules: Medicare reimbursable for CAHs.
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Protect survey readiness and compliance: Continuous monitoring against clinical guidelines and regulatory standards for survey readiness.
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Scale your team without adding FTEs: Automate chart reviews across patients.
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Fast deployment, quick results:, and see impact within weeks.
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Secure, compliant, and clinician-friendly: HIPAA-compliant SaaS.
