Healthcare & life sciences use case

Utilization-review summarization

The operating problem, the system we deploy, and the one metric it should move. Scoped as a specification, not a slogan.

The operating problem

Reviewers read long inpatient records to judge medical necessity, and finding the handful of relevant facts is the real bottleneck.

What we deploy

A summarization assistant that lays the record details out against each necessity criterion and cites the chart location for every fact.

  • Extracts record details relevant to the criteria set
  • Lays them out against each criterion
  • Cites the chart location for every fact
Outcome target
Target: 35 to 55% reduction in reviewer time per case.
Time to value
10 to 14 weeks to production
Metric we measure
Reviewer minutes per utilization case completed.

Where it goes nextExtend to concurrent review so cases are re-summarised as the stay progresses.

Works with the systems you already have
Epic
SharePoint
Power BI
Microsoft Teams

Your data remains under your control.

How every use case is scoped

The same four questions, every time

Every use case is scoped around the operating problem, the system, the metric, and the time to value. Nothing ships without a number to move and a source it can cite. The first step is the deployment review, where we map the business process to your systems and agree the metric before building.

Next step

Put a number on this use case

Bring the process. We will define the problem, the metric, and the route to production.

See the deployment review

Start a conversation

Tell us what you want to explore, deploy, or teach. We reply within two business days.