A CASE STUDY ON CURATION HEALTH AND A PHYSICIAN GROUP IN THE MIDWEST
Applying Advanced Clinical Decision Support to Improve Risk Adjustment and Quality Performance Without Burdening Clinicians
THE PROBLEM
Status quo documentation and coding practices pose barriers to performance. Like many clinician organizations, RPG is investing in capabilities to manage care quality and financial performance to support a growing portfolio of risk contracts. In early 2019, the RPG leadership team recognized that enhancing the group’s medical documentation and clinical coding accuracy were top priorities to effectively prepare for—and deliver greater value under—risk.
Wrestling with the physician bandwidth challenge. While documentation and coding improvements were acknowledged as critical success factors, options for making such improvements without adding significantly to physicians’ clinical administrative workloads were elusive. RPG leadership feared major setbacks in physician efficiency and engagement with the introduction of additional workflows and requirements.
