30-day readmission rates average 20% despite being 50% preventable. Quality analysis takes weeks after patient discharge.
Enable real-time clinical outcome analytics to improve quality of care
Aggregate clinical, claims, and operational data to identify care gaps, track outcome metrics, and model population risk — all queryable in natural language by clinical and admin teams.
The challenge
Healthcare organizations collect vast amounts of clinical data but struggle to analyze it for quality improvement. Patient outcomes (readmissions, mortality, complication rates) are measured manually and inconsistently. Quality teams lack timely data to identify improvement opportunities. Physician performance is hard to benchmark fairly. Patient risk profiles aren’t automatically flagged for proactive intervention. Post-discharge follow-up is sporadic, leading to preventable readmissions.
How assistents solves it
assistents clinical outcomes analyst agent connects to your EHR and reads patient records to calculate outcomes (readmissions, complications, mortality) and quality metrics. The agent identifies high-risk patients eligible for intervention (diabetes, CHF, post-op) and triggers proactive outreach. Physician dashboards show performance benchmarked against peers and guidelines. Post-discharge alerts remind care teams to conduct follow-up calls. Real-time outcome reporting enables rapid improvement cycles.
How it works
Connect EHR
assistents integrates with your EHR (Epic, Cerner) to access patient records and discharge data.
Calculate outcomes
Agent reads discharge summaries, identifies 30-day readmissions, complications, and mortality outcomes.
Risk-score patients
Agent analyzes patient demographics and comorbidities, flags high-risk discharge cases.
Trigger interventions
For high-risk patients, agent schedules follow-up calls, medication reconciliation, and education.
Report outcomes
Agent generates outcome dashboards by provider and service line. Trends are reported to medical staff.
Measurable outcomes
Ready to see this in action?
Schedule a personalized demo to see how assistents’s AI agents can solve this challenge for your organization.