2023 Best In KLAS Clinical Documentation Integrity

For years, documentation has been a pain point that has led to clinician frustration and burnout, but numerous strategies have emerged to ease that burden and enhance patient care. COVID-19 has exacerbated burnout, leading organizations to renew their focus on improving documentation. This report examines physician-facing documentation technology and services (i.e., ambient speech recognition, front-end speech recognition, CAPD, CDI, transcription services, and virtual scribes), how vendors compare in overall scores, and the key performance metrics of value and outcomes.

Perception

Optum/Change Healthcare Merger

16 August 22 | Boyd Stewart and Sam Eaquinto

In January 2021, Optum announced their intentions to acquire Change Healthcare. The merger remains unfinalized, however, as the US Department of Justice blocked the deal in February 2022 due to anticompetition concerns—such a merger would give UnitedHealth Group, Optum’s parent company and the nation’s largest insurer, access to rivals’ sensitive data. The legal proceeding is ongoing and scheduled to go to trial August 1, 2022. This report shares Optum and Change Healthcare customers’ reactions to the merger and their perceptions of its impact. Between March 2021 and April 2022, KLAS interviewed 48 individuals from 46 unique organizations; of these respondents, 9% are Optum customers, 56% are Change Healthcare customers, and 35% are customers of both vendors.

Historically, clinical documentation improvement (CDI) vendors have provided traditional benchmarking solutions that measure case mix index (CMI) and productivity in hospitals and health systems. ClinIntell, however, uses a data-driven approach based on patient population metrics to help providers and clinicians improve documentation and subsequent coding. This report looks to validate the early outcomes and satisfaction of ClinIntell clients.

Company/solution	Overall performance score (100-point scale)	Total evaluations	Trend (2022-2023)	Culture	Loyalty	Operations	Product	Relationship	Value

Iodine Software AwareCDI	90	n=25	-1%	B	A	A-	B+	A	A

Nuance (a Microsoft Company) Nuance CDI	88.6	n=23	-2%	A-	B+	A-	A-	A	B+

ChartWise CDI	85.1	n=17	-5%	B	B	B+	B	A	A-

Solventum 3M 360 Encompass CDI	80.3	n=71	-3%	C+	B+	B-	B	B-	C

Solventum 3M MModal CDI Collaborate	77.4	n=15	-5%	C+	C	B	C	B+	B-
	50.0	100.0

Company/solution	Trend (2022-2023)	Culture	Loyalty	Operations	Product	Relationship	Value

Iodine Software AwareCDI 90 n=25 COMMENTS	-1%	B	A	A-	B+	A	A
Nuance (a Microsoft Company) Nuance CDI 88.6 n=23 COMMENTS	-2%	A-	B+	A-	A-	A	B+
ChartWise CDI 85.1 n=17	-5%	B	B	B+	B	A	A-
Solventum 3M 360 Encompass CDI 80.3 n=71 COMMENTS	-3%	C+	B+	B-	B	B-	C
Solventum 3M MModal CDI Collaborate 77.4 n=15 COMMENTS	-5%	C+	C	B	C	B+	B-

Company/solution	Overall performance score (100-point scale)	Total evaluations	Culture	Loyalty	Operations	Product	Relationship	Value

Dolbey Fusion CDI * L	88.5	n=14	B+	A-	A-	B+	A-	A-

Optum 360 CDI 3D * L	74.5	n=12	C-	C	B-	C+	B	C

Company/solution	Overall performance score (100-point scale)	Total evaluations

Dolbey Fusion CDI * L culture B+ loyalty A- operations A- product B+ relationship A- value A-	88.5	n=14

Optum 360 CDI 3D * L culture C- loyalty C operations B- product C+ relationship B value C	74.5	n=12

Clinical Documentation Integrity

Past Clinical Documentation Integrity Awards

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