CAPD 2017
An Early Look

COMPUTER-ASSISTED PHYSICIAN DOCUMENTATION

INTRODUCTION AND MARKET CONTEXT

1. MModal’s Responsiveness Drives Adoption in an Emerging Market

MModal has established themselves thanks to their proactive response to customer feedback and continuing product development. 3M and Nuance continue to develop their offerings with early GA organizations. Some 3M customers piloting Encompass MD have opted to delay purchasing the CAPD system due to immature functionality. Current 3M users report that their CAPD capabilities are slowly expanding. Nuance has the fewest live customers; several organizations are still working to implement the product. Nuance has partnered with Cerner to embed CAPD into physicians’ workflows.

2. MModal and Nuance Allow Real-Time Resolution; 3M's Approach Is Retrospective

MModal customers gain more complete documentation with CDI Engage. However, this improved documentation is driven by real-time queries, which can disrupt the physicians’ workflow during documentation. Nuance’s approach is less disruptive since it allows physicians to complete their documentation before resolving queries. 3M’s solution does not require physicians to resolve queries during the initial documentation and thus does not interfere with their workflows. 3M customers resolve queries later in the process, prior to discharge.

3. MModal Customers Most Confident CAPD Is Improving Documentation, Financial Outcomes

Early adopters of CAPD are seeing improvements in documentation completeness and financial outcomes but many are unsure whether these improvements are a direct result of CAPD. MModal customers are most confident in their returns, seeing increased ICD-10 coding accuracy and case mix index. Nuance customers mention improvements to their case mix index and documentation completeness; the latter reduces high-level queries and allows CDI teams to drill down into deeper ones. 3M customers are unsure how to measure outcomes; as a result, they are the least likely to attribute improved outcomes to CAPD.

4. 3M’s Retrospective Approach Facilitates Physician Adoption

3M users have the easiest time getting their physicians to adopt CAPD—the platform does not interrupt physicians with real-time alerts and requires little change to their existing workflows. Physician adoption varies among MModal customers due to alert fatigue caused by the vendor’s real-time alert platform. However, users have been able to work around some alert fatigue with help from MModal’s proactive support. Nuance organizations give varied feedback on ease of adoption. Nuance’s seamless workflow integration makes adoption easy. Specialty physicians have lower levels of adoption of all CAPD solutions due to weak functionality for their specific areas.

Designer
Natalie Jamison