Cognitive Impact
Ambulatory Care Sensitive Vectors

Avoidable Admissions

Jvion’s Cognitive Clinical Success Machine is unlike any other machine learning or artificial intelligence solution within healthcare. Because the machine uses a hyperdimensional platform to analyze complex, multi-variate objects (patients), it can extend beyond the four walls of the hospital to see the individuals within the community who are on track to an avoidable ER or inpatient admission. And the machine provides the intelligence that clinicians need to take the most effective action that will lower risk and improve outcomes.

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Avoidable Admissions Deep Dive

Emergency Room High Utilizers
Emergency Room High Utilizers ER high utilizers have been defined as "people of modest means and poor health who go in and out of emergency rooms...

Prevent Avoidable Admissions with Cognitive Machines

Three-quarters of Emergency Department (ER) visits do not require immediate attention or are preventable through ambulatory care.

Of these visits, 21-28% are made by what many in the industry call "frequent fliers:" those patients with manageable, ambulatory care sensitive conditions who regularly visit the hospital.
These patients may end up in the ER or admitted to the hospital 10+ times a year and help explain why 80% of all healthcare costs are spent on just 20% of the population.

While inappropriate use of the ER and hospital resources is a major source of waste within the healthcare system, the causes driving these visits aren’t necessarily the fault of the individual patients. Studies suggest that early ambulatory based intervention, coordinated care, and targeted treatments effectively avoid admissions, help to manage the chronic conditions that contribute to ER visits, and improve quality of life.
But ER visits and "frequent fliers" have been historically difficult to foresee. And hospitals have struggled to forecast unreimbursed episodes of care to more effectively budget and manage expenses.
The Cognitive Clinical Success Machine is changing the way hospitals manage avoidable admissions. By providing the risk and clinical recommendations that will help hospitals manage risking risk patients while they are still in the ambulatory setting, the Cognitive Clinical Success Machine is reducing avoidable ER and inpatient admissions. The results are healthier patients and lowered costs.

Jvion's Cognitive Clinical Success Machine is being applied to:
  • Avoidable 30-day ER visits
  • Avoidable 30-day inpatient visits
  • High-utilizer visits
  • Unreimbursed ER care visits
These insights are helping hospitals:
  • Prevent avoidable ER visits and admissions
  • Treat high-utilizers within outpatient/ambulatory settings
  • Decrease frequent fliers by 15%
  • Reduce ER waste and the cost of care
  • Project unreimbursed ER care episodes
Approximately $32B is wasted each year on avoidable ER visits.
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