This large safety-net hospital, headquartered in Cleveland, OH, is using Jvion’s Cognitive Machine to serve the diverse needs of a patient population that spans the socioeconomic, behavioral, and clinical spectrum.
The system initially implemented all-cause and sepsis readmissions across its two hospitals in the Cleveland area. Working with leadership, Jvion identified opportunities to enhance and customize the application of the machine to the different patient populations served by the system.
The result has been an expansion of cognitive machine application that goes beyond those events that incur a penalty to those that result in better health outcomes and lower costs. This includes addressing growing behavioral health needs and organizational priorities focused on optimizing length of stay and improving the patient experience.
|Organizational Goals||Aligned Vectors|
|Lower rates of readmissions with a focus on sepsis||All Cause Readmission in 30 days and Sepsis Readmission in 30 days|
|Optimize patient discharge||LOS Optimization|
|Address the critical behavioral health needs of the patient population||Opioid, Suicide/Self Harm, and Depression Bundle|
Cognitive Machine Adoption Milestones
- Initial Vector Selection and Application
- The provided initially rolled out all-cause and sepsis readmission across both of its major facilities.
- Initial Vector Performance
- Adoption rates varied across the facilities, which provided an opportunity for leadership to evaluate the performance of the machine and identify the unique needs of each patient population. Over a three-month period, one hospital realized close to $1M in cost avoided while the other struggled with adoption. Gaps were identified, and adjustments were made to onboard the underperforming hospital’s end users who could drive the largest impact on readmission rates.
- Expanded System Adoption
- Leadership worked to champion adoption of the machine more broadly and better optimize workflow. This has resulted in the more effective application of the machine and a sustained, significant decrease across all-cause and sepsis readmissions.
- New Vector Selection
- In analyzing performance for the readmissions vectors, additional patient needs were identified that went beyond the typical events that are mandated or penalized. The safety-net hospital has a large population of patients with opioid dependency and behavioral health risks. The other facility is focused on optimizing patient discharge and reducing length of stay outliers. The cognitive machine will be applied to identify patients at risk of opioid abuse, self harm/suicide, and depression within the safety-net while the other hospital will roll out the machine’s LOS vector. Both vectors hold the promise of improved patient care, lowered cost, and quality outcomes for the community.
Current Machine Performance
To-date, the cumulative ROI for both hospitals is approximately $6.7M. There is tremendous excitement around the rollout of the behavioral health bundle. Leadership is committed to addressing the opioid crisis using the latest and most effective cognitive machine technology delivered by Jvion. Additionally, the machine is serving as a strategic asset helping to prepare the provider for future demands and payment models.