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Hospital Quality & Revenue>Estimate O/E

Failing to accurately capture expected complexity in O/E metrics drives your overall performance down, impacting performance in mortality, length of stay, and other performance measures that hospitals rely on.

OBSERVED COMPLEXITY RATE
EXPECTED COMPLEXITY RATE
15%
12.25%
Estimated O/E: 1.22
With BaselinePopulation complexity
15%
13%
Estimated O/E: 1.15
WITH CDIIMPROVEMENTS
15%
17.25%
Estimated O/E: 0.87
WITH CLINICAL DATAINTELLIGENCE

Evidently reads the structured and unstructured data in a patient record — including data in the EHR and data from external HIEs like Care Everywhere. It helps surface conditions that may have been missed, to help ensure that the 'expected' rates in your O/E performance reflect the actual complexity of your patient population.

HOSPITAL QUALITYESTIMATE BASELINE O/E RATE
12.25%
Baseline Population Complexity

Documenting O/E starts with understanding your population size and complexity. Use the controls to estimate baseline population complexity from observed mortality and the expected complexity of the mortality cohort.

12.25% is calculated from an example population of 1,000 patients involving 150 observed mortalities (1,000 * 15%), and an overall mortality complexity of 0.0375 derived from a 25% expected mortality complexity rate (15% * 25%). Combining this with the 8.5000% estimated complexity rate of the surviving population brings you to 12.25% baseline population complexity.

Observed Mortality Rate during the year:
0.15
Estimated Baseline population complexity:
0.1
Expected Mortality estimated complexity rate:
0.25
Estimated complexity of surviving population:
0.085
Estimated complexity of expected mortalities:
0.0375
HOSPITAL QUALITYESTIMATE IMPACT OF CDI IMPROVEMENTS TO MORTALITY COMPLEXITY
12.25%arrow13.00%
Population complexity with CDI improvements

Your CDI team focuses on more thoroughly documenting complexity of mortalities. Adjust the expected mortality complexity increase to see the impact on overall complexity.

The new 13.00% population complexity is found by taking the 0.25 estimated complexity rate of expected mortalities, adding the 0.05 CDI impact, and multiplying that new 0.3 expected mortality complexity by the 0.15 observed mortality rate (which you estimated in the previous section) to arrive at the 13.00%.

Estimated complexity rate of expected mortalities (from above):
0.25
CDI team increases complexity of expected mortalities by:
0.05
New expected mortality complexity:
0.300
Resulting increase in expected mortality complexity (overall):
0.0075
HOSPITAL QUALITYESTIMATE WHOLE-POPULATION IMPACT OF CLINICAL DATA INTELLIGENCE
13.00%arrow17.25%
Population complexity with Clinical Data Intelligence

Clinical Data Intelligence augments your CDI team by improving documentation in the surviving population. Adjust the baseline complexity increase and surviving population to estimate total impact.

The new 17.25% population complexity is found by taking the 0.1 baseline population complexity and adding the additional 0.05 increase from Clinical Data Intelligence, then multiplying that new 0.15 baseline population complexity by the 0.85 ratio of non-mortality population to arrive at a new 0.1275 non-mortality complexity. When combined with the 0.13 mortality complexity calculated above, you arrive at a new 17.25% expected complexity.

Estimated baseline population complexity:
0.1
Improvement to baseline population complexity from Clinical Data Intelligence:
0.05
Overall population complexity after Clinical Data Intelligence:
0.1725
HOSPITAL QUALITYUNCOVER THE TRUE COMPLEXITY OF YOUR WHOLE POPULATION
1.22
Your Estimated O/E Baseline
1.15
Your Estimated O/E with internal CDI improvements
0.87
Your Estimated O/E with Clinical Data Intelligence

Keep your CDI team focused on the most critical work. Clinical Data Intelligence reads virtually everything in the patient record, and pairs that understanding with a massive medical knowledge graph.

Ready to see what Clinical Data Intelligence can do for your organization? Let's talk!

1.22
ESTIMATED O/E:
BASELINE
POPULATION
1.15
ESTIMATED O/E:
WITH CDI
IMPROVEMENTS
0.87
ESTIMATED O/E:
WITH CLINICAL
DATA INTELLIGENCE

Interested in seeing what Clinical Data Intelligence can do for your organization? Let's talk!