Enso for Healthcare

Healthcare and Life Sciences

The Healthcare and Life Sciences industries are witnessing tremendous change around business models, delivery, regulatory requirements and customer expectations. There is an increased pressure to deliver superior health outcomes, comply with complex regulations, match patient and customer expectation and drastically reduce the cost of care. 

Healthcare ecosystem players seeking to dominate the evolving healthcare landscape should take advantage of the vast quantity of enterprise data being generated to orchestrate successful digital operating models that enable delivery of superior results. 

Exponential AI enables healthcare organizations to increase patient engagement, improve complex decision making, reduce operational expenses to drive superior health outcomes and support digital scale operations by leveraging AI. 

Using Exponential AI’s Enso platform, industry leaders have been able to deploy intelligent automation solutions in production for medical chart digitization and abstraction,  patient engagement, claim adjudication, adverse event reporting, and more.

Case Studies

Leading Health Information Management Company Digitizes Medical Charts

Problem 

The company was responsible for delivering medical charts as structured, processed and enterprise grade data sets for downstream analysis. However, the charts were unstructured documents, with no pre-defined format. With critical patient sensitive information, these documents needed to be converted into electronic form.

Solution

The electronic data was uploaded directly into the Exponential AI Enso platform, where the digitization solutions enabled automatic discovery, identification and confirmation of semantic relationships and between various medical and clinical data entities. The solution reduced the average time to process by approximately 85%.

Result 

  • Average time to process reduced by approximately 85%
  • Rate of manual data error reduced by approximately 95%
  • Overall annual savings reached 2.5 million dollars

Automation of Adverse Event Reporting for a top 5 bio-pharma company

Problem 

Our client was looking to automate the identification of adverse events for drugs from medical literature. The company sought to reduce manual efforts, improve efficiencies and reduce costs.

Solution

Exponential AI worked with its client, identifying adverse events from medical literature documents. The solution also intelligently determined whether a case qualifies under the umbrella of “adverse events” as defined by FDA guidelines.

Result 

  • Saving more than $5M annually
  • Average time to process reduced by 40%
  • ROI – 4 months

Automation of Release of Information a leading health information company

Problem 

Our client sought to automate its Release of Information (ROI) process an extremely time consuming, manual process. The staff spent most of their time retrieving ROI requests from various sources, in service of more than a million requests annually. With an average time to fulfill each ROI request at 50 hours, a faster and more future-proof solution was needed.

Solution

Exponential AI leveraged Robotic Process Automation to build a suite of attended and unattended bots that automate the request fulfilment process. Bots consolidate ROI requests from multiple sources and carry out data entry into the Audit System allocating requests to multiple CSRs. The CSRs run attended bots to retrieve medical records from EMR System and run the following activities, patient look up, release look up, request letter generation, billing generation and hand off to fulfilment queue.

Result 

  • Productivity Gain: Reduced Average time for process by more than 80%
  • Increased process throughput by 6X
  • ROI – 3 months

Offerings

We partner in the intricate digital transformation of our clients’ businesses, bringing industry and technical expertise, and leveraging a disciplined methodology to solving complex business problems with AI solutions. Our enterprise grade AI Platform – Enso allows us to create value in production in less than three months.

How can AI help your organization?

Automate key processes  |  Derive actionable insights  |   Enable evidence-based decision making