AI-Assisted Chart Review Helped a Provider at a Large Regional Health System Adapt Care for a Patient with History of Opiate Treatment

For Primary Care Providers, the complexity of managing data in a patient record becomes harder and harder every day. The average patient record is now more than 1,000 pages long, and the vast majority of that data is trapped in unstructured formats like scanned documents, imaging, provider notes, and external data sources like Care Everywhere and other HIEs. This is especially acute in cases where critical trends in patient treatment history are trapped in written notes.

At a large regional health system in the United States, a Primary Care Physician leverages AI-assisted chart review with Evidently as a part of their routine review process with clinic patients. During a review of a new patient’s medication list in the EHR, they didn’t see a history of withdrawal or other red flag symptoms.

“I was seeing one of our organization’s patients for the first time. When looking over the medication list in the EHR, I noticed that the patient had a history of various prescriptions for opiates”, the provider explained. “When I reviewed the patient’s history with the help of Evidently, I immediately saw that the patient had been seen for opiate withdrawal in one of our emergency rooms a number of years previously.”

The critical insight was trapped in unstructured data, and hadn’t been surfaced with a standard text search in the EHR, because the note happened to refer to "opioids" instead of “opiate”.

Fortunately for the provider and the patient, AI-assisted chart review with Evidently both understands the close relationship between terms like “opiate”, “opioid”, and “withdrawal”, but also understands millions of medical concepts like it and the billions of connections between them.

“The history of opiate withdrawal was critical to know when preparing for the visit. It helped to inform my conversation with the patient, improved my medical decision-making, and allowed me to provide better overall care”, the provider explained.

Encounters like this underscore the challenges all healthcare providers face when drowning in an ocean of clinical data, with critical patient history fragmented and obscured in unstructured data like a historical emergency room note. By integrating clinical data intelligence into the workflows providers already use every day, every clinician has access to a streamlined, more complete understanding of a patient’s background, and can deliver an elevated level of care with less chart biopsy.

We’re proud to be a part of this provider’s daily workflow, and helping reduce chart review time & burnout for any provider like them.