Qventus, the leader in automated care operations, today announces that health systems using its Care Gap and Coding Automation Suite have captured $17.1M in additional annualized reimbursement with the Malnutrition Care Automation, with one client seeing $7.6M in annualized reimbursement in the first four months. The company also announced the latest automation that identifies patients at risk of developing pressure injuries and automatically orchestrates the appropriate interventions and accurate coding. The speed to ROI and launch of the second solution in the Care Gap and Coding Suite showcase the velocity of product advancements built on Qventus’ AI Platform. The Suite empowers health systems to expand into new use cases and care settings without another vendor, integration, or implementation cycle.

Qventus shifts left to improve clinical and quality outcomes, captures $17.1M in annualized reimbursement

Qventus launched the Care Gap and Coding Automation Suite in February as a system of action embedded in existing EHR workflows to identify missed diagnoses, orchestrate timely clinical interventions, and complete documentation in real time. The suite shifts clinical interventions left, surfacing conditions the moment the patient is admitted and taking action, rather than a delayed retrospective audit after discharge.

The first automation in the suite, Malnutrition Care Automation, uses chart mining to identify malnourished patients, pre-populates the nutrition consult order, surfaces key insights to dietitians to aid in assessment, and prompts diagnosis documentation for MCC/CC capture before the coding window closes.

“At Jackson Health System, we’re committed to delivering exceptional, evidence-based care for every patient we serve, including many with complex medical needs. By leveraging the Malnutrition Care Automation solution, we’re identifying at-risk patients earlier than traditional screening methods alone, allowing our caregivers to intervene sooner and improve outcomes,” said Monica Puga, Chief Transformation Officer, Jackson Health System. “Our partnership with Qventus, coupled with its AI-assisted capabilities, has allowed us to quickly extend this capability across our clinical operations, supporting our mission to deliver the right care at the right time for the patients that depend on us.”

Qventus honors its commitment to delivering measurable ROI to its clients

Since launch, health systems have reported over a $17M lift in annualized reimbursement revenue, and reported the following results:

  • Jackson Health System saw 57% increase in code capture, realizing a 3.3x annualized ROI.

  • A midwestern AMC reported a 15% lift in code capture and an improvement in mortality O:E.

  • An Ohio-based nonprofit health system reduced time to nutrition care for malnourished patients by 2.5 days.

  • A Wisconsin-based non-profit health system reports that patients coded for malnutrition are experiencing a 0.6-day reduction in length of stay – the equivalent of 220 annualized days saved.

  • A Midwestern health system achieved a 14% increase in code capture at one of its hospitals.

“Providers are trained to treat the acute problem first. Conditions like malnutrition and pressure injuries get treated late or not at all, and the patient goes home sicker than they needed to,” said Jason Cohen, MD, Chief Medical Officer for Inpatient, Qventus. “This suite moves recognition and intervention to the front of the stay, when treating the condition can still shorten length of stay and lower readmission risk. It also means providers aren’t spending time answering CDI queries about that patient a week later, when they are already caring for someone else. We’ve seen that proven out by our clients that are reporting decreased LOS and provider time saved after only weeks of deploying the Care Gap and Coding Suite.”

Second solution in the Suite closes the gap for pressure injury care

Qventus launched the second solution in the Care Gap and Coding Suite to identify patients at risk for pressure injuries. Embedded in existing EHR workflows, it continuously analyzes patient data to identify patients at elevated risk of having or developing a pressure injury and orchestrates the next clinical action, including initiating prevention order sets, recommending support surfaces, prompting timely skin assessments, and confirming that repositioning interventions are completed. Documentation follows the same path, capturing skin assessment findings, present-on-admission status, prevention activities, and pressure injury staging as care is delivered rather than after discharge.

Present-on-admission accuracy carries particular weight for pressure injuries. An injury documented during the admission window is recorded as present on admission; the same injury captured later is counted as hospital-acquired, which affects performance under the CMS Hospital-Acquired Condition Reduction Program. With Qventus, health systems reduce preventable hospital-acquired pressure injuries, improve quality performance, and avoid an average treatment cost of more than $22,000 per hospital-acquired pressure injury.

“Automated care operations have become critical infrastructure in the tech stack as health systems consolidate around a single AI platform. That investment pays off and compounds when the next solution can be quickly turned on to generate guaranteed ROI at scale,” said Mudit Garg, Co-founder and CEO, Qventus. “We went from launching the Care Gap and Coding Automation Suite to a second live solution in a matter of months, with strong returns for health systems. That pace comes from a decade of building and refining the Qventus AI Platform, and it is what our clients are counting on when they expand with us across the enterprise.”

About Qventus

Qventus uses AI to intelligently automate operations across care settings to help health systems secure the margins needed to achieve their mission of delivering exceptional care to patients in their communities. Leveraged by more than 150 hospital facilities, Qventus’ enterprise platform and AI solution suite reduce the administrative burden, identify potential issues upstream, surface suggested interventions, and actually take action to solve problems for busy healthcare staff—a collective system of action that sits on top of a hospital’s enterprise systems of record. Qventus unlocks best-in-industry ROI by driving strategic surgical growth, creating capacity, and reducing costs, all while delivering powerful insights to help solve long standing operational challenges once and for all. 100% of clients say they consider Qventus part of their long term strategy.

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