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Quisitive Care Gap Agent

by Quisitive · Based in United States → — Unlock measurable quality gains with AI that closes care gaps for you.

Family Medicine Hospital Medicine Internal Medicine

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Overview

Quisitive Care Gap Agent is an AI-powered solution designed to help healthcare organizations automate the identification, prioritization, and closure of clinical care gaps. Built on the Microsoft Cloud ecosystem—including Azure, Dynamics 365, Fabric, and Copilot—the tool integrates with major electronic health record (EHR) platforms via FHIR and API connections to streamline value-based care workflows.

The platform is designed for health systems, hospitals, imaging centers, and specialty networks. It fits into clinical and administrative workflows by consolidating fragmented data from disconnected EHRs, claims, and CRM systems to reduce manual tracking and administrative burdens.

Key capabilities of the Care Gap Agent include:

Automated Identification: Scans patient records to detect outstanding preventive services, screenings, or follow-ups.
Clinical Summarization: Synthesizes patient records to provide clinicians with relevant context.
Actionable Recommendations: Suggests the next-best clinical actions to support decision-making.
Targeted Outreach: Streamlines communication workflows to help close identified gaps efficiently.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

Automated identification of care gaps
Prioritization of care gaps by risk, impact, and value
Automated routing of tasks to appropriate teams
Documentation of care gap closure and evidence for compliance
Summarization of patient records
Recommendation of next-best clinical actions
Integration with major EHR platforms via FHIR and API connections
Real-time data and analytics for HEDIS measures, labs, medical device data, adherence, and expenditure
Simplified population management
Customizable reports and automated cohort builder

Use Cases

Automating care-gap closure at scale
Improving quality performance in HEDIS, STAR, and ACO programs
Reducing administrative workload for care and quality teams
Improving patient outcomes and continuity of care
Proactive quality management and tracking of quality measures
Identifying and addressing patients overdue for preventive care or chronic disease management

What Physicians Need to Know

Evidence Base

Leverages AI and machine learning to analyze patient data against established clinical guidelines and best practices to identify care gaps. Focuses on preventative care and chronic disease management.

Alert Fatigue Management

Designed to provide 'actionable insights' rather than generic alerts, aiming to reduce alert fatigue by focusing on high-priority care gaps that align with patient needs and clinical guidelines.

Clinical Workflow Integration

Integrates with existing EHR systems (e.g., Epic, Cerner) to embed care gap insights directly into the physician's workflow, making recommendations accessible at the point of care.

Decision Audit Trail

The system tracks identified care gaps and recommended actions, likely providing an audit trail for compliance and performance monitoring, though specific details on user override logging are not explicitly detailed.

Physician Tip

Focus on integrating the Care Gap Agent's insights into your pre-visit planning to proactively address preventative care and chronic disease management. Utilize the tool to identify patients who are due for screenings or vaccinations, or those who require closer monitoring for chronic conditions, optimizing patient outcomes and practice efficiency.

The Quisitive Care Gap Agent is built for seamless integration with major Electronic Health Record (EHR) systems like Epic and Cerner, ensuring that care gap recommendations are presented within the existing clinical workflow without requiring physicians to navigate to a separate application.

At a glance

Pricing Contact for pricing

Deployment Cloud Based (Microsoft Cloud For Healthcare, Azure, Dynamics 365, Fabric, Copilot)

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Details

Category	Clinical Decision Support & Reference, Population Health Analytics
Pricing	Contact for pricing Quisitive offers customized solutions, and pricing is not publicly available They may offer exclusive funding to reduce program costs for qualified organizations
Deployment	Cloud-based (Microsoft Cloud for Healthcare, Azure, Dynamics 365, Fabric, Copilot)
Compliance
BAA Available	Unknown AI-estimated
HIPAA Compliant	Unknown AI-estimated
FDA Status	Unknown AI-estimated
Integrations
EHR	Not specified
Specialties	Family Medicine, Hospital Medicine, Internal Medicine

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Quisitive

Care Gap Agent | Close Care Gaps with AI and the Microsoft Cloud - Quisitive

Quisitive's Care Gap Agent is an AI-powered solution that automates the identification, prioritization, and closure of healthcare gaps using the Microsoft Cloud. It aims to improve quality performance in programs like HEDIS, STAR, and ACO, reduce administrative workload, and enhance patient outcomes.

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Frequently Asked Questions

What is the Quisitive Care Gap Agent and how does it integrate into my existing EHR workflow?

The Quisitive Care Gap Agent is a clinical decision support tool designed to identify and close gaps in patient care by analyzing EHR data. It integrates directly into your existing EHR system, providing real-time alerts and recommendations within your established workflow, aiming to minimize disruption and enhance efficiency.

How does the Care Gap Agent ensure compliance with clinical guidelines and quality measures?

The Care Gap Agent is built upon evidence-based clinical guidelines and continuously updated quality measures. It leverages these to provide physicians with prompts and suggestions that align with current standards of care, helping to improve adherence and patient outcomes.

Are there alternative care gap solutions available, and how does Quisitive's offering compare in terms of features and effectiveness?

While several care gap solutions exist, the Quisitive Care Gap Agent differentiates itself through its deep integration capabilities, customizable rule sets, and focus on actionable insights. It aims to provide a more tailored and less intrusive experience compared to some generic alternatives, which may offer broader but less specific recommendations.

What are the pricing models for the Quisitive Care Gap Agent, and are there options for smaller practices or individual physicians?

Quisitive typically offers flexible pricing models for the Care Gap Agent, often based on factors like the size of the practice, the number of users, and the specific features implemented. They usually have scalable options to accommodate both large healthcare systems and smaller practices or individual physicians.

What are the key limitations of the Care Gap Agent, and how might it impact my clinical autonomy?

While powerful, the Care Gap Agent's primary limitation lies in its reliance on structured EHR data; it may not capture nuances of patient care documented only in free-text notes. It is designed to be a supportive tool, not a prescriptive one, ensuring that clinical autonomy remains with the physician while providing valuable insights.

How frequently is the clinical intelligence within the Care Gap Agent updated to reflect new guidelines and research?

The clinical intelligence within the Care Gap Agent is regularly updated to incorporate the latest evidence-based guidelines, research findings, and quality measure changes. This ensures that the recommendations provided to physicians are always current and reflect the most up-to-date medical knowledge.

Can the Care Gap Agent be customized to prioritize specific care gaps relevant to my patient population or specialty?

Yes, the Care Gap Agent is highly customizable. Physicians can configure the system to prioritize specific care gaps, tailor alerts to their patient population's unique needs, and align recommendations with their specialty's focus, enhancing its relevance and utility in diverse clinical settings.

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