Orchestrators / Provider / AI STAR Rating
You can close the gap without ever fixing what caused it.
A system can get very good at getting the mammogram scheduled and the code entered without ever learning why this patient hadn’t been screened in six years. The number moves; the fear, the distrust, the bad experience last time do not. Reminder letters have already reached everyone who responds to reminder letters.
The patients still open have a specific, removable reason: no ride, no assigned doctor, no idea what it costs, or something that went wrong once and was never followed up on.
There is a second cost. Chasing gaps and delivering routine results sits on clinical staff who should be doing something else. Thirty thousand negative mammogram results were delivered so staff didn’t have to; 91% of patients were fully informed and 34% booked next year’s screening on that same call.
The measure was never the point — the small tumor found early is. Finding out why one patient has said no for years takes a conversation, and there are tens of thousands of them.
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