NurseWise, a medical triage and health education phone service that provides 24/7 support to the patients of contracted clients, licensed Telemedicine Natural Language Processing (NLP) of Coded Chief Complaints from Health Navigator, Inc. After a successful four week pilot at one of their three call centers, Centene rolled out the natural language processing engine to all three call centers last month.
According to Sharon Cartaya RN, BSN, BC-AAACN, Manager Clinical Care Center Operations Fort Lauderdale, FL,“as NurseWise evaluated software options to work with our nurse advice line business, we found NLP to be suited for our needs. This product, in conjunction with internal improvements, has helped to improve our workflows, to reduce handle time of the calls, and to improve staff understanding of the process. Best of all, it has reduced “time-to-nurse,” which can assist in increasing client and caller satisfaction. The non-clinical representatives now have a streamlined way to record what callers tell them, prioritize symptoms, and direct callers to nurses in an efficient manner.”
“Health Navigator’s Natural Language Processing (NLP)/ Coded Chief Complaints engine was designed to provide clinical decision support and consistency in tele-health environments. The positive results to-date from NurseWise are a testament to the efficacy of the tool”, said David Thompson, MD, CEO of Health Navigator, Inc.
About Centene Corporation
Centene Corporation, a Fortune 500 company, is a leading multi-line healthcare enterprise that provides programs and services to government sponsored healthcare programs, focusing on under-insured and uninsured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans). The Company operates local health plans and offers a range of health insurance solutions. It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health, care management software, correctional systems healthcare, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services.
About Health Navigator, Inc.
Health Navigator (healthnavigator.com), a health information company, provides telemedicine operations, physician answering service organizations, medical call centers, and electronic health records with the ability to transform patient’s presenting problems into coded chief complaints. The coded chief complaints are linked to both ICD-9 and ICD-10 codes. The Health Navigator also provides content databases/engines for documentation checklists (Rapid Medical History), medical coding (ICD9, ICD10, SNOMED CT), and differential diagnosis (Causes, Findings).