Case Studies / Kootenai Health
Optimization & Advisory · MEDITECH

Kootenai Health: MEDITECH Expanse Workflow Optimization & Clinical Refuel

Two consecutive enterprise optimization engagements across acute and ambulatory care, reducing physician documentation burden and streamlining revenue cycle throughput.

Key Results Achieved
Consecutive optimization engagements successfully delivered
25%
Reduction in after-hours clinician documentation time
100%
Ambulatory and surgical clinic alignment
99.9%
Clean claim submission rate post-optimization
The Challenge

Operational & Clinical Friction

Following an initial Expanse go-live, clinicians experienced documentation bottlenecks and workflow friction across specialty clinics, impacting billing turnaround times.

The Solution

Purpose Health Execution

Conducted on-site clinical shadowing to identify documentation friction points.

Re-engineered specialty templates and physician order sets.

Delivered tailored at-the-elbow physician personalization training.

Aligned revenue cycle rules directly with clinical documentation triggers.

Engagement Timeline

Phased Execution Model

01

Assessment

Workflow audit across acute and ambulatory clinics.

02

Design

Streamlined order sets and clinician personalization profiles.

03

Refuel

Hands-on physician coaching and specialty template tuning.

04

Measurement

Documented time savings and accelerated claim cycle times.

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