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How Adventist Health Achieved 100% Triage Audit Capability with KATE AI

Health system supports safer, more consistent triage through automated acuity audits across 700,000+ annual ED visits.

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Adventist Health Case Study

New nurses leaving in their first year has been a huge issue for us and has reduced significantly with KATE. We can audit 100% of our charts automatically, with minimal manual labor, which is a huge time saver for us.

Sheri Dungan, MSN, RN, MICN, SANE-A, SANE-P, CEN
System Emergency Department Specialist, Clinical Practice & Education, Adventist Health

Adventist Health At A Glance

719,611
Annual ED Visits
3,570
Beds
Oracle Cerner
EHR System
Faith-Based
Not-For-Profit Health System
The Challenge

Closing the Compliance Gap Across Every ED Encounter

Seeking to proactively protect the health system from regulatory and EMTALA exposure, Adventist Health aimed to audit every patient encounter across its emergency departments. With 719,611 ED visits annually, system leadership identified potential liability gaps. At one site, manual limitations meant they could only validate 3% of cases, despite deploying several nurses to review charts. This gap left the organization vulnerable to compliance risks and necessitated labor-intensive “plans of correction” that diverted clinical staff to administrative tasks.

3%
Of Cases Validated
Under Manual Review
EMTALA
Regulatory & Compliance
Exposure Risk
Manual
Plans of Correction Diverting
Nurses From Patient Care
The Solution

Mednition’s Clinical Data Engine: Continuous Clinical Risk Intelligence

Adventist Health leveraged Mednition’s Clinical Data Engine (CDE) to replace manual sampling with cohort analysis across the entire patient population. By integrating directly with Oracle Cerner EHR, the system identifies anomalies and compliance risks within seconds rather than months. This native EHR integration acts as a continuous clinical risk intelligence solution, allowing the system to preemptively audit total chart volume without requiring additional headcount or disrupting clinical workflows.

  • Cohort analysis across the entire patient population
  • Native Oracle Cerner EHR integration
  • Anomaly & compliance-risk detection in seconds
  • Continuous, automated risk intelligence
  • No additional headcount or workflow disruption

Measurable Results

Significant improvements across audit coverage, compliance readiness, and administrative efficiency.

Chart Audit Coverage
100%
Audit coverage increased from 3% manual sampling to 100% of total chart volume
Reduced Administrative Burden
Minimal
Plans of correction that once required heavy manual lifting now need minimal additional labor
Total Population Oversight
Validated
System can instantly demonstrate full population oversight if an investigation occurs

From 3% to 100% Chart Audit Coverage

By leveraging Mednition’s Clinical Data Engine, Adventist Health closed the compliance gap, increasing chart audit coverage to 100%. Unlocking this capability effectively streamlined a massive administrative burden — plans of correction that previously required heavy manual lifting now require minimal additional manual labor to execute.

This ensures that if an investigation occurs, the system can instantly demonstrate total population oversight rather than relying on small, subjective sample sizes — protecting the organization from regulatory and EMTALA exposure across 700,000+ annual ED visits.

We can audit 100% of our charts automatically, with minimal manual labor, which is a huge time saver for us.

Sheri Dungan, MSN, RN, MICN, SANE-A, SANE-P, CEN
System Emergency Department Specialist, Clinical Practice & Education, Adventist Health

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Adventist Health

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