- An agent reads each chart against the measure specification you load and marks every measure as met, not met or needs review, with the source document cited.
- Open care gaps come out as a worklist: the patient, the open measure and the evidence, for your care team to close.
- Scanned outside records, such as faxed results and letters, are read with intelligent character recognition, so evidence outside your EHR is not missed.
- Your abstractor or quality reviewer confirms each finding; H2O makes no clinical efficacy claim and does not decide what care a patient receives.
Abstraction peaks right before every deadline
Your abstractors read charts for quality measures and care gaps ahead of each submission deadline. The evidence for one measure can sit in a note, a lab result, a scanned letter from another provider or a claim.
Every chart is read by hand, against specifications that change from year to year. Gaps found late in the year leave little time to close them with the patient.
How quality measure and care-gap abstraction works
Abstraction is a reading job with a checklist, so AI agents and generative AI do the work together, with retrieval-augmented generation grounding each finding in the chart and in the measure specification.
Step 1: load the specifications
Your quality team loads the measure specifications and your internal abstraction guidance into a collection in Enterprise h2oGPTe.
Step 2: gather the record
The agent pulls notes, results, problem lists and orders from the systems you connect. Document AI reads scanned outside records with intelligent character recognition and returns structured output.
Step 3: abstract each measure
For every patient in the measure population, the agent checks the numerator and exclusion criteria and marks the measure met, not met or needs review.
Step 4: cite the evidence
Each finding points to the document and the passage that supports it, so a reviewer can check it in seconds.
Step 5: review and confirm
Your abstractor accepts or corrects each finding. The agent stops at an approval gate and submits nothing.
Step 6: hand off the gaps
Confirmed open gaps go to a worklist for your care team, in the tools they already use.
Findings the agent will not guess
Findings the agent cannot support with evidence are marked needs review, never guessed, so your abstractor spends time on those charts instead of on the ones that are clearly met. Closing a confirmed gap is still your care team's work, such as an outreach call, a scheduled visit or an order a clinician signs; the worklist tells them where to start.
The first run happens in shadow mode on one measure, compared with charts your abstractors already completed, and protected health information never has to leave your boundary.