OptiU
OptiCare · 63 AOMs

The optimization backbone for healthcare operations.

From boarding to bed assignment to denial appeals, AOMs decide the optimal next move across acute, ambulatory, and revenue-cycle operations — fully explainable, fully overridable.

Value chain

Care Continuum + Revenue Cycle

6 stages · 31 AOMs visible
Hospital floor plan — registration to wards to billing
RECEPTIONEMERGENCYOR · PERIOPERATIVEINPATIENT WARDSAMBULATORYREVENUE CYCLE$5AccessReception · Access5Acute FlowED & Floors · Acute5Perioperative & DischargeOR · Periop & Discharge5Capacity & ResourcesWards · Capacity5Quality & PopulationClinics · Population6Revenue CycleBilling · RCM
Stage 1 · Access
Cluster A — Access & Scheduling

Patient access, referral routing, and slot-fill optimizers.

Scheduling Fill-Rate
+8–15 pts fill

Maximizes fill across providers under acuity and constraint rules.

Referral Router
−20% referral leakage

Routes referrals to the best-fit provider/location balancing access and outcomes.

No-Show Predictor
−25% no-show impact

Predicts no-show risk and triggers right-sized overbooking.

Slot Right-Sizer
+5–10% throughput

Adjusts visit lengths to true case complexity.

Wait-Time Governor
−15–25% wait

Re-orders the queue to keep wait variance within target bands.

Cluster detail

Every cluster, broken out.

Click any circle on the value chain above to jump to its cluster section.

Cluster A

Access & Scheduling

5 AOMs

Patient access, referral routing, and slot-fill optimizers.

Scheduling Fill-Rate
+8–15 pts fill

Maximizes fill across providers under acuity and constraint rules.

Referral Router
−20% referral leakage

Routes referrals to the best-fit provider/location balancing access and outcomes.

No-Show Predictor
−25% no-show impact

Predicts no-show risk and triggers right-sized overbooking.

Slot Right-Sizer
+5–10% throughput

Adjusts visit lengths to true case complexity.

Wait-Time Governor
−15–25% wait

Re-orders the queue to keep wait variance within target bands.

Cluster B

ED Flow

5 AOMs

Emergency department triage, throughput, and boarding optimizers.

ED Triage Sequencer
−20–40% LWBS

Re-orders the ED queue against acuity, capacity, and SLA targets.

LWBS Reducer
−30% LWBS

Predicts left-without-being-seen risk and pulls high-risk patients forward.

Door-to-Doc Optimizer
−25% door-to-doc

Optimizes provider assignment to minimize door-to-provider time.

ED Boarding Predictor
−20% boarding hours

Forecasts boarding load 4–8 hours ahead and pre-positions admit decisions.

Fast-Track Allocator
+10–15% fast-track throughput

Splits low-acuity flow to fast-track stations under staffing constraints.

Cluster C

Inpatient Throughput

5 AOMs

Bed assignment, discharge prediction, and length-of-stay optimizers.

Bed Assignment & ADT
+10–15% bed utilization

Continuously assigns beds against patient profile and unit fit.

Discharge Predictor
−4–8 hr LOS

Forecasts discharge windows and prepares downstream resources.

Floor Pull
+5–10% throughput

Pulls inpatients to floor before bed turnover finalizes — under safety constraints.

LOS Reducer
−0.3–0.6 day LOS

Surfaces LOS-extending barriers per case and routes them for resolution.

Cross-Service Transfer
+8% unit-fit rate

Optimizes inter-service transfers to maintain unit fit and acuity match.

Cluster D

Perioperative

4 AOMs

OR utilization, block scheduling, and case sequencing optimizers.

OR Utilization Optimizer
+10–20% OR utilization

Optimizes block schedules against actual case mix and turnover.

Surgical Sequencer
−15% overtime

Sequences cases to minimize idle and overtime.

OR Block Allocator
+8% block utilization

Reallocates underused blocks to high-utilization surgeons.

Turnover-Time Reducer
−20% turnover time

Coordinates room turnover, sterile processing, and staffing for sub-target turn time.

Cluster E

Discharge & Transitions

4 AOMs

Transitions of care, post-acute routing, and readmission optimizers.

Transition Coordinator
−10% transition delays

Optimizes hand-offs across acute → post-acute settings.

Readmit Risk
−5–8% readmits

Scores readmit risk and triggers prevention pathways.

Skilled Nursing Routing
−2–4 days LOS

Routes patients to best-fit SNF based on outcomes and capacity.

Discharge Order Sequencer
+15% on-time discharges

Sequences orders, education, and ride coordination to align discharge ready-time.

Cluster F

Bed & Capacity

4 AOMs

Capacity forecasting, diversion reduction, and surge optimizers.

Bed Capacity Forecaster
−10% diversions

Forecasts bed demand by unit and triggers flex-up.

Diversion Reducer
−15% diversion hours

Optimizes admit/transfer decisions to keep ED open under volume spikes.

Surge Activation Optimizer
+1–2 hr lead time

Recommends timing of surge unit activation against forecasted census.

Cross-Unit Flex
+8% effective capacity

Identifies cross-unit flex beds and routes patients within nursing-skill bounds.

Cluster G

Staffing & Labor

4 AOMs

Staffing, float-pool, and labor-cost optimizers.

Staffing Allocator
−5–10% labor cost

Allocates nurses and techs against acuity and skills under labor budget.

Float Pool Optimizer
−10% agency spend

Allocates float pool across units by predicted gap.

Overtime Governor
−15–20% OT

Re-sequences shifts to suppress avoidable overtime under safety floor.

Skill-Mix Tuner
+3–5% productivity

Optimizes RN-to-tech ratio per unit/shift against acuity.

Cluster H

Pharmacy & Supplies

4 AOMs

Pharmacy substitution, supply stocking, and med-reconciliation optimizers.

Pharmacy Substitution
−5–8% pharmacy spend

Substitutes formulary against cost, availability, and clinical equivalence.

Supply Stocker
−8–15% supply waste

Stocks supplies by usage and lead time.

Specialty-Drug Authorizer
+10% on-time start

Sequences specialty-drug PA workflows by revenue and clinical urgency.

Med-Reconciliation Sequencer
−4% adverse drug events

Prioritizes med rec workload by readmit risk × med complexity.

Cluster I

Quality & Safety

4 AOMs

Quality flag closure, sepsis early-warning, and safety-event optimizers.

Quality Loop Closer
+5–10 pts measure scores

Routes quality flags into action against measure deadlines.

Sepsis Early Warning
−1–2 hr time-to-bundle

Streams vitals and labs to flag sepsis hours before threshold; routes orders.

Fall Risk Prioritizer
−15% fall events

Prioritizes fall-risk patients for hourly rounding and bed-alarm coverage.

Infection Cluster Detector
−10–20% HAI rate

Detects HAI clustering across units; flags isolation and source-investigation actions.

Cluster J

Population Health

4 AOMs

Cohort building, gap closure, and outreach optimizers.

Pop Health Cohort Builder
+15–25% cohort engagement

Builds cohorts and prioritizes outreach by ROI on intervention.

Care Gap Closer
+10–15% gap closure

Closes care gaps by sequencing outreach against likelihood-to-act.

Risk Stratifier
−8% high-cost admissions

Stratifies attributed lives by 12-month admission risk for proactive management.

Outreach Sequencer
+20% response rate

Picks channel, timing, and message per patient for highest engagement lift.

Cluster K

Ambulatory Operations

4 AOMs

Ambulatory throughput, provider productivity, and walk-in flow optimizers.

Ambulatory Throughput
+5–10% throughput

Optimizes ambulatory clinic flow against staff and rooms.

Provider Productivity Optimizer
+3–5% RVUs

Levels provider load via panel-density and visit-mix tuning.

Walk-In Demand Smoother
−20% peak-hour wait

Predicts walk-in surges and pre-stages staffing/rooms.

Ancillary-Test Scheduler
+15% same-visit completion

Co-schedules labs, imaging, and procedures to consolidate visits.

Cluster L

Authorization & Eligibility

4 AOMs

Authorization sequencing, eligibility, and pre-cert optimizers.

Authorization Sequencer
−20% auth-driven delays

Sequences authorizations by payer SLA and revenue at risk.

Eligibility Checker
−30% eligibility denials

Continuously re-verifies eligibility and flags coverage changes pre-service.

Pre-Cert Predictor
+15% on-time pre-cert

Predicts which orders will require pre-cert and queues them with full clinical packet.

Auth-Status Watcher
−25% pending-auth backlog

Monitors payer portals for status changes and routes follow-ups.

Cluster M

Coding & Documentation

4 AOMs

Coding completeness, DRG, and documentation-gap optimizers.

Coding Documentation Closer
+3–5% case mix index

Closes documentation gaps before claim submission.

DRG Optimizer
+1–3% DRG payment

Surfaces DRG opportunity in real time during the inpatient stay.

Documentation-Gap Detector
+15% query response rate

Flags missing specificity in clinical notes against coding rules.

Coder-Workload Allocator
−20% coding lag

Routes accounts to coders by complexity, payer, and dollar value.

Cluster N

Denials & Appeals

4 AOMs

Denial root-cause, appeal sequencing, and payer-specific optimizers.

Denial Root-Cause
−30–50% denials

Clusters denials by root cause and routes upstream fixes.

Appeal Prioritizer
+10–20% recovered $

Orders appeals by recovery probability × payer SLA expiry.

Denial Trend Detector
−15% repeat denials

Detects emerging denial patterns by payer/CPT and triggers preventive workflow change.

Payer-Specific Playbook
+5–10% appeal-win rate

Selects per-payer appeal templates and supporting evidence based on win rates.

Cluster O

Cash & Collections

4 AOMs

Cash posting, underpayment recovery, and self-pay optimizers.

Cash Posting Optimizer
−25% posting time

Auto-matches remits to claims under posting rules.

Underpayment Recoverer
+1–2% net revenue

Detects underpayments and queues recoveries.

Self-Pay Sequencer
+8% collection rate

Sequences self-pay outreach by likelihood-to-pay and propensity model.

Bad-Debt Predictor
−10% write-offs

Predicts bad-debt write-offs early and routes accounts to alternate channels.

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