Overview:  The NVN AI QA is a real-time clinical assistant within HospiceWorks designed to ensure your documentation is accurate, compliant, and supportive of hospice eligibility. It proactively identifies clinical trends, flags documentation gaps, and generates a comprehensive narrative summary to save you significant time at the end of each visit.

1. How to Run the AI QA Review

Before running the review, ensure you have entered the primary data for your visit (Vitals, Pain, Assessments, etc.).

  1. Locate the AI QA Review panel on the right side of your Nursing Visit Note screen.

  2. Click the New document review button.

  3. The system will analyze your current entries against baseline data from the patient's previous visits.

  4. Wait 45–60 seconds for the comprehensive clinical review to complete.


IMPORTANT ITEM: You must use the Firefox browser for this feature, we are currently experiencing issues with Chrome and Safari browsers. 

2. Understanding the Results

Once the review is finished, the results are organized into four key areas:

A. Compliance & Guidance  

  • Compliance Score: You will receive a score from 1 to 10 based on the documentation's integrity.

  • Required Corrections: The system flags Critical and High priority items. For example, it will alert you to:

    • Inconsistent or abnormal vital signs (e.g., high BP, fever, or low O2 saturation).

    • Mismatches between clinical findings and documented interventions.

    • Missing details required for survey readiness.

B. 48-Hour Follow-up

The AI automatically checks for symptoms that necessitate a follow-up visit within 48 hours. It will flag a "Yes" if it detects issues such as:

  • Respiratory distress/changes.

  • Uncontrolled pain.

  • New or worsening fever.

C. Care Plan Review

The system reviews outcomes for specific care plans (e.g., Cardiovascular, Pain/Comfort, Elimination) and provides a Reviewer Visit Note summary to guide your focus for the next scheduled visit.

3. Generating the Documentation Summary

The Draft Summary feature converts your structured data into a CMS-compliant narrative.

  1. Select the Draft Summary tab in the AI QA panel.

  2. Review the generated sections, which include:

    • Visit Context: Timing, location, and encounter type.

    • Clinical Findings: Trends in weight, vitals, and physical symptoms compared to baseline.

    • Functional Status: Changes in ADLs or mobility.

    • Interventions & Med Review: Narrative of care provided and medication changes.

    • Plan for Follow-up: Scheduled tasks and focus areas for the next visit.

  3. Check the boxes for the sections you want to include in your final note.

  4. Click Insert Into Summary.

4. Finalizing and Editing

After clicking "Insert Into Summary," the narrative text will populate the Documentation Summary field at the bottom of the visit note.

  • Review and Edit: This is a draft. You must review the text for accuracy.

  • AI Speech Recognition: To save further time, you can use the microphone icon in the bottom right of the summary field to dictate any additional notes or edits.

  • Address Flags: Ensure you have corrected any "Critical" errors identified in the Guidance tab before signing the note.

Pro Tip: Running the AI QA review before you leave the patient's home allows you to catch and correct vital sign errors or missing assessment data in real-time, preventing "charting from home" late at night.