Close Care Gaps with
Confidence
AI-powered, FHIR-native care gap detection and summarization integrated with Epic & Cerner EMRs. Improve patient outcomes, enhance quality scores, and reduce administrative burden with intelligent care gap management.
EXF Care Gaps Solution
The EXF Care Gaps solution, part of the EXF Health platform and powered by the EXF FHIR interoperability engine, enables providers, payers, and healthcare administrators to identify, track, and close care gaps with precision. Leveraging seamless EMR/EHR integration and advanced analytics, EXF Care Gaps empowers organizations to improve patient outcomes, enhance compliance with quality programs, and reduce administrative burden.
Intelligent Care Gap Management
Comprehensive Care Management
From population health insights to individual patient care plans, EXF Care Gaps provides the tools needed for proactive healthcare delivery.
Key Features
Comprehensive care gap management powered by AI and integrated with leading EMR systems
Epic & Cerner EMR Integration
Direct integration with Epic and Cerner using FHIR APIs ensures real-time access to patient and population health data.
Cohort & Measure Selection
Define patient cohorts, select HEDIS or CMS quality measures, and choose measurement periods to generate actionable reports.
FHIR MeasureReports
Compute FHIR MeasureReports at population and individual levels to identify gaps in screenings and preventive care.
AI-Powered Summarization
Generate natural language summaries of patient care gaps with provider-friendly narratives and CDS Hooks integration.
Population & Patient Analysis
Run population-level gap analyses and drill down into individual patient records for comprehensive care management.
FHIR-Native Architecture
Built on HL7 FHIR R4/R5 and aligned with US Core, HEDIS, and CMS Quality Measures for regulatory compliance.
Use Cases
Real-world applications of EXF Care Gaps across healthcare organizations
Population Health Management
Run population-level gap analyses to assess quality performance across provider networks and identify improvement opportunities.
Patient-Centric Gap Analysis
Drill down into individual patient records, identify missed screenings or follow-ups, and act at the point of care.
Quality Measure Compliance
Track and improve compliance with HEDIS, CMS, and payer quality programs, boosting incentive reimbursements.
AI-Assisted Care Planning
Receive AI-generated summaries with actionable insights to close gaps faster and support shared decision-making.
CDS Integration
Embedded into Epic and Cerner via CDS Hooks, providing real-time recommendations within existing workflows.
Benefits
Transform your care delivery with measurable improvements across key metrics
Improved Quality Scores
Enhance value-based care performance and quality metrics
Better Patient Outcomes
Proactive gap closure leads to improved patient health
Reduced Administrative Burden
Minimize time spent on manual chart reviews and reporting
Standards Compliance
Ensure compliance with CMS, NCQA, and payer programs
Seamless EHR Integration
Works within existing Epic and Cerner workflows
Ready to Close Care Gaps?
Connect with our team to explore how EXF Care Gaps can transform your care delivery, improve patient outcomes, and enhance your quality scores.
Pilot Program Available: Join our early access program to experience EXF Care Gaps with your Epic or Cerner environment. Limited spots available.