Automated Patient Summary Generation and Eligibility Assessment

Industry

Healthcare (Mental Health Services)

Service

Healthcare Workflow Automation

Company Size & Location

Medium-sized organization, India

Our Client’s Vision

Technologies

React.js, Tailwind CSS, FastAPI, GPT-4 (via Azure OpenAI Service)

Integrations

Azure OpenAI (GPT-4), Azure DevOps

Team

3 - (Developers, Reviewer)

Timeline

2 - Week Engagement Project

Challenge

The organization receives a high volume of mental health referrals from multiple platforms, often in inconsistent or incomplete formats. Intake staff have to manually review and organize this data, which slows down patient onboarding and makes it hard to prioritize urgent cases. Without a clear overview of referral flow or processing performance, identifying delays or inefficiencies is difficult, impacting timely clinical decisions. Additionally, the manual process increases the risk of errors and duplicated work, creating frustration for staff and potentially delaying critical care. Monitoring metrics like turnaround time and referral quality is difficult, making it harder for the organization to improve how efficiently referrals are handled.

Cabot’s Solution

We automate the referral process, producing patient summaries and performing eligibility checks quickly and accurately. The system consolidates incoming referrals, reduces manual review, and ensures each case is prioritized appropriately, allowing staff to focus on patient care rather than administrative tasks.

Performance dashboards provide administrators with a clear view of referral quality, processing times, and overall workflow efficiency. By streamlining these processes, the system reduces errors, eliminates duplicated work, and ensures consistent evaluation of all referrals. This end-to-end automation improves onboarding speed, supports faster decision-making, and ultimately contributes to better patient outcomes.

Process

Cabot implemented the referral management system through a structured, step-by-step approach. Key steps included:

  • Planning & Preparation - Prepared the development environment and tools for automating referral processing.
  • Feature Development - Developed the AI engine to automatically extract patient information, generate clinical summaries, and assess eligibility and referral priority.
  • Interfaces & Dashboards - Built the user interface for staff to review referrals and created an admin dashboard to track key metrics such as processing times, referral quality, and workflow efficiency.
  • Deployment & Testing - Deployed the system to the development environment using Azure DevOps and validated functionality through iterative testing and feedback.

Key Features

  • Patient Summaries - Automatically extracts patient information from referral documents and generates a concise, standardized clinical summary for staff review.
  • Eligibility Checks - Evaluates referrals against predefined criteria to ensure only eligible cases proceed, reducing manual checks and errors.
  • Referral Prioritization - Prioritizes referrals based on urgency and completeness, allowing staff to focus on the most critical cases first.
  • Dashboard Insights - Provides real-time metrics on referral volume, quality, and turnaround times, helping administrators identify bottlenecks and optimize workflows.
  • Custom Rules & Compliance - Supports configurable referral rules and ensures the process meets organizational and regulatory standards.

Challenges Faced and Solutions Provided

Challenge: The referral process was largely manual and time-consuming, requiring staff to spend significant effort reviewing referrals, creating summaries, and assessing eligibility. This led to delays, inconsistencies, and made it difficult to track workflow efficiency.

Solution: The system automates patient summary generation, eligibility checks, and referral prioritization, reducing manual work and providing dashboards with real-time insights. This ensures faster, more consistent referrals and allows staff to focus on patient care.

Impact

Challenge: The referral process was largely manual and time-consuming, requiring staff to spend significant effort reviewing referrals, creating summaries, and assessing eligibility. This led to delays, inconsistencies, and made it difficult to track workflow efficiency.

Solution: The system automates patient summary generation, eligibility checks, and referral prioritization, reducing manual work and providing dashboards with real-time insights. This ensures faster, more consistent referrals and allows staff to focus on patient care.

Conclusion

By implementing an automated referral management system, Cabot successfully transformed a manual and fragmented workflow into a streamlined, efficient process. The solution reduced administrative effort, ensured consistent referral triage and eligibility assessment, and provided real-time insights through performance dashboards. Staff could focus more on patient care, while administrators gained actionable data to optimize operations and improve clinical decision-making.

This project highlights Cabot’s ability to deliver measurable improvements in efficiency, accuracy, and patient care through smart automation and tailored solutions. The success of this engagement demonstrates our commitment to building reliable, scalable systems that support both operational goals and better healthcare outcomes.

Contact Cabot today for a consultation!

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