How Lab Intelligence Closes Care Gaps Before They Widen

By Tiffany Hall, RN
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Lab data flows through your health system every hour of every day, from inpatient units, ambulatory clinics, pre-surgical screenings, and reference labs. Most organizations lack the infrastructure to act on that stream the moment it matters.

So care gaps persist. Not because clinicians lack skill or dedication, but because the signal is buried under volume. A pre-surgical patient’s low hemoglobin. A diabetic patient overdue for screening. A redundant panel ordered three times in a week. Each of these lives inside a data set too large for any human team to monitor in real time.

By the time a gap surfaces through manual review, it has often already widened: the anemic patient reaches the OR untreated, the chronic condition escalates, the unnecessary test has already been billed and forgotten. In my conversations with health system leaders across patient blood management, anemia, women’s health, and lab stewardship programs, the same story repeats. Up to 30% of all lab tests and blood transfusions performed in the United States are considered unnecessary or avoidable. That represents billions of dollars in wasted resources and exposes patients to potential complications and delayed care. To solve it, healthcare leaders must shift from retrospective reporting to proactive diagnostic stewardship.

Key Takeaways

  • Up to 30% of lab tests and blood transfusions in the U.S. are unnecessary or avoidable
  • Diagnostic stewardship fails when guidelines cannot reach the clinician at the moment of the order, not because guidelines are missing
  • hc1 Clinical IQ™ applies patented, clinician-built AI across Anemia Management, Patient Blood Management, Women’s Health, and Lab Stewardship
  • Health systems using this approach have documented a 30% to 50% decrease in blood transfusions
  • Average annual savings of $500K to $2M through unnecessary test elimination

What Lab Intelligence Actually Does

The pattern is consistent: data exists, but no process connects it to action at the right moment. Clinical IQ closes that gap by ingesting EHR data, lab results, and full clinical history, then applying patented AI to interpret that information the way an expert clinician would, at machine scale and machine speed. Instead of waiting for a person to notice a risk, it continuously analyzes data, flags what matters, and triggers coordinated action inside workflows your teams already use.

That intelligence focuses on four areas where gaps most often hide.

Four Areas Where Care Gaps Hide

1. Anemia management for pre-surgical patients. Preoperative anemia is a common and preventable driver of poor surgical outcomes, raising infection risk, lengthening stays, and increasing transfusion rates. Identifying and treating these patients before surgery typically requires a time-intensive, multidisciplinary effort across the EHR, phone, and paperwork. Lab intelligence automates that entire pathway, identifying affected patients, prioritizing the most urgent cases, and initiating treatment coordination well before they reach the hospital door.

2. Maternal health and obstetric risk. Risk during pregnancy and the postpartum period, including hemorrhage, hypertensive disorders, and thromboembolic events, can escalate rapidly. Most care teams still rely on point-in-time assessments at scheduled visits. Lab intelligence screens patients for risk as soon as pregnancy is documented in the EHR, capturing signals from the first trimester and updating risk scores continuously against ACOG-defined thresholds. Every alert surfaces with ICD-10-coded recommendations and named guideline citations from ACOG Practice Bulletins and SABM anemia thresholds, so teams can act with confidence, not just awareness.

3. Lab test utilization. A significant share of lab orders are unnecessary, redundant, or outdated. Lab intelligence analyzes ordering patterns across providers, specialties, and locations to identify exactly where overutilization is happening and why, giving teams the visibility to eliminate waste without compromising tests that genuinely guide care.

4. Chronic condition screening. Chronic conditions demand ongoing monitoring, but screening gaps accumulate quietly when data sits in disparate systems. By cross-referencing lab values and clinical history, the Clinical IQ platform flags patients who are overdue, at risk, or trending toward complications, enabling proactive intervention rather than reactive response.

From Alert to Action

Most clinical decision support stops at the alert. Lab intelligence goes further. When a pre-surgical patient with untreated anemia is identified, it does not simply raise a flag. It initiates evidence-based treatment recommendations, supports care coordination and insurance authorization, and schedules follow-up labs post-optimization, all automatically, inside existing workflows. Clinicians stay in control of the decision. The platform absorbs the coordination work that causes gaps to widen.

Outcomes Across Deployments

Across health system deployments, Clinical IQ consistently delivers measurable results:

  • 40% improvement in care gap closure rates, moving overdue and at-risk patients back into active care
  • 30-50% decrease in unnecessary blood transfusions, reducing patient risk and pressure on a scarce resource
  • 70% reduction in inappropriate test ordering from baseline
  • $500K to $2M in annual test utilization savings per health system

These outcomes build on each other. Fewer unnecessary transfusions mean safer patients and lower acquisition costs. Fewer inappropriate tests mean faster, more accurate results and lower spend. Higher care gap closure means stronger quality scores and better patient outcomes.

Built Into Your EHR

Technology only delivers value if your teams use it. Clinical IQ integrates natively with Epic and athenahealth, with no new logins, no parallel systems, and no added clicks. Insights and automated actions appear where teams already work, keeping adoption high and reducing change management friction. Most health systems see measurable ROI within 90 days of go-live.

See Clinical IQ™ on your own data

Connect with our team to see where clinical waste is hiding across anemia, patient blood management, women’s health, and lab stewardship, and how much of it Clinical IQ™ can help you recover.

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Frequently asked questions

What EHR systems does Clinical IQ integrate with?
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Clinical IQ integrates natively with Epic and athenahealth, embedded in existing clinical workflows with no separate login or parallel system required for care teams.
How quickly can a health system expect measurable results?
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Most health systems see measurable ROI within 90 days of implementation, with care gap closure and test utilization improvements visible early in that window.
Where should a health system start?
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The best first step is a conversation with the hc1 team. We will assess your current Surgical DRG volumes, blood utilization patterns, and blood acquisition spend to establish a clear baseline. From there, hc1 identifies your specific savings opportunity and infusion margin potential, both driven by Clinical IQ.

Your lab data already reflects the health of your patients. The question is whether your organization is acting on it in time. Connect with our team to see how lab intelligence can close care gaps and unlock measurable savings for your health system.

Tiffany Hall is a nationally recognized leader in Patient Blood Management (PBM), bringing over 35 years of clinical nursing experience and deep expertise in anemia management and transfusion safety. As Clinical Technology Director and Product Owner for MyBloodHealth (MBH) and HERCARE, Tiffany leads the design and delivery of technology solutions that advance blood health and maternal care outcomes. Tiffany began her PBM career at Eastern Maine Medical Center and went on to serve as Clinical Director of PBM and Transfusion Safety Officer for a multi-hospital system in Florida. Since joining she has continued to shape innovative, system-wide PBM strategies grounded in clinical excellence and data-driven insights.