Neighbor Health, largest FQHC in MA, closes care gaps and drives efficiencies with Chart Assist

Neighbor Health is the largest Federally Qualified Health Center (FQHC) in Massachusetts, committed to providing continuous, integrated care. Neighbor Health operates 24/7, 7 days a week, to provide various outpatient care services. The health center partnered with Avo to integrate its Pre-Charting Assist into its Epic instance to help clinicians improve care quality, while also saving them time.

Avo's Pre-Charting Assist pulls in patient data to prepare the clinician for the patient's visit, highlighting care gaps, aligning to appropriate diagnoses and coding, and suggesting next steps. Some of the results Neighbor Health experienced (based on a survey of its clinicians) shortly after implementation include:

• Closing Care Gaps & Improved Quality:
  
  • 73% of clinicians identified information they might have otherwise missed, like care gaps
  • 79% of clinicians agreed Pre-Charting Assist improves the quality of care they provide

• Efficiency Gains:
  
  • 78% of clinicians have become more efficient thanks to Pre-Charting Assist‍
  • "Avo has improved my overall work life balance and happiness in my job significantly,” said Arianna Parent, PA, Neighbor Health

• Clinical Engagement:
  
  • 85% of clinicians would recommend the tool to a colleague or peer in healthcare

AI-powered clinical summarization tools are quickly gaining traction amongst healthcare providers, driving significant efficiencies in chart review workflows. As clinician burnout and documentation demands persist, a wave of vendors are introducing solutions that generate concise summaries from electronic health records (EHRs). However, for FQHCs, automating chart summaries isn’t sufficient for the volume and complexity of work demanded of them.

"Pre-Charting Assist is most helpful with identifying care gaps - things patient may not bring up in visit but that need to be addressed. I also appreciate the citations for recommendations for chronic conditions," said Pamela Gudino, NP at Neighbor Health.

To drive real impact, these tools need functionality that extends beyond summarization, as chart synthesis is only one subcomponent of a multitude of clinical workflows. The true opportunity is to pair synthesis with decision support: identifying the next best actions, closing care gaps, and reducing missed documentation, all while maintaining safety and clinician trust. When done well, comprehensive chart assistance becomes a lever for both clinical outcomes and operational outcomes, improving quality measures and supporting accurate risk capture and case mix index.

"Pre-Charting Assist is a great tool, and a huge help for reviewing unfamiliar or complex patients for hospital follow ups or physicals. Unlike other AI tools, I have not yet seen issues with hallucination. Almost every time I use it, the Avo copilot helps me identify a care gap," said Andrew Olsen, PA at Neighbor Health.

Avo’s Chart Assist was built to address this opportunity. It runs on Avo’s proprietary no-code platform, enabling rapid development of configurable workflows directly within the EHR. Instead of hard-coded point solutions, Avo provides scalable infrastructure to orchestrate diverse clinical workflows (pre-rounding, admissions, discharge, ED, nursing, outpatient) using configurable logic, structured data integration, and safety-first design. FQHCs can tailor Chart Assist to their exact workflows in weeks, not months, without rebuilding core functionality from scratch.