Driving Standardization & Consistency Across UR & Care Management with Personalized Support & Dedicated Expertise 

As Executive Director of Care Management at West Tennessee Healthcare, Debbie Ashworth oversees Utilization Review (UR) and Case Management teams across multiple facilities. Debbie needed to ensure more consistency in these complex processes, reducing variability in the information sent to health plans. To address this, West Tennessee Healthcare partnered with Xsolis, implementing the AI-driven Dragonfly platform in July 2022. This has allowed Debbie’s team to standardize processes, eliminate variability, and arrive at the best decisions for patients more quickly and accurately. 
 
After three years of working with Xsolis, Debbie credits the close relationship with their dedicated Xsolis Account Team as key to the successful partnership between the two parties. Debbie notes that Xsolis provides a level of support unlike any other vendors, including onsite quarterly business reviews with their dedicated account team to review performance and identify opportunities. “Xsolis provides dedicated, personalized support that has been crucial to our successful adoption of Xsolis’ platform and services,” says Debbie. “They’re extremely responsive and closely partner with us on comprehensive education and support. They’re more than just a support team – they’re like family.”  

Streamlining Processes, Automating Workflows, & Strengthening Payer Alignment

With six facilities live on Xsolis’ AI-driven Dragonfly platform and one more joining by the end by 2026, West Tennessee Healthcare has fully embraced Xsolis’ efficiency-driving, time-saving, and outcome-improving suite of solutions. Since implementing Dragonfly Utilize in July 2022 to streamline UR and case management, West Tennessee has expanded the relationship. They now connect with payers on Dragonfly and use Precision UM with a national payer to automate inpatient determinations that have historically been agreed upon between the two parties. West Tennessee also leverages Xsolis’ Best in KLAS Physician Advisory Services to supplement their internal PA team.  

Since implementing Dragonfly Utilize in July 2022, Debbie’s team has streamlined their UR and case management workflows and eliminated variability in their processes, driving significant value.  

In addition to increasing staff efficiency, Dragonfly Utilize has significantly strengthened West Tennessee’s payer relationships. The natural next step was working with their payers to increase alignment and reduce subjectivity in concurrent authorization case reviews using Xsolis’ Care Level Score™ (CLS™). The CLS provides a numerical calculation that gauges the likelihood of appropriate patient status, which is powered by Xsolis’ real-time predictive analytics and machine learning. 

West Tennessee is connected with two large national payers through the Xsolis platform and uses Precision UM with one payer to accelerate accurate patient status determinations. “My team’s improved communication with payers has been transformative, enabling true collaboration where it didn’t exist before,” says Debbie. This payer connectivity has resulted in 1,306 hours of time savings from July 2023 to March 2025. The time savings and increased efficiencies have allowed the team to sharpen their focus on providing more personalized, high-quality patient care.