Prodigy Implementation
From EHR to registry-ready: Prodigy handles the case end to end.
Find your registry-eligible cases, prepare the clinical evidence, and pre-populate the data elements for clinical experts to validate. Here’s how it works and what it takes.
On this page
How it works
Prodigy does the legwork. Clinical experts make the call.
Every case moves through the same path, from your EHR data to a registry-ready record, with clinical experts validating before anything is submitted.
Connect
Direct EHR integration and FHIR-based interoperability securely bring in the clinical data needed for registry submission.
Find
MRO’s platform searches your patient population and identifies cases based on registry requirements.
Prepare
The clinical evidence needed to assess and abstract each case is assembled and presented.
Predict
Prodigy analyzes the clinical record, suggests registry answers, and provides supporting source documentation.
Validate
A Clinical Data Quality Specialist reviews and validates Prodigy’s suggestions in Q-Apps, ensuring each case is ready for submission to the registry.
What Prodigy sees: the only PHI sent to Prodigy is the case data required for abstraction — the same as happens today with manual abstraction.
Integration
Our standard integration lets Prodigy find your cases and assemble the data for automated abstraction.
Standard implementation connects in two ways, Direct EHR integration and FHIR-based interoperability. Together they give Prodigy access to everything an abstractor would have access to.
Direct EHR integration
Connects to an allowed set of data in your data warehouse, so MRO can search your patient population for registry-eligible cases, as defined by the registries, and present the clinical evidence.
FHIR-based interoperability
Retrieves clinical data for a specific patient and encounter through your EHR’s standard clinical data APIs, so each case arrives with the evidence behind it.
Together: Prodigy sees what an abstractor would see.
Automated case-finding & selection
Registry-eligible cases identified from your patient population, replacing manual processes that miss required cases and are time-consuming and costly.
Automated abstraction
Registry data elements predicted and pre-populated, with supporting source documentation.
Case follow-up support
Available where a registry requires it, such as oncology and some cardiovascular registries.
Clinical trial recruitment
The same connection supports finding, screening, and enrolling eligible patients for clinical trials.
Your registries
Cath PCI, STS-ACS, and oncology are live today. More are on the way.
One platform, continuously expanding. Here is where each service line stands and what the connection does for it.
Cardiology
Your EHR connection feeds case-finding and, for required registries, case follow-up. Prodigy pre-populates registry data elements with supporting source documentation for clinical experts to validate in Q-Apps.
● Available now
Cath PCI
Live
STS-ACS
Live
Case follow-up (required registries)
Live
● Coming soon
CPMI
Coming soon
Oncology
Your EHR connection supports case-finding and case follow-up, the work oncology registries depend on, with full abstraction automation on the way.
● Available now
Case-finding & follow-up
Live
● Coming soon
Full abstraction automation
Coming soon
Accuracy & security
Accuracy you can defend. Data you can protect.
Prodigy’s suggestions are protected by MRO’s robust Data Integrity System, and every one is validated by a clinical expert.
97%+
accuracy
60%
of data elements covered
1,200+
clinical experts, one of the industry’s largest workforces
11,000+
monthly quality-check hours
Every Prodigy suggestion shows the why beside the what
Clinical experts see three things together before they decide. Only suggestions rated High or Very High confidence are shown to them, and the expert accepts, modifies, or rejects each one.
A written explanation
Plain-language reasoning for the proposed value.
A confidence rating
A clear signal of how confident Prodigy is in the data element it provided.
The source excerpt
The exact chart documentation that supports the data element.
Data Integrity
How MRO’s Data Integrity System works
Quality is protected across the data lifecycle, not just at the end.
- Initial reviews. New clinical experts are reviewed by more experienced specialists until they consistently reach a 97%+ data element match, before they work independently. In oncology the bar is 95%+, which exceeds the industry standard.
- Event-based case reviews. Focused reviews and specific element reviews flagged for a second look. Fallout reviews are triggered when case elements fall outside accepted ranges, with near real-time exception reporting.
- Group case reviews. Cases are analyzed in aggregate with the Data Quality Report before submission.
- Ongoing reviews. Post-abstraction, algorithm-based sampling and risk-based reviews of critical elements, measured against a target data element match threshold.
- In-process checks. Real-time, in-application mistake-proofing built into the workflow.
The checks in use vary by registry. Your specialist will walk through the ones that apply to yours.
Data Protection
How your data is protected
Security review is built into implementation, with your security and privacy team involved from the start.
- Encrypted in transit and at rest. TLS 1.2 or higher in transit, AES-256 at rest.
- Independently audited. SOC 2 Type II audited and HIPAA compliant.
- Minimum necessary PHI. Only the case data required for abstraction is sent to Prodigy, the same as manual abstraction today.
- Read-only access. Your DBA creates a read-only service account and confirms the scope of data access.
What it takes
What we need from your team, and how it comes together.
Most of the integration work is configuration and validation, not custom development. Your team provides access, connectivity, and security review. MRO handles implementation, mapping, and deployment.
IT project contact
Serves as the primary point of contact, coordinates internal teams, manages dependencies, and helps remove roadblocks.
Database administrator
Creates the read-only service account, confirms the scope of data access, and sets the schedule for data extraction.
Network / firewall team
Configures connectivity, including network and endpoint access.
Security / privacy team
Conducts vendor review, evaluates security and privacy requirements, and approves purposeful use.
The path from kickoff to full rollout
PHASE 1
Discovery & scoping
Review what was contracted, including integration, technology and services.
PHASE 2
Connection setup
Direct EHR integration and FHIR-based interoperability established.
PHASE 3
Pilot cases
Live validation on a limited case set before full rollout, reviewed by registry experts throughout.
PHASE 4
Full rollout
Prodigy active across your full registry mix, with ongoing confidence-model calibration.
What clinical data does MRO retrieve?
Demographics
Patient identity, coverage, and provider information
Encounters and admissions
Visits, hospital admissions, and care episodes
Diagnoses and problems
Coded diagnoses and the problem list
Procedures
Orders, surgeries, and procedure history
Medications
Orders, administration, and dispense records
Lab and diagnostic results
Lab results, pathology, and imaging findings
Clinical notes and documents
Notes, discharge summaries, and generated records
Allergies and immunizations
Allergy and immunization history
Vital signs and assessments
Vital signs and structured clinical assessments
What you gain
Defensible data, submitted on time, with less manual effort.
MRO brings the technology, the clinical experts, and the quality controls, so submissions stay on time as your reporting demands grow.
Cases found, not chased
Finding registry-eligible cases usually means running reports, exporting data, and cleaning lists to be sure they contain what they should. MRO’s platform takes that work on.
Less abstraction effort per case
Prodigy covers 60% of data elements, pre-populating answers with supporting source documentation for clinical experts to validate.
Same high quality standards, new economics of abstraction
Every case is validated by a clinical expert, backed by 11,000+ hours of quality checks every month.
“MRO’s AI solutions, like Prodigy, yield not only pivotal time and cost savings but also better accuracy in case selection, where every patient counts.”
Danielle Stephen, MSN, CPHQ · Manager, Performance Improvement · Tampa General Hospital
Pricing
One solution, priced around your registry mix.
Collaborative Intelligence comes as a complete solution: AI-driven abstraction, submission, analytics, and clinical data experts, working together. Your specialist will build exact pricing around your registry mix and the integrations it requires.
Collaborative Intelligence
AI-Driven Abstraction + Submission + Analytics + Clinical Data Experts
Prodigy does the heavy lifting. Clinical experts apply the judgment. Together, that’s Collaborative Intelligence. Your implementation specialist will map exact pricing to your setup in one conversation.
Questions your IT and clinical teams will ask.
Ready to map this to your organization?
Talk to a Prodigy implementation specialist. They’ll walk you through the integration, timeline, and pricing structure in one conversation.