# How did Castell cut chart review time with AI automation?

> Castell, Intermountain's value-based care company, uses Notable automation to review charts for care-gap closure opportunities. Notable reports average daily chart time falling from four hours to one hour and 1.68 minutes saved per chart.

- **Evidence grade:** B — Named organization with a quantified outcome, from the vendor or the organization's own announcement.
- **Organization:** Castell (Intermountain Health) (value-based care services company)
- **Industry:** Hospitals & Health Systems — Value-based care
- **Roles:** Clinicians & Clinical Ops
- **Tools:** Intelligent Population Health (Notable)
- **Status:** production · **Agent pattern:** workflow-agent · **Autonomy:** 2/4
- **Last verified:** 2026-10-17

## Reported outcomes
- daily chart time: from four hours to one hour [1] (self-reported)
- time saved per chart: 1.68 minutes [1] (self-reported)

## How it works
1. Automation pre-reviews charts and flags care gap closure opportunities.
2. Staff review the flagged items.

## Risks & compliance
- Automation writes into the EHR; errors propagate to registration and billing
- PHI handling (HIPAA)
- Vendor-published results; not independently audited

## Sources
1. Notable, "Castell reduces average daily chart time from four hours to one hour" (undated; accessed 2026-10-17) <https://www.notablehealth.com/customer-stories/castell-reduces-average-daily-chart-time-from-four-hours-to-one-hour>
   > "How the value-based care health services company is using intelligent automation to review charts and identify opportunities for care gap closure."

Canonical: https://agentcasefile.com/cases/castell-notable-chart-review-care-gaps/ · License: CC BY 4.0 (summary) · Source: Agent Casefile