North Kansas City Hospital eliminates 80 open roles and cuts check-in time 90% with Notable AI automation

North Kansas City Hospital (NKCH) and its subsidiary Meritas Health faced persistent staffing shortages, with 43–45 open job requisitions in early 2021. Resource limitations meant only 40% of patients could be pre-registered for scheduled appointments, leading to frequent claim denials and write-offs. Check-in was slow (~4 minutes per patient), MA intake was inefficient, and gaps in registration capabilities created excessive manual work for staff.

NKCH & MH partnered with Notable starting in 2021 with vaccine scheduling automation, then expanded platform-wide to Registration and Intake, Scheduling, Authorizations, Population Health, and the Assistant product. Patients complete pre-registration digitally before their visit, dramatically reducing in-clinic check-in time and serving as a built-in appointment reminder. The platform-wide deployment covers 550+ clinicians and 540,000 patients on a Cerner EHR integration.

Check-in time dropped from approximately 4 minutes to about 10 seconds — a 90%+ reduction. Pre-registration rates doubled from 40% to 80% of scheduled patients. According to MGMA staffing benchmarks, the automation replaced the need to hire 80 additional FTEs (roughly 10–15% of their administrative workforce). No-shows decreased by 34%, and 70% of staff said they would recommend Notable to a colleague at another organization.

• Platform-wide automation (registration, intake, scheduling, authorizations) compounds ROI far beyond any single workflow improvement.
• Digital pre-registration does double duty: it reduces in-clinic wait times and functions as an appointment reminder, directly cutting no-show rates.
• Workforce automation can absorb the equivalent of 10–15% of an administrative headcount without sacrificing patient or staff satisfaction.