The IEP will reshape the way we care for patients across the community.
WHAT IS THE IEP?
WHY ARE WE CREATING IT?
How the IEP works
DATA IS FRAGMENTED
Community-based organizations, such as homeless shelters and food agencies, provide vital services that are distinct yet complementary to those from hospitals and clinics. Information about both a patient’s medical and social environment is critical to delivering necessary services and putting the patient at the center of their care. However, key data is fragmented and underutilized across these organizations. To effectively coordinate care across these sectors, providers on both sides need access to updated, relevant, and complete patient information.
DATA IS INTEGRATED
The Dallas IEP is an electronic platform that connects healthcare and community-based organizations, enabling secure seamless data integration across the organizations and safer care transitions for patients. The Pieces™ decision support system will operate on top of the IEP platform to sift through massive amounts of a patient’s social and medical data in real-time to determine the most relevant information that any medical or social provider would need to determine the best way to care for their patient or client.
DATA IS USED TO PREDICT
The Pieces™ intelligent analytics engine will run PCCI’s electronic predictive models to find, filter, extract, and utilize a patient’s relevant social and clinical data to predict whether a patient is at risk for an adverse event and to alert a care team. Care teams can then make informed decisions using that relevant data to mobilize targeted interventions around the patient to prevent the adverse events from happening.
DATA IS USED TO RECOMMEND
The Pieces™ system creates an Intelligent Continuity of Care Document (iCCD), a real-time, one-page, electronic summary of the patient’s most relevant social and clinical information, no matter how massive or complex. This summary is used to recommend actionable interventions that help any care provider deliver the best care to the patient.
Data Is Always Protected
The IEP will innovate on every front, including privacy and security. It will empower patients and families with the information they need to engage in their own care while protecting their data at every encounter. The patients will always be at the center of their care and in control of their data.
The IEP technologies will transform healthcare.
CARE COORDINATION BETWEEN SOCIAL SECTORS AND HEALTH SECTORSDifficult to coordinate care between the social sectors and health sectors.
SEAMLESS INTEGRATION ACROSS SOCIAL AND HEALTH SYSTEMSAn electronic platform that will exchange critical clinical and social data for more effective care coordination.
INFORMATION OVERLOADSifting through massive and complex patient records is time- and resource-intensive, hindering effective patient care.
SUCCINCT, RELEVANT SUMMARYPieces™ uses natural language processing (NLP) and advanced analytics to provide relevant, actionable data for use at the point of care.
PREVENTABLE ADVERSE EVENTSPreventing adverse events, such as diabetic complications and interrupted service enrollment requires adequate data and time.
PREDICTIVE ANALYTICSPieces™ runs analytics on social and health data to predict patient risk, alert providers, and recommend interventions.
INEFFECTIVE PROBLEM LISTSProblem lists are often long, redundant, inaccurate, and lacking in prioritization.
CURATED PROBLEM LISTSPieces™ uses NLP and advanced analytics to update and present a relevant problem list on the iCCD.
Stay informed on the IEP’s progress and how it can help your Organization or Community.YES, KEEP ME INFORMED
Our goal is that IEP technologies will impact thousands of lives and save millions of dollars in Dallas over the next 10 years.
The IEP will impact organizations and communities across the nation.
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The IEP will impact organizations and communities across the nation.
collaborators & supporters
“This project represents an important and innovative use of health information technology to create a system-wide impact on the community through vital exchange between healthcare and social service entities”
What Impact Will The Dallas IEP Have On The Community?
- The flexible platform will connect disparate sectors and systems to strengthen organizational partnerships and collaborations, creating a network of care around the patient
- A truly patient-centered approach provides people who need the most help with the help they need, when they need it
- The IEP will bolster the safety-net infrastructure to better provide wraparound services to the most vulnerable populations
- Our highly advanced analytics monitor risks and prevent them from happening, encouraging positive change and solutions for all community members
“[PCCI takes] a truly thoughtful, practical and innovative approach to solving some of the most important challenges that face patients with complex health and social issues and those who care for these patients”
What Impact Will The Dallas IEP Have On Community-Based Organizations?
- Up-to-date and relevant data provide a better understanding of needs in and across communities for caregivers to recommend and deliver actionable interventions
- New connections to available resources in the community that will address both medical and non-medical needs that your population faces
- The IEP facilitates more efficient and streamlined workflows, reducing hours spent on the phone and automating reporting requirements
- Intuitive and customizable interfaces are optimized to the diverse care providers in your organization
- Target precious resources to prevent adverse events among high-risk populations
- The IEP helps you to put your community members securely at the center of their care
“PCCI understands the unique chronic disease and care coordination challenges in our community, particularly among vulnerable populations, and has the clinical, data, and technical skills to solve these problems.”
What Impact Will The Dallas IEP Have On Healthcare Organizations?
- Access critical information about pertinent social determinants of health at the point of care to see the whole picture of the patient’s health environment
- Connect to available resources in the community that will address both medical and non-medical needs that your patient faces
- More efficient and streamlined workflows, reducing duplication of services and paperwork
- Intuitive and customizable interfaces are optimized for diverse care providers and settings
- Target precious resources to prevent adverse events among high-risk patients
- The IEP helps you to put your patients at the center of their care
Collaborators & Supporters
“[Pieces™]’s ability to function in real time and use natural language processing methods to distill complex patient data and reduce information overload could significantly increase quality of care while decreasing costs.”
Why Are Our Collaborators & Supporters Working With Us To Achieve The Dallas IEP Vision?
- The Dallas IEP applies innovative, novel approaches to enable effective, meaningful use of the most critical data
- Rigorous evaluation methods and comprehensive evaluation metrics will demonstrate impact on health outcomes, community benefits, and cost savings
- Aims to achieve 12:1 return on investment from cost savings and new dollars generated
- Real-time, accurate, relevant, and protected clinical and social information enables accurate and precise predictive analysis
“The IEP initiative takes a refreshingly integrated approach to addressing the social determinants of health by creating the necessary connections at the technical, workforce, and policy levels.”
How will the Dallas IEP positively impact healthcare safety and quality efforts nationally?
- Identifies proven approaches to improve quality and safety in healthcare nationwide through system-wide evaluations
- Evaluates innovative approaches to alleviate and bolster safety-net communities across the nation
- Provides community-based outcome measures to inform policy changes toward safer healthcare
- Generates new evidence in support of national efforts to develop HIT standards and the development of national HIE networks
“The pilot for the Information Exchange Portal (IEP) in Dallas will yield valuable experience and lessons for my own community, and a financial case for implementing similar efforts across the nation.”
How will the Dallas IEP innovate to solve challenges faced by U.S. cities nationwide?
- Approaches, models, and outcomes being developed in Dallas address challenges faced by cities across the nation
- Portable, flexible, and scalable technologies
- Establishes best practices model for safely and securely sharing the most necessary medical and social information to deliver the best care to communities
- Reduction in healthcare costs
Stay informed on the IEP’s progress and how it can help your Organization or CommunityYES, KEEP ME INFORMED
PCCI is a non-profit research and development corporation in Dallas, Texas that specializes in real-time predictive and surveillance analytics for healthcare.
THE PCCI MISSION
To help save a life.
To deploy predictive and surveillance solutions around the world that make healthcare safer, simpler, and less stressful.
“The W.W. Caruth, Jr. Foundation at Communities Foundation of Texas grant to build the IEP will have a far reach. It will be leveraged across all of the social service agencies in North Texas, likely making PCCI’s impact even greater than what we’re imagining today.”BRENT CHRISTOPHERPresident and CEO, Communities Foundation of Texas
We thank the W.W. Caruth, Jr. Foundation at Communities Foundation of Texas for their generous support of The Dallas IEPVISIT THE CARUTH FOUNDATION SITE
PCCI & The Information Exchange Portal (IEP)
Parkland Foundation, on behalf of PCCI and Parkland Health & Hospital System, has accepted two grants from the W.W. Caruth, Jr. Foundation at Communities Foundation of Texas that will enable PCCI to build the Dallas Information Exchange Portal.
The Parkland Information Exchange Portal: Feasibility Study and Design Plan
In 2010, the W.W. Caruth, Jr. Foundation at Communities Foundation of Texas awarded PCCI a visionary grant through Parkland Foundation to conduct a feasibility study and propose a design plan for an information exchange portal that would connect Parkland Health & Hospital System with social service organizations in Dallas in order to facilitate care transitions, improve disease management, and reduce readmissions for Parkland’s most vulnerable patients.
The Dallas Information Exchange Portal (IEP): Building an intelligent social-health information exchange to save lives.
In 2014, the W.W. Caruth, Jr. Foundation at Communities Foundation of Texas awarded PCCI a groundbreaking grant through Parkland Foundation that will enable PCCI to build and implement the Dallas Information Exchange Portal (IEP). The Dallas IEP, a novel, electronic, real-time integration platform, will leverage existing technologies, strengthen community partnerships, and engage with existing regional HIE efforts to connect community organizations not only to Parkland but also to healthcare providers across the Dallas-Fort Worth Metroplex.
The Dallas IEP will enable a two-way exchange of social and health information to facilitate care coordination, improve disease management, and reduce readmissions for the most vulnerable patients across the medical and social service sectors. Using advanced analytics, artificial intelligence, and natural language processing (NLP) in the Pieces™ software system, the Dallas IEP will utilize the combination of clinical and social variables to predict adverse events and help facilitate the delivery of targeted interventions.