Persivia, a leading population health vendor, offers an innovative approach for SDOH Data integration into value-based care models. Persivia CareSpace® platform enables healthcare organizations to collect, analyze, and leverage SDOH data to deliver personalized and equitable care. Here are some key features and benefits of using Persivia’s technology.

Data Collection and Aggregation

Persivia’s platform facilitates the seamless collection and aggregation of SDOH data from various sources, including electronic health records (EHRs), patient surveys, community databases, and public health records. By consolidating data from disparate sources, healthcare organizations can gain a comprehensive understanding of patients’ social determinants and identify areas requiring intervention.

AI, Advanced Analytics and Risk Stratification

Persivia employs advanced analytics to identify patterns and correlations within SDOH data integration. By applying machine learning algorithms, the platform can stratify patients based on their risk profiles, allowing healthcare providers to target interventions towards those who are most vulnerable and require immediate attention. This approach helps allocate resources efficiently and improve health outcomes.

Care Management and Coordination

CareSpace® enables care teams to develop personalized care plans based on SDOH data. Healthcare providers can track and monitor patients’ social needs, set goals, and coordinate interventions. This comprehensive approach ensures that patients receive holistic care that addresses both medical and social factors contributing to their health.

Alerts and Interventions

The platform provides real-time alerts to care teams when a patient’s SDOH data indicates a potential risk or need for intervention. For instance, if a patient’s housing status changes or their access to transportation becomes limited, the care team is promptly notified, allowing them to take proactive steps to mitigate adverse health effects. These alerts improve care coordination and enhance patient safety.

Outcomes Measurement and Reporting

Persivia’s technology offers robust reporting capabilities that allow healthcare organizations to track the impact of interventions on patient outcomes. By measuring and analyzing the effectiveness of interventions addressing social determinants, providers can continuously improve care delivery, refine care plans, and demonstrate the value of their initiatives to stakeholders.

As the industry continues to prioritize health equity, technology can play a vital role in achieving better patient outcomes and improving overall population health. Persivia CareSpace® is proudly taking the lead.

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