Population Health Intelligence

AI-powered analytics and intervention planning for population management

Risk Stratification Dashboard

Network: All Facilities
Time Period: Last 30 Days
Total Population

246,872

+2.3%
High Risk

18,426

+5.7%
Moderate Risk

42,158

+1.2%
Low Risk

186,288

+1.9%

AI-Generated Insight

The high-risk population has increased by 5.7% over the last 30 days, primarily driven by a 12.3% increase in uncontrolled diabetic patients. Consider targeted intervention for this group to prevent complications.

Risk Distribution by Age Group

0-17 18-44 45-64 65-74 75+

Predictive Risk Trajectory (Next 90 Days)

Today 30 Days 60 Days 90 Days

Outbreak Detection & Infectious Disease Monitoring

No active outbreaks detected
Influenza Activity Moderate

3.8%

positivity rate
Regional Comparison +1.2% above average
COVID-19 Activity Low

1.2%

positivity rate
Regional Comparison -0.3% below average
RSV Activity High

6.4%

positivity rate
Regional Comparison +2.8% above average

AI Predictive Alert

The AI model predicts a 78% probability of RSV outbreak escalation in the North County region within the next 14 days based on current transmission patterns and historical data.

Geographic Disease Distribution
Low
Moderate
High
Disease Prevalence Low Moderate High Geographic Disease Distribution

Intervention Impact Simulator

Intervention Parameters

Low High
%
$842,500 total
$1,250 per patient

Let AI optimize parameters based on your population and budget constraints.

Projected Outcomes

Hospital Admissions
-24% reduction
132 fewer admissions
ED Visits
-18% reduction
256 fewer visits
Total Savings
$1.64M
ROI: 1.95x
Projected Outcome Trajectories
Baseline
With Intervention

AI Recommendation

Increasing program participation from 65% to 80% would improve ROI to 2.4x with minimal additional cost. Consider adding incentives to boost enrollment.

Care Gap Analyzer

Top Care Gaps by Impact Updated 2 hours ago
Diabetes: A1C Testing High Impact

3,428 patients overdue > 6 months

Hypertension: Annual Follow-up Medium Impact

2,156 patients overdue > 3 months

Colorectal Cancer Screening Medium Impact

1,845 patients never screened (50-75 age)

Social Determinants of Health

SDOH Factor Distribution

Food Insecurity 18.3%
Transportation Barriers 22.7%
Housing Instability 12.5%
Health Literacy Challenges 34.2%
Financial Resource Strain 28.9%

AI-Detected Association

Transportation barriers strongly correlate with missed appointments (3.4x higher rate) and delayed medication refills (2.8x higher rate) in your diabetic population.

Resource Allocation Optimizer

Current Resource Distribution

$14.2M
Chronic Care (45%)
Preventive (25%)
Acute Care (20%)
Community (10%)

AI-Recommended Optimization

$14.2M
Chronic Care (35%)
Preventive (35%)
Acute Care (15%)
Community (15%)

Projected Impact of Optimization

Preventable Admissions
-12.4%
Quality Measure Performance
+8.7%
Total Cost of Care
-5.2%

The AI model suggests reallocating 10% of resources from acute/chronic care to preventive and community-based services would yield significant improvements in clinical and financial outcomes.