Featured Blog Archives – Page 2 of 7 – PCCI

11 March 2020

Book Excerpt: ‘Building Connected Communities of Care’ Six Tracks Needed for a Connected Community




In a new book, “Building Connected Communities of Care,” published by PCCI, the authors Keith Kosel, PhD, and Steve Miff, PhD, created a playbook that offers a step-by-step program for coordinating medical and community-based resources to change how, where and when healthcare is delivered.

The book is a practical, how-to guide for health systems, payers, communities, philanthropic agencies, foundations, and policymakers desiring to streamline coordination and assistance efforts between medical and social services to reduce costs and improve the health, safety, and well-being of a community’s most vulnerable residents, especially those with chronic diseases and complex social needs.

The book is informed by PCCI’s experience building one of the first Connected Communities of Care in the nation, which was not an overnight proposition. The PCCI experience in Dallas highlighted that dedicated time, clear process, allocated resources and extreme collaboration were all needed  to align diverse and essential stakeholder groups. The playbook organizes activities needed  to build a Connected Community of Care into six specific tracks – all of which must be addressed, and all of which are vital for lasting success.  Following is an excerpt from the book:


Chapter 1, page 3:

The Six Tracks for CCC Implementation  

The figure (left) illustrates the six tracks of activity needed to create a Connected Community of Care (CCC). Development activities begin in the center to develop governance models, procedures and legal policies that reflect the values of the key stakeholders and the specific goals of the CCC.   Each additional Track has defined activities – activities within a Track build as a program moves from planning, to initial launch, to on-going sustainability;

 

PCCI’s Connected Communities of Care Model 

 

While PCCI recommends that CCC leaders pursue the Tracks in the following general order, much of the work in various Tracks can (and should) be performed in parallel with work in other Tracks.

PCCI recommends that the CCC leaders assign a designated Track lead for each specific Track. The work in the six CCC Tracks will also require input from additional stakeholders specific to the implementation of that particular Track. The six Playbook Tracks are:

  1. Governance Track. A CCC’s governance structure relies on a collective decision-making model rather than on leadership by a specific individual or organization. This Playbook assumes that a few key community organizations have already formed an initial steering group to make the significant decision to undertake the CCC initiative. It is critical, at least initially, for an empowered, established group of decision-makers to provide leadership through a “readiness assessment” process and during the initial CCC design stages. The “readiness assessment” comprises a set of activities designed to collectively uncover a community’s clinical and social needs and level of preparedness and commitment to hosting a CCC.
  2. Legal/Policy Track. Communities should identify considerations related to contracts, policies, and procedures to provide an overall CCC legal and policy framework for Governance and as part of the development of each Track. The construct of a legal framework requires a review of applicable federal, state, and local law, along with requirements imposed by Funders, Sponsors, and clinical and community Partners. As these requirements and considerations are tightly integrated with the business requirements, PCCI has incorporated some of the Legal/Policy considerations within each respective Track. The CCC’s Legal /Policy Track lead and CCC legal counsel should review all relevant key documents in all Tracks to ensure compliance. To streamline CCC preparation and implementation, PCCI recommends that CCC legal counsel leverage Participants’ existing legal structures, policies, processes, and agreements, where possible.
  3. Technology Platform Track. The Governance Track provides a framework for strategic assessment of CCC technology needs, ranging from required features to market analysis. The Technology Platform Track builds off that strategy and explores in depth the nuances and critical activities necessary to ensure successful deployment of the CCC’s backbone – the data-sharing platform. The technology infrastructure creates an integrated electronic platform to exchange clinical and social information securely between health organizations (i.e., hospitals, clinics) and CBOs (e.g., homeless shelters, food pantries) that are part of the CCC network. Construction of the platform should facilitate future data and external solution integration and provide an information exchange platform on which to customize additional case-management functionalities to meet the CCC users’ service-coordination requirements.
  4. Clinical Providers Track. Although clinical CCC workflows vary across selected clinical sites, the workflows need to converge on the CCC’s common goals. The Clinical Provider Track lead should contemplate the key factors and related nuances in establishing the clinical CCC consortium, including but not limited to the following: executive sponsorship; clear definition of roles and responsibilities; handling of clinical information; the compliance framework; and integration of the new workflows resulting from this work.
  5. Community Partners Track. Community workflows also require consideration of a unique set of circumstances, relationships, and nuances. Even more so than the clinical-provider workflows, community workflows vary widely across CBOs, but ultimately must align to support the global CCC goals. Leadership, staffing, and management models may vary from those of the clinical Partners, thus requiring dedicated, deep expertise from the Community Partners Track lead working to engage CBO Partners.
  6. Program Sustainability Track. Stakeholder and Participant support and revenue generation are two of the most important factors contributing to CCC sustainability. The CCC can garner that support through defining and demonstrating its value in providing better services and outcomes and in creating a vehicle for research and innovation benefiting the entire community. Significant funding may be required to design, build, implement, and sustain your local CCC. Unlike hospital quality-improvement programs that are expected to be deployed and to generate results within annual budgets, CCC deployments require several years to reach scale and maturity in order to produce meaningful Return on Investment (ROI) and Social Return on Investment (SROI) results.

For more information about “Building Connected Communities of Care,” or to get your copy today , go to HIMSS Publishing or Amazon.com.

About the authors

Dr. Keith Kosel is a Vice President, Enterprise Relations at PCCI.

Dr. Steve Miff is the President and CEO of PCCI.

 

10 March 2020

In the News: PCCI Writes the Book on Healthcare and Community Collaboration




Dallas’ leading media outlet for technology innovation, Dallas Innovates, has covered the release of PCCI’s new book “Building Communities of Care.” Click on the link below to see the whole story:

https://dallasinnovates.com/parklands-innovation-center-has-a-new-playbook-for-healthcare-and-community-collaboration/

 

9 March 2020

PCCI’s New Book Shows How To Connect Community, Medical Resources to Improve Healthcare




DALLAS – Parkland Center for Clinical Innovation (PCCI), which improves healthcare for vulnerable populations using advanced data science and clinical experts, released a new book, “Building Connected Communities of Care: The Playbook for Streamlining Effective Coordination Between Medical and Community-Based Organizations.” This is a playbook that offers a step-by-step program for coordinating medical and community-based resources to change how, where and when healthcare is delivered.

“Building Connected Communities of Care” serves as a practical, how-to guide for health systems, payers, communities, philanthropic agencies, foundations, and federal and local policymakers desiring to streamline coordination and assistance efforts between medical and social services to reduce costs and improve the health, safety, and well-being of a community’s most vulnerable residents, especially those  with chronic diseases and complex social needs.

“The Building Connected Communities of Care playbook is one of the first step-by-step guides that provides specific details and steps to start taking action. The mix of lessons, practice pointers and case studies make the insights useful for communities of all shapes and sizes.”

– Elena Marks, President, Episcopal Health Foundation

“Building Connected Communities of Care” authors, Steve Miff, PhD, PCCI’s President and CEO and Keith Kosel, PhD, PCCI’s Vice President Enterprise Relationships, each have long careers leveraging advanced data science, clinical expertise and social determinants of health insights to better support population health and at-risk groups.

Much of the authors’ insights are based on their experience in Dallas, Texas, one of the first metropolitan regions to develop a comprehensive foundation for partnership between a community’s healthcare and social sectors using web-based information exchange.

“This book is a must-have for anyone seeking expert insights about how to maximize the possibilities of social determinants of health,” said Dr. Miff. “To help change healthcare from the costly, resource intensive system we have today, we need to understand that health begins where we work, live, learn, play and pray. By moving our focus upstream, it will make a significant impact on the resources and costs we experience in our current healthcare system. This book can help just about any community build a foundation for creating successful communities of care.”

The book is endorsed by Elena Marks, President, Episcopal Health Foundation; Richard (Dick) Daniels, CIO, Kaiser Permanente; and David Nash, MD, Founding Dean Emeritus at Jefferson College of Population Health, who wrote the book’s Call To Action. The book’s forward is contributed by David J. Scullin, President and CEO of the Communities Foundation of Texas.

PCCI’S “Building Connected Communities of Care” is on sale now at HIMSS Publishing and on Amazon, and is available in hardback, paperback and electronic editions.

About Parkland Center for Clinical Innovation

Parkland Center for Clinical Innovation (PCCI) is an independent, not-for-profit, healthcare intelligence organization affiliated with Parkland Health & Hospital System. PCCI leverages clinical expertise, data science and social determinants of health to address the needs of vulnerable populations. We believe that data, done right, has the power to galvanize communities, inform leaders, and empower people.

 

###

25 February 2020

HIMSS20: PCCI experts to launch book, deliver program presentations




The experts at Parkland Center for Clinical Innovation (PCCI) will be out in force at the HIMSS20 Convention in Orlando in March. At the event, PCCI will launch its new book, “Building Connected Communities of Care,” which is currently available in pre-sale. There will be several events where show attendees can meet with the authors and learn more about the book. These events include  book signings and presentations (see below).

Additionally, PCCI experts will deliver presentations on their cutting-edge programs at HIMSS20. See below for all of the PCCI activities.

If you are attending HIMSS20 and would like to meet with PCCI’s experts, please contact us HERE.

 

  • Author Meet & Greet, Book Signing
    • CEO Steve Miff and VP Keith Kosel (book authors)
    • Tuesday, March 10, 10:30 a.m. to 11 a.m.
    • Orlando – Orange County Convention Center, Level 2 – Lobby B

 

 

  • Building Connected Communities of Care Book Release Reception
    • Tuesday, March 10, 3-4 p.m.
    • Exhibit Floor, Hall B, Booth #2731 (Healthbox)
  • Author Meet & Greet, Book Signing
    • CEO Steve Miff and VP Keith Kosel (book authors)
    • Wednesday, March 11, 9:30 a.m. to 10 a.m.
    • Orlando – Orange County Convention Center, Level 2 – Lobby B

 

 

 

21 February 2020

PCCI Experts Share How Predictive Models Help Improve Healthcare at UT Dallas




In mid-February, the University of Texas at Dallas’s Computer Science Department hosted presentations by PCCI experts Akshay Arora and Priyanka Kharat at their weekly Community Outreach program. The presentations were delivered to UT-Dallas students, clinicians, health data scientists and technology officers from different companies interested in PCCI’s predictive models and healthcare research.

Priyanka presented “Harnessing Healthcare Data using AI/ML”; and Akshay presented on “Using Natural Language Processing in Clinical Applications.”

The audience was engaged and asked insightful questions about Sepsis prediction and post model deployment feedback from clinicians noted in Priyanka’s presentation. The design of PCCI’s cloud platform (Isthmus) and the way the company created a healthcare domain specific platform for machine learning was very well received.

During Akshay’s presentation, he discussed how PCCI leveraged clinical NLP for understanding the VTE prophylaxis and SDOH to understand our patient cohorts.  The audience was particularly inquisitive about the extension and the generalization of PCCI’s clinical NLP models for multiple hospitals.

17 February 2020

PCCI News: Parkland Center for Clinical Innovation’s New Book, ‘Building Connected Communities of Care,’ a Critical Tool to Improve HealthCare




DALLAS – Parkland Center for Clinical Innovation (PCCI), which improves healthcare for vulnerable populations using advanced data science and clinical experts, is releasing “Building Connected Communities of Care: The Playbook for Streamlining Effective Coordination Between Medical and Community-Based Organizations” a new book available starting March 9.

The book is a practical, how-to guide for health systems, payers, communities, philanthropic agencies, foundations, and federal and local policymakers desiring to streamline coordination and assistance efforts between medical and social services to reduce costs and improve the health, safety, and well-being of a community’s most vulnerable residents, especially those  with chronic diseases and complex social needs.

 

“This playbook candidly articulates how to build a connected community and shares practical lessons learned.”

– Richard (Dick) Daniels, CIO Kaiser Permanente

 

The PCCI book authors, Dr. Steve Miff, President and CEO and Dr. Keith Kosel, Vice President Enterprise Relationships, each have long careers leveraging advanced data science, clinical expertise, and social determinants of health insights to better support population health and at-risk populations.

In this book, the authors propose a novel approach to the coordination of medicine and social services through the use of people, process, and technology, to promote true cross-sector patient and client engagement.

“Building Connected Communities of Care” is based on the experience of Dallas, Texas, which was one of the first metropolitan regions to develop at scale a comprehensive foundation for partnership between a community’s clinical and social sectors using web-based information exchange. In the five years since the initial launch, the authors with their teams and partners have been able to provide digital connection, communication, and coordination between healthcare providers and a wide array of community-based social service organizations.

“As an organization, PCCI is dedicated to helping pioneer new ways to health by creating and deploying frameworks to bring community and healthcare organization together to personalize and move interventions upstream,” said Dr. Miff. “This book shares our experiences, insights and recommendations in creating connected communities of care that can help change how we approach healthcare and drive collective impact.”

PCCI’S “Building Connected Communities of Care” can be reserved now in pre-release at HIMSS Publishing and on Amazon. The book will be available in hardback, softback and electronic editions at release on March 9.

PCCI will hold several book-release events at the healthcare technology conference, HIMSS20, in Orlando, Fla., including:

 

  • Author Meet & Greet, Book Signing
    • Tuesday, March 10, 10:30 a.m. to 11 a.m.
    • Orlando – Orange County Convention Center, Level 2 – Lobby B

 

 

  • Author Meet & Greet, Book Signing
    • Wednesday, March 11, 9:30 a.m. to 10 a.m.
    • Orlando – Orange County Convention Center, Level 2 – Lobby B

About Parkland Center for Clinical Innovation

Parkland Center for Clinical Innovation (PCCI) is an independent, not-for-profit, healthcare intelligence organization affiliated with Parkland Health & Hospital System. PCCI leverages clinical expertise, data science and social determinants of health to address the needs of vulnerable populations. We believe that data, done right, has the power to galvanize communities, inform leaders, and empower people.

 

###

12 February 2020

PCCI’s Expert Leadership Leveraging Social Determinants of Health




PCCI is a leader in researching, understanding and implementing social determinants of health (SDOH) programs that have taken a theory into practice, helping save lives, improving care and reducing costs. PCCI leverages data science and social determinants of health to better support under-served populations across our communities, and shows how this is possible with a number of successful programs. 

These are outlined in a groundbreaking series of blog posts showing how SDOH can go from a simple buzzword to a way to help change the way healthcare is delivered.

Please click on the links below to see PCCI’s expert perspectives on SDOH:

THE FUTURE OF SDOH: THE POWER OF PERSONAL DETERMINANTS OF HEALTH

By Vikas Chowdhry, MS, MBA, is PCCI’s Chief Analytics and Information Officer

SDOH: BETTER MANAGEMENT OF HIGH UTILIZERS AND THE IMPACT ON THE OVERALL COSTS OF CARE

By Manjula Julka, MD, PCCI’s VP, Clinical Innovation

CREATING A NEW COMMUNITY INTEGRATED HEALTH SYSTEM – ROLE OF THE TRADITIONAL HEALTH PROVIDER

By Leslie Wainwright, PhD, PCCI’s Chief Funding and Innovation Officer

SDOH: FROM THEORY TO ACTION – MAKING SOCIAL DETERMINANTS OF HEALTH A REALITY

By Steve Miff, PhD, CEO of PCCI

THE TIME IS NOW FOR HEALTH SYSTEMS TO GET SERIOUS ABOUT SOCIAL DETERMINANTS OF HEALTH

By Steve Miff, PhD, CEO of PCCI

 

11 February 2020

PCCI at HIMSS20 – AI-Powered Early Prediction of Post-Acute Care Need




PCCI’s Medical Director, Jacqueline Naeem, MD, will be presenting at HIMSS20 on Friday, March 13 at 10:45 a.m., in Room W414A. Her presentation “AI-Powered Early Prediction of Post-Acute Care Need” offers her expert insights on early identification of patients who require post-acute care upon discharge. She will discuss how through the early identification, transition care team productivity is increased, medically unnecessary length of stay and likelihood of readmission is reduced. Click the image below for all the details:

10 February 2020

CEO Steve Miff Speaks at 2020 Florida Osteopathic Medical Association’s annual convention




Recently, PCCI’s CEO, Steve Miff gave a talk, “Artificial Intelligence for SDOH,” at the 2020 Florida Osteopathic Medical Association’s annual convention. The talk, sponsored by Florida Medicaid Drug Therapy Management Program for Behavioral Health at USF, delivered Steve’s expert views on leveraging SDOH to better help under-served communities.

6 February 2020

In The News: The Power of Personal Determinants of Health




PCCI’s Chief Analytics and Information Officer, Vikas Chowdhry, MBA, is featured in Healthcare Innovation as a guest author, where he shares his perspective on evolution of the social determinants of health. Click on the image below to read the full story: