Publications: PCCI experts contribute to paper published by the New England Journal of Medicine (NEJM Group).

Publications: PCCI experts contribute to paper published by the New England Journal of Medicine (NEJM Group).

PCCI’s George Oliver, MD, PhD, Vice President, Clinical Informatics and Venkatraghavan Sundaram, PhD, M. Pharm, Program Manager, contributed to this paper, along with many others, on the “Pragmatic Trial of Hospitalization Rate in Chronic Kidney Disease.”

To read the full paper, click here:

AHIMA SDOH Data Break Webcast – How PCCI uses SDOH to support the community

AHIMA SDOH Data Break Webcast – How PCCI uses SDOH to support the community

In July, PCCI’s Chief Operating Officer, Aida Somun. MBA, PMP, joined AHIMA thought leaders and members for a webcast to share information about how AHIMA members are using #sdoh data. Aida shared how PCCI’s modeling using SDOH data helped Dallas County navigate the #covid pandemic, supported the understanding of Parkland Health patients, and built a connected community of care to improve care equity to support those who need help the most.

Listen to the webcast here:

Geographic barriers to prenatal care access and their consequences.

Although prenatal care has long been viewed as an important strategy toward improving maternal morbidity and mortality, limited data exist that support the premise that access to prenatal care impacts perinatal outcomes. Furthermore, little is known about geographic barriers that impact access to care in an underserved population and how this may influence perinatal outcomes.

By Denisse S. Holcomb, MD, Yolande Pengetnze, MD (PCCI), Ashley Steele, MEd (PCC), Albert Karam, MS (PCCI), Catherine Spong, MD, David B. Nelson, MD

Parkland Trauma Index of Mortality (PTIM): Real-time Predictive Model for PolyTrauma Patients.,first%2072%20hours%20of%20hospitalization

The Parkland Trauma Index of Mortality (PTIM) is a machine learning algorithm that uses electronic medical record (EMR) data to predict 48−hour mortality during the first 72 hours of hospitalization. The model updates every hour, evolving with the patient’s physiologic response to trauma. Area under (AUC) the receiver-operator characteristic curve (ROC), sensitivity, specificity, positive (PPV) and negative predictive value (NPV), and positive and negative likelihood ratios (LR) were used to evaluate model performance. By evolving with the patient’s physiologic response to trauma and relying only on EMR data, the PTIM overcomes many of the limitations of prior mortality risk models. It may be a useful tool to inform clinical decision-making for polytrauma patients early in their hospitalization.

By Adam J. Starr, Manjula Julka, Arun Nethi, John D. Watkins, Ryan W. Fairchild, Michael W. Cripps, Dustin Rinehart, Hayden N. Box

Building a Vulnerability Index of Biological and Socioeconomic Risk Factors to Combat COVID-19 Spread.

We use an action design research approach to develop an index to assess vulnerability, which incorporates both long-term COVID-19 community risk measures and ongoing dynamic measures of the pandemic. Community and public health officials utilize the index in making critical policy and strategic decisions while guiding their communities during COVID-19 and in future crises. By Thomas Roderick, (PCCI’s Executive in Residence); Yolande Pengetnze (PCCI’s Senior Medical Director); Steve Miff (PCCI’s CEO & President); Monica Chiarini, Tremblay, Rajiv Kohli

Timely Preterm-Birth Prediction Among Pregnant Women in Medicaid Without Preterm-Birth History.

A novel prediction model is developed that accurately predicts preterm birth in a timely manner among pregnant women in Medicaid without preterm-birth history. By Xiao Wang, PhD, (PCCI’s Senior Data and Applied Scientist); Yolande M. Pengetnze, MD (PCCI’s Senior Medical Director); Hannah K. Ligon, MHA (PCCI’s Senior Project Manager); Luyu Xie, PharmD, Weiwei Ouyang, PhD, Donna I. Persaud, MD, Sarah E. Messiah, PhD, Barry Lachman, MD

A High-Value Care Initiative to Reduce the Use of Intravenous Magnesium Sulfate Through an Electronic Indication-Based Order Set.

Intravenous (IV) magnesium sulfate (MgSO4) supplementation is common despite limited indications. Oral magnesium oxide (MgO) is an effective, lower-cost alternative. This project aimed to reduce IV MgSO4 use by 20% among the Internal Medicine (IM) service. By: Albert Karam, MS (PCCI’s Sr. Director, Data Governance and Analytics); Nimish N. Shah, MD, Chris Mathew, PharmD, Timothy J. Brown, MD, Sandeep R. Das, MD, MPH, MBA

The Imperative for Integrating Public Health and Health Care Delivery Systems.

Technology-based solutions are being developed and deployed to identify people most at risk of exposure to the virus. PHHS’s affiliated Parkland Center for Clinical Innovation has developed a Social Needs Index, a Proximity Index, and a Vulnerability Index to help identify, educate, and care for the county’s high-risk population. By Frederick P. Cerise, MD, MPH, (PCCI Board Chairman); Brett Moran, MD, Philip P. Huang, MD, MPH & Kavita P. Bhavan, MD, MHS

Connected Communities of Care in Times of Crisis.

The integration and cooperation among health care organizations that provide clinical care and community-based organizations that address social determinants of health, especially for vulnerable populations, is of growing importance generally, and can be especially useful during the Covid-19 pandemic. By Keith C. Kosel, PhD, MHSA, MBA (PCCI’s Executive Advisor); and David B. Nash, MD, MBA