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Population State‐of‐Health (SOH) 
Analyzer for Ambulatory Care
• The PSCI Population State‐of‐Health Analyzer utilizes 
EMR, claims and pharmacy data to perform risk 
stratification of patients by chronic conditions such 
as ― diabetes, coronary heart disease, asthma, 
osteoporosis and others.
• Using sophisticated but clinically proven algorithms, 
the module computes state‐of‐health scores and 
segments patients into high, medium and low risk 
pools and color codes them for easy visualization.
• State‐of‐health scores quantify the probability 
of acute care admissions due to complications 
in the short term. 
• State‐of‐health models and scores help 
decision makers drive superior preventive 
care, and reduce acute care admissions and 
cost.
• PSCI’s Population State‐of‐Health Analyzer is a 
provider‐centric risk predicator and care 
management tool.
• It promotes better care management through best 
practices and comparative effectiveness for each 
chronic condition within the risk strata. 
• This module provides the ability to benchmark 
physicians and their performance across the practice, 
and against nationally accepted guidelines, for 
evidence‐based care.
KEY FEATURES…
• Segment patients by risk pool (high, medium, 
low)
• Understand probability of complications and 
acute care admissions with state‐of‐health 
scores
• Develop optimal care‐management 
program(s) around patient‐risk groups
• Identify evidence‐based best practices based 
on actual data and physician input
KEY FEATURES…
• Analyze at any level from population to 
patient with intuitive drill‐down interface
• Include controllable and non‐controllable 
factors in the state‐of‐health risk model
• Create highly accurate models with complete 
visibility of clinical data (laboratory results, 
vitals, medications)
• Out‐of‐the‐box actionable reports for 
physicians, patients and administrators
KEY FEATURES…
• Maximize shared savings models (ACOs) for groups 
and physicians
• Leverage nationally accepted risk models for top 
chronic conditions
• Utilize claims data together with clinical EMR data 
extracts
• Fully integrates with the PSCI suite for seamless 
analysis across the continuum of care
ABOUT PSCI
• PSCI is an innovative provider of predictive 
population risk analytics for care management and 
contract optimization leveraging EMR, Claims & 
Demographics data for medical homes, physician 
groups, ACOs, hospital systems, IDNs, and shared 
savings programs.
ABOUT PSCI
• PSCI delivers predictive chronic disease models for 
population state‐of‐health risk stratification, quality‐
cost‐risk visibility, "what‐if" modeling and ACO 
demand planning for improving overall healthcare 
provider and payer performance. 
• PSCI is critical to managing “At‐Risk” populations and 
pay‐for‐performance objectives. For more 
information, please visit http://www.PSCIsolutions.com
www.pscisolutions.com
Population State‐of‐Health (SOH) Analyzer for 
Ambulatory Care

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Population State-of-Health (SOH) Analyzer for Ambulatory Care