PCCI leverages clinical expertise, data science and Non-Medical Drivers of Health to address the needs of vulnerable populations.
AI in Medicine for Underserved Populations.
PCCI is a mission-driven research organization with industry-leading expertise in the practical applications of artificial intelligence and Non Medical Drivers of Health. We strive to leapfrog the status quo by harnessing the transformative potential of data. Our unique capabilities allow us to provide innovative, actionable solutions that more effectively identify needs, prioritize services, empower providers and engage patients.
PCCI started as a department within Parkland Health and was spun out as an independent, not-for-profit organization in 2012 to not only serve the needs of Parkland, but to also pursue additional transformative initiatives that could have a broader impact. PCCI remains tightly connected to Parkland Health, the Parkland Foundation and the Parkland Community Health Plan. Our collaborative work focuses on the needs of vulnerable populations across North Texas and beyond.
PCCI is delivering important and critical support, based on AI-driven programs, which have positively impacted those in our community who need it most. Overall, PCCI has deployed 19 AI-based models, and the models, in the last 6 years, have produced:
PCCI’s AIM-UP predictive models drive augmented intelligence for clinicians and personalized patient engagement. The core technologies powering these models include Isthmus™, our interoperable, cloud-based digital data environment; ISLET™, a web-based predictive model visualization tool that seamlessly integrates model results into existing EHR systems; and our automated AI model monitoring (AaIM) technology.
Powered by PCCI’s AIM-UP, our clinical decision support AI/ML predictive models are designed to empower healthcare teams by providing augmented intelligence and insights to generate early warnings for clinical deterioration, enhance their point-of-care decision-making, and enable them to intervene earlier and with more precision.
Leveraging our advanced NMDoH analytics through tools such as our Community Vulnerability Compass, we are able to quantify community-based socioeconomic vulnerabilities and provide root cause insights to support local community engagement and create connected communities of care.
Our population health AI/ML predictive models help health systems and their community partners identify rising risks for clinical deterioration and access barriers to enable earlier and more targeted interventions. The goal is to move care and prevention upstream and proactively engage individuals in hyper-personalized ways to improve their health and avoid emergency room visits and hospitalizations.
The Community Vulnerability Compass (CVC) is a powerful, web-based interactive dashboard specifically engineered to support safety net hospitals, health systems, managed care organizations, payer plans, philanthropic entities, and community-based organizations in understanding and mitigating social vulnerabilities. By leveraging precise, hyper-local data on non-medical drivers of health (NMDOH), the CVC enables stakeholders to implement highly targeted interventions that address the underlying drivers of health disparities.
“We are incredibly excited about the potential for United Way of Metropolitan Dallas’ Data Capacity Building Initiative—our Century Project with PCCI. It is a game changing opportunity for the North Texas Community to drive significant impact alongside our community partners. And it is a significant focus of the United Way’s work in our next century and beyond.”
Jennifer Sampson Chief Executive Officer of the United Way of Metropolitan Dallas
The CVC can help virtually any Texas-based organization (hospital system/health plan, care provider, CBO, public health entity, philanthropic funder, etc.) seeking to understand not only where its community’s most vulnerable residents live but also many of the underlying, multi-dimensional root cause factors driving these residents’ poor health and healthcare access and ability to thrive.
As part of the United Way of Metropolitan’s six-year Data Capacity Building Initiative, over 200 North Texas nonprofits are leveraging PCCI’s CVC data insights to better understand their service areas, target high-need and priority interventions to local residents, strengthen their capacity to measure program performance for better operations, and foster collaboration to achieve community-wide goals.
University Health Transplant Institute partners with PCCI to implement innovative data management to improve patient outcomes.
Dallas County Health and Human Services (DCHHS) leverages PCCI’s CVC through two primary methods: utilizing the CVC Online Dashboard to strategically prioritize outreach and campaigns based on social determinants of health (SDOH) and demographic insights and integrating reverse geocoded patient addresses with CVC block group data as a proxy for SDOH. This integration is embedded into their Salesforce platform and updates dynamically as patients call in.
JAMIA Open, a peer-reviewed journal from Oxford Academic Press, published a paper on PCCI’s Community Vulnerability Compass (CVC) In a paper titled “The Community Vulnerability Compass: a novel, scalable approach for measuring and visualizing social determinants of health insights.”
Our success requires a top-of-the line digital data environment where we can securely assemble data from disparate sources and normalize and standardize data streams to feed into our state-of-the-art data analytics. Isthmus™ was conceptualized from our own need to have a healthcare-specific, interoperable, analytical platform to build and more rapidly deploy (e.g., weeks vs months) scalable and repeatable solutions and to collaborate more efficiently with any provider. Isthmus currently supports >10 AI/ML models across diverse Texas settings.
Isthmus has been secured and architected in compliance with the HITRUST Common Security Framework (CSF) ― considered the gold standard for its prescriptive imperatives around handling HIPAA and entailing a comprehensive and rigorous certification process.