How Prisma Health turned data into a frontline care strategy

By combining AI-powered population health tools with embedded care teams, the health system's clinically integrated network is reducing admissions, readmissions and emergency department visits at scale. Dr. Bill Gerard, CEO of inVio Health Network and executive vice president of value-based care at Prisma Health Prisma Health's clinically integrated network had already built the care model it believed in. Across South Carolina and East Tennessee, care managers were embedded inside primary care practices. Transitions of care nurses worked inside hospitals. ED navigators focused on Medicaid patients with repeated emergency department visits. Interdisciplinary "Care Team Pods" combined social workers, pharmacists, behavioral health…

Prisma Health's clinically integrated network had already built the care model it believed in.

Across South Carolina and East Tennessee, care managers were embedded inside primary care practices. Transitions of care nurses worked inside hospitals. ED navigators focused on Medicaid patients with repeated emergency department visits. Interdisciplinary "Care Team Pods" combined social workers, pharmacists, behavioral health managers and nurses into coordinated teams.

The operational framework was in place. The problem was visibility.