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CHRISTUS Trinity Mother Frances Health System Leverages Social Determinants of Health and AI-Driven Predictive Models to Identify High Risk Members

Scott Smith, M.D., Senior Vice President and Institute Chair of Primary Care, CHRISTUS Trinity Mother Frances Health System

CHRISTUS Trinity Mother Frances Health System has improved its per-member /per-month cost by 15% and reduced ER Visits/1000 from 74.4 to 50.7 on its targeted population cohorts

CHRISTUS Mother Frances Hospital – Tyler is ranked # 1 in Texas for overall hospital care, and is among the best in the nation in dozens of categories for clinical excellence and safety (see that CareChex Ranking here). CHRISTUS Trinity Mother Frances Health System operates 82 facilities and 8 hospitals, and covers 41 specialties with over 650 providers. They serve over 1.2 million people spread across 28 counties in Northeast Texas.

CHRISTUS Trinity Mother Frances Health System is a process-centric organization committed to innovation with an analytics-driven culture. They have been using the VitreosHealth Predictive Insights-as-a-Service (IaaS) platform since January 2016 to manage their value-based contracts. Recently, CHRISTUS Trinity Mother Frances Health System has been selected as the “Most Wired” health system for leveraging innovative IT solutions to improve patient care and health outcomes (read more about that recognition here).

VitreosHealth provides AI-driven insights for population health management. Vitreos leverages varied data sources including EHR, claims, Health Risk Assessments (HRAs), social determinants, and well-being data for predictive risk and prescriptive care management. The company offers the solution through its Insights-as-a-Service (IaaS) delivery model. VitreosHealth is changing the economics of healthcare for their clients.

“VitreosHealth is very focused on identifying the right…

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