155 Beyond Risk Score: Advancing Population Health Care with Data Analytics

Risk stratification uses artificial intelligence to identify patients at highest risk and any gaps in their care. Using risk models enables resources to be directed at patients with the greatest needs and those with emerging needs. This approach leads to improvement in care outcomes and cost savings over time. This talk will review a risk […]

133 Community Partnerships and Transition Planning for Rural Jails: Best Practices and Lessons Learned

Connection to ongoing, community-based services is strongly linked with reduced recidivism, but to reliably support people in making those connections is fraught with barriers. This talk will describe a collaborative effort among academic, criminal justice, and consulting entities to identify and implement best practices in community transition planning and community partner engagement for rural and […]