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SDOH Points of Light 2024 Case Study 11
Using AI & Community Partners to Enhance Patient Care
Author
Benjamin Cassity
Author
Kyle Chilton
Saint Peter’s University Hospital did not have an established SDOH screening process, making it difficult to track and address patients’ SDOH needs. So they implemented screenings and worked with their vendor partner, Lightbeam Health Solutions, to synthesize patient data and create tailored care plans for high-need patients. This data was then shared with Healthier Middlesex to follow up with the patients and connect them with community resources.
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Key Findings:
- Executive Summary
- The Collaborators
- Points of Friction—Challenges to Be Solved
- Action Plan—How the Collaborators Worked Together to Reduce Friction
- Points of Light—Outcomes Achieved through Collaboration
- Lessons Learned—What Best Practices Can Other Organizations Apply?
- What's Next?—Vision for the Future
- Project Scalability & Replicability
Writer
Sarah Brown
Designer
Jess Wallace-Simpson
Project Manager
Kyle Chilton
This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2024 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.