M06 · Suite 2 · Risk Stratification
PICS · Patient Intelligence
6-component risk score · 2.4M scored · 186ms p95 · feeds Doppler, IRIS, CareSignals
M06 · Suite 2 · Risk Stratification · Live
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PICS · Patient Intelligence
The 6-component risk score that drives every Doppler bucket, every IRIS nudge, every CareSignals zone.
Not a black box: each score is decomposable into its contributors with explainable thresholds.
Patients Scored
2.4M
refresh every 4h
High Risk · Tier 3
186K
7.8% of cohort
Compute Latency
186ms
p95
Recompute · 1h
42K
triggered by data change
The 6 components · how a score is built decomposable · CAIG-explainable Methodology →
C1 · WEIGHT 24%
Clinical Acuity
ICD-10 problem list weighted by NEWS2 contribution. Active CHF + uncontrolled HTN + CKD3+ stacks.
Inputs: CCPR /problems · /vitals
C2 · WEIGHT 18%
Utilization Pattern
ED visits, admissions, readmits in 90/180/365 days. LACE+ score on discharge. Post-D/C window flag.
Inputs: Claims · CFW EHR
C3 · WEIGHT 16%
Vital Trajectory
BP / weight / SpO₂ trend slopes. Time-since-last-reading. MDRX-streamed deltas vs. baseline.
Inputs: MDRX · CCPR /vitals
C4 · WEIGHT 14%
Behavioral Health
PHQ-9 / GAD-7 / PCL-5 latest plus VIDA voice biomarkers (depression tone, cognitive coherence).
Inputs: VIDA · /oap_records.bh
C5 · WEIGHT 14%
Medication Adherence
Real-time PillDrill RTM adherence + pharmacy claims PDC + CQID D08/D11 measures.
Inputs: PillDrill · Pharmacy
C6 · WEIGHT 14%
SDOH & Engagement
Food / housing / transportation flags + portal/VIDA engagement frequency + LEP/literacy.
Inputs: SDOH screen · VIDA · PPAF
Score decomposition · Eleanor Markham PICS 78 · High · ▲ +12 / 7d Open in CareSignals →
78
PICS · /100
HIGH · TIER 3
Why Eleanor is High Risk
Score jumped from 66 → 78 over 7 days. Three components are driving the increase: post-discharge utilization
flag activated by St. Mary's CHF admission (C2: 12 → 18), worsening BP trajectory (C3: 8 → 14),
and a missed-dose pattern emerging on PillDrill (C5: 6 → 12). All other components stable.
C1 · Acuity
18
— flat
C2 · Utilization
18
▲ +6
C3 · Trajectory
14
▲ +6
C4 · BH
8
— flat
C5 · Adherence
12
▲ +6
C6 · SDOH
8
— flat