Predictive Risk Intelligence System (PRISM) definition
Predictive Risk Intelligence System (PRISM) means a DSHS-secure web-based predictive modeling and clinical decision support tool. It provides a unified view of medical, behavioral health, and long-term care service data that is refreshed on a weekly basis. PRISM provides prospective medical risk scores that are a measure of expected medical costs in the next 12 months based on the enrollee’s disease profile and pharmacy utilization.
Predictive Risk Intelligence System (PRISM) means a DSHS-secure web-based predictive modeling and clinical decision support tool. It provides a unified view of medical, behavioral health, and long-term care service data that is refreshed on a weekly basis. PRISM provides prospective medical risk scores that are a measure of expected medical costs in the next 12 months based on the patient’s disease profile and pharmacy utilization.
Predictive Risk Intelligence System (PRISM) means a DSHS-secure web-based predictive modeling and clinical decision support tool. It provides a unified view of medical, behavioral health, and long-term care service data that is refreshed on a weekly basis. PRISM provides prospective medical risk scores that are a measure of expected medical costs in the next twelve (12) months based on the patient’s disease profile and pharmacy utilization. Pregnant and Post-Partum Women (PPW) “Pregnant and Post-Partum Women and Women with Dependent Children (PPW)” means: (i) women who are pregnant; (ii) women who are postpartum during the first year after pregnancy completion regardless of the outcome of the pregnancy or placement of children; or (iii) women who are parenting children, including those attempting to gain custody of children supervised by DCYF. Pregnant, Post-Partum or Parenting (PPW) Women’s Housing Support Services “Pregnant, Post-Partum or Parenting (PPW) Women’s Housing Support Services” means the costs incurred to provide support services to PPW individuals with children under the age of six (6) in a transitional residential housing program designed exclusively for this population. Prior Authorization
Examples of Predictive Risk Intelligence System (PRISM) in a sentence
MA Health Plan will: Have access to and ensure utilization of the Predictive Risk Intelligence System (PRISM) to obtain a more comprehensive overview of a member’s health and patterns of service use, and to identify gaps in needed care.
More Definitions of Predictive Risk Intelligence System (PRISM)
Predictive Risk Intelligence System (PRISM) means the joint DSHS/HCA, DSHS Research and Data Analysis administered, web-based database used for predictive modeling and clinical decision support and is refreshed on a weekly basis. PRISM provides prospective medical risk scores that are a measure of expected costs in the next 12 months based on the Beneficiary's disease profiles and pharmacy utilization. PRISM identifies beneficiaries in most need of comprehensive care coordination based on risk scores; integrates information from primary, acute, social services, behavioral health, and long term care payment and assessment data systems; and displays health and demographic information from administrative data sources.