One Risk View Across a Five-Facility Health System
5-facility health system · System quality & safety leadership · mixed EHR environment · 7 min read
A five-facility health system used Prescient's Hospital System Intelligence Layer to unify sepsis, advanced-illness, and AMR risk signals into a single, continuously updated leadership view across facilities running different EHRs. Quality leadership could see where risk was concentrated at the system level — not just in individual bedside alerts — and feed the same data into board reporting.
At a Glance
- Organization
- 5-facility health system
- Scope
- System-wide, all connected units
- Leaders involved
- System quality, safety & executive leadership
- EHR environment
- Mixed — includes a facility on a different EHR
- Pillars deployed
- Sepsis, advanced illness, AMR + Intelligence Layer
- Rollout
- Phased across facilities
Representative example. This is an illustrative case study built from an anonymized customer archetype to show the shape of a Prescient engagement and its reporting. The scenario and all figures are representative examples, not published results from a named customer.
Results at a Glance
What Changed
Illustrative figures — representative of the reporting structure, not published results.
The Challenge
Where they started
Across five facilities — including one on a different EHR — the health system's risk signals lived in disconnected tools. A sepsis alert here, a palliative worklist there, a stewardship dashboard somewhere else, and no single place to see how risk compared across the system.
That fragmentation made quality and board reporting a manual reconciliation exercise, and it left leadership without an easy way to compare risk concentration across units and facilities against historical baselines.
- Risk signals lived in disconnected tools across five facilities, some on different EHR systems, making system-level visibility difficult.
- Quality and board reporting required manual data pulls and reconciliation across facilities.
- Leadership couldn't easily compare risk concentration across units and facilities against historical baselines.
The Solution
A single risk layer across every facility
Prescient connected the sepsis, advanced-illness, and AMR pillars across all five facilities via HL7 FHIR — including the site on a different EHR — and rolled the resulting risk-band data up to unit, facility, and system level.
The rollups were configured to match the system's existing quality and safety reporting structure, so the same underlying data that drove bedside alerts also fed the weekly leadership huddle and the board reporting cycle, with no separate manual reconciliation.
How data flowed in this deployment
Risk-band data from sepsis, advanced illness, and AMR pillars.
Signals aggregate to unit, facility, and system level.
Executive and quality teams see risk concentration, not just individual alerts.
The same data feeds existing reporting structures.
The Approach
How the Deployment Unfolded
- Phase 1Connect the pillars
The sepsis, advanced-illness, and AMR pillars were connected across facilities via HL7 FHIR, including the sites on a different EHR.
- Phase 2Configure rollups
Unit-, facility-, and system-level rollups were configured to match the system's existing quality and safety reporting structure.
- Phase 3Leadership go-live
Quality and executive leadership began using the system-wide risk view for weekly huddles and resource allocation.
- OngoingBoard reporting cycle
The same underlying risk data fed the quality committee and board reporting without a separate manual reconciliation.
The Results
Measured Against Their Own Baseline
Quality reporting effort — illustrative before/after
Illustrative example only, not a published result — reflects one representative multi-facility rollout.
Manual reporting prep per cycle (hours)
Illustrative reduction in manual reporting effort as facilities came onto the unified view.
Key Takeaways
What Made It Work
One risk view unified five facilities — including one on a different EHR — via HL7 FHIR.
Rollups were configured to feed existing quality and board reporting, not replace it.
Leadership and bedside teams worked from the same numbers at the same time.
Bedside alerts still routed through the individual pillars' existing workflows.
For the first time our quality committee and our bedside teams were looking at the same numbers, at the same time, across every facility. The board conversation changed because the data stopped being a reconciliation exercise.
Representative quote illustrating the kind of feedback this engagement is designed to produce — not attributed to a named individual.
The Platform Behind This
Hospital System Intelligence Layer
One risk layer across every unit, every EHR, every patient.
Frequently Asked
Questions About This Scenario
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