This tool from New York City Health + Hospitals features open-source implementation tools which can be customized and used to support health systems’ efforts to identify, understand, and treat patients
with complex needs.

This guide provides step-by-step guidance on:

  • Risk scoring and stratification: using data and analytics to identify patients with complex needs
  • Segmentation: combining analytics with clinical insight to understanding patients with complex needs
  • Targeting: tailoring care models to fit needs and behaviors of patients with complex needs

Explore the toolkit