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AI driven population health : Smarter Insights, better outcomes

Health Jeanie leverages AI, Social Determinants of Health (SDoH), and predictive analytics to close care gaps, improve health equity, and enhance population-wide well-being.

Understanding Population Health & Its Challenges

The health of a community is shaped by much more than medical care. Social, economic, and environmental factors - like access to nutritious food, healthcare disparities, and geographic limitations - play a crucial role in health outcomes.

Healthcare Disparities

Low-income populations face 30% higher hospitalization rates due to lack of preventive care.

High Rates of Readmission

Preventable hospital readmissions cost the U.S. healthcare system $26 billion annually.

Social Isolation & Mental Health

1 in 3 adults experience loneliness, increasing health risks like heart disease and dementia

Chronic Disease Burden

 6 in 10 adults in the U.S. have a chronic condition, requiring proactive interventions.

Limited Access to Healthcare

Rural populations have 40% fewer primary care providers per capita than urban areas.

Health Jeanie addresses these challenges by combining AI-powered analytics, real-time data integration, and community-focused care strategies.

The Role of Social Determinants of Health (SDoH) in Population Health

Where you live, work, and play affects your health.

SDoH data helps identify at-risk populations and target interventions to reduce disparities and improve outcomes.

By integrating SDoH insights, Health Jeanie enables personalized, community-based healthcare interventions that improve long-term outcomes.

Health System Access:

Insurance coverage, provider availability, and preventive care utilization

Economic Stability:

 Income levels, employment rates, and food security.

Physical Environment:

Housing conditions, transportation access, and pollution exposure.

Social & Community Support:

Loneliness, caregiver availability, and community resources.

Education & Health Literacy:

Understanding of health conditions, medication adherence, and digital health literacy.

AI-Driven population health analytics

Health Jeanie’s AI-powered platform goes beyond traditional healthcare tracking. It provides predictive modeling, risk stratification, and real-time decision support for healthcare organizations.

These AI-driven insights reduce hospitalizations, improve care efficiency, and cut unnecessary costs.

01

Predictive analytics for early intervention

Identifies rising-risk patients before conditions worsen.

02

GeoHealth mapping & disparity identification

Uses Johns Hopkins ACG GeoHealth data to analyze health trends by location.

03

Multi-disease risk
profiling

Detects patterns in chronic disease management across diverse populations

04

Automated care
pathways

Helps providers implement preventive care strategies at scale.

Background Future of Population Health

How Health Jeanie Transforms Population Health

Preventive Care

Preventive Care Optimization

 Identifies gaps in screenings and immunizations, ensuring timely interventions.

Healthcare Access

Community-Based Healthcare Access

Works with local providers, pharmacies, transportation services, and non-profits to bridge care gaps in underserved areas.

Improving Patient Engagement

Improving Health Literacy & Patient Engagement

AI provides evidence-based education based on the needs of the population, boosting adherence and self-management

Reducing Reasmission

Reducing ER Visits & Hospital Readmissions

Predicts high-risk patients and delivers proactive care to prevent avoidable hospitalizations.

Disease Management

Chronic Disease Management

Tracks patients with one or more chronic conditions, like diabetes, hypertension, and COPD, to alert providers to deterioration risks.

The future of population health with AI

A unified, AI-driven approach is the key to a healthier future. Health Jeanie’s platform enables:

Checkbox Future of Population Health 1

Personalized, data-driven health strategies for at-risk populations.

Checkbox Future of Population Health 2

Seamless provider collaboration across care teams, public health agencies, and social organizations

Checkbox Future of Population Health 3

Cost savings & improved efficiency by reducing preventable hospitalizations and clinical waste.

With AI, healthcare can move beyond treatment to true prevention, equity, and accessibility.

Health Jeanie is leading that transformation.

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