Connecting with High-Risk Patients When In-Person Visits Are Not Possible

This commentary, part of the Innovations Amid COVID-19 series, profiles an organization’s innovative approach to using online data to identify high-risk patients.

The organization profiled, OneCare Vermont, created the COVID-19 Care Coordination Tool, which combines medical and pharmacy claims information, as well as data indicating medical and social complexity, to create lists of high-risk patients and flags those at highest risk of a poor outcome if the individual were to contract COVID-19. The self-service tool allows users to filter by risk criteria to prioritize outreach to patients.