eLife Insight

Population health analyticsbuilt for health systems.

Reduce readmissions, identify at-risk populations before ER visits, and track outcomes across care settings. Ad hoc cohort queries run against 10M+ patient-lives in under three seconds.

  • LACE+
  • NEWS2 sepsis
  • Falls risk
  • FHIR Bulk export
Request a DemoSee the Evidence
Population risk distributionlive · 15-min lag
HighElevatedBaseline
Flagged cohorts
CHF · post-discharge94High
COPD · 30-day window87High
CKD stage 383Elevated
Diabetes · BP follow-up missed79Elevated
0M+
Patient-lives per query
< 0 s
95th percentile risk model
0
PHI identifiers stripped

For hospital systems

Four things leadership asks for, answered continuously

30day readmission window

Readmission risk scoring by population

LACE+ model scored per patient, updated with every new clinical event. Risk tiers update in near-real time across your entire population.

14days advance warning

At-risk identification before ER visits

Flag high-risk individuals before an emergency visit, not after. Alert thresholds are configurable per care protocol and risk tier.

4care settings tracked

Outcome tracking across care settings

Inpatient, outpatient, ED, and post-acute outcomes in one view. Track what actually happened after discharge, across every care setting.

15minute max data lag

Real-time care gap analysis

Care gaps surface as they open: a missed follow-up, a lapsed medication, a lab result overdue. Prioritized by risk score.

Capabilities

The analytics layer, in full

Every capability runs on the same de-identified population store, so numbers reconcile across views.

Risk stratification engine
Every patient in your population receives a composite risk score on each refresh cycle. Scores factor diagnoses, utilization history, medication adherence signals, and SDOH data where available.
Readmission prediction (30-day)
LACE+ model runs per patient at discharge and continues updating through the high-risk window. Alert escalates if risk crosses a defined threshold before the window closes.
Chronic disease population mapping
Cohort views for diabetes, COPD, CHF, CKD, and other chronic conditions. Each cohort surfaces risk distribution, care gap volume, and 90-day outcome trends.
Social determinants overlay
Layer SDOH data — housing instability, food access, transportation barriers — onto any risk view. Available wherever clinical data includes standardized SDOH screening results.
Custom reporting and exports
Build ad hoc reports across any combination of risk tier, diagnosis, payer, geography, or care setting. Export via FHIR Bulk, CSV, or Parquet for data warehouse ingestion.
Real-time alerts for high-risk patients
Configure alert rules by risk tier, care gap type, or specific clinical criteria. Alerts route to your clinical operations team via the dashboard, email digest, or direct EHR message.

Three data sources, one population store.

eLife Summary profiles
Patient-reported and clinician-updated health profiles. Rich in chronic conditions, medications, allergies, and advance directives. Updated any time a patient or provider touches the record.
  • Chronic diagnosis list
  • Active medication history
  • Emergency contacts and directives
  • Patient-reported SDOH flags
Clinical module data
Point-of-care encounter data from eLife Clinical: intake records, visit notes, drug interaction flags triggered, and provider-documented status changes across the episode of care.
  • Visit encounter records
  • Drug-allergy conflict events
  • Referral and follow-up orders
EHR feeds via Connect
Lab results, imaging, ADT events, discharge summaries, and claims data flowing from Epic, Cerner, and other connected EHRs via eLife Connect.
  • ADT admit / discharge / transfer
  • Lab and radiology results
  • Discharge disposition and DRG
  • Claims and utilization history

Governance

De-identified before it ever reaches analytics

HIPAA Safe Harbor de-identification
All 18 PHI identifiers are removed before data enters the analytics layer. Cell suppression is applied to small cohorts to prevent re-identification.
HIPAA-compliant infrastructure
Hosted on FIPS 140-2 validated compute. AES-256-GCM encryption at rest, TLS 1.3 in transit. Business Associate Agreements are signed with all subprocessors.
Immutable audit logs
Every query, export, and alert rule change is logged with user identity, timestamp, and query parameters. Six-year retention on tamper-evident storage.

Enterprise license

See your own population in the dashboard

We can stand up a scoped pilot against a de-identified extract so leadership sees real numbers before committing.

Request a DemoReview Security