Forward to: Analytics Team

Population Health Analytics
Workflows

Ten agent workflows for the Analytics Team — automated public health trend monitoring, disease prevalence tracking, social determinants analysis, community health intelligence, health equity assessment, chronic disease management detection, preventive care gap analysis, behavioral health trend monitoring, environmental health tracking, and health system capacity planning — providing comprehensive domain-level population health intelligence.

1Public Health Trend Monitoring

AI agent monitors public health authority websites, CDC domains, and epidemiological research institutions to track disease trends, outbreak signals, and public health policy changes that impact population health strategies.

1
Scan Public Health Authority Sites
/docs/press/blog/eventsCountriesIAB Categories
PUBLIC HEALTH TREND MONITOR — FEBRUARY 2026 ════════════════════════════════════════════════════════════ cdc.gov /docs: Respiratory illness surveillance — elevated activity in 14 states /press: Updated childhood immunization guidelines published /blog: Commentary on obesity epidemic acceleration who.int /press: Antimicrobial resistance declared global health emergency /docs: Updated NCD prevention framework released /events: World Health Assembly — May 2026 TREND SUMMARY: Respiratory illness: Elevated in 14 states — seasonal surge Obesity: Adult prevalence 43.2% — record high Mental health: Youth mental health crisis — ER visits +28% YoY AMR: Drug-resistant infections +18% globally
2
Assess Population Health Impact
Population Signal
Obesity Epidemic Acceleration — CDC /blog reports adult obesity prevalence at 43.2% (record). GLP-1 medications creating both treatment opportunity and cost pressure. Domain monitoring shows 67% of health systems adding weight management /products pages. 34% of employer benefit /blog content discusses GLP-1 coverage decisions. Multi-stakeholder impact requiring coordinated population health strategy.
CRITICAL — Obesity prevalence at record level with system-wide impact
3
Generate Population Health Brief

Population Health Intelligence — Q1 2026

KEY TRENDS ──────────────────────────────────────── 1. Obesity at 43.2% — requires comprehensive weight management program 2. Youth mental health crisis — ER visits +28%, capacity strain 3. AMR global emergency — antibiotic stewardship programs critical 4. Respiratory illness surge — 14 states elevated, prepare capacity 5. Childhood immunization guidelines updated — outreach opportunity STRATEGIC ACTIONS 1. Launch GLP-1 + lifestyle weight management program 2. Expand youth behavioral health crisis capacity 3. Implement antimicrobial stewardship across network 4. Prepare respiratory surge capacity protocols

2Social Determinants Analysis

AI agent monitors community resource organizations, social services agencies, and SDOH data platforms to track social determinant availability, access gaps, and community health resource changes across service areas.

1
Map Community SDOH Resources
/products/about/contact/partnersCountriesPersonas
SOCIAL DETERMINANTS RESOURCE MAP ════════════════════════════════════════════════════════════ COMMUNITY ORG DOMAINS SCANNED: 4,800 SERVICE AREA: Metro and surrounding counties FOOD SECURITY: Food banks: 34 active domains | 3 closed in last 6 months Meal delivery: 12 programs | 2 new programs launched SNAP enrollment: Wait times increased 40% per /contact pages HOUSING: Housing assistance: 28 programs | 4 reduced capacity Homeless shelters: 18 organizations | 89% occupancy rate Utility assistance: 6 new programs detected via new domains TRANSPORTATION: Medical transport: 14 services | 2 reduced service areas Public transit health access: 3 routes discontinued
2
Identify SDOH Gaps
SDOH Signal
Food Desert Expansion — 3 food bank domain closures + SNAP wait time increases detected via /contact page analysis. Geographic mapping shows 2 new food desert areas in our service region. These areas correlate with high chronic disease prevalence zip codes. Community health worker deployment and food pharmacy program recommended for affected areas.
EXPANDING — Food insecurity growing in service area

3Disease Prevalence Tracking

AI agent monitors epidemiological data sources, health department websites, and research institution domains to track disease prevalence changes, emerging condition trends, and population risk factors across service areas.

1
Track Disease Prevalence Changes
/docs/press/blogCountriesIAB Categories
DISEASE PREVALENCE TRACKER — SERVICE AREA ════════════════════════════════════════════════════════════ CHRONIC DISEASE TRENDS: Diabetes: Prevalence +3.2% — now 14.7% of adult population Hypertension: Stable at 47.3% — but control rates declining COPD: Prevalence flat — smoking cessation programs showing effect Heart Failure: +2.1% — aging population driver Depression: +8.4% — fastest growing chronic condition EMERGING CONDITIONS: Long COVID: 4.2% of population reporting persistent symptoms GLP-1 related conditions: New monitoring category needed Climate-related illness: Heat-related ER visits +34% in summer 2025
2
Generate Disease Burden Report

Disease Prevalence Intelligence

PREVALENCE CHANGES (12-MONTH) ──────────────────────────────────────── Conditions tracked: 24 | Rising: 8 | Stable: 12 | Declining: 4 Fastest growing: Depression (+8.4%), Diabetes (+3.2%) Declining: Smoking-related COPD, hepatitis C (treatment advances) POPULATION HEALTH PRIORITIES 1. Depression epidemic — expand behavioral health capacity 2. Diabetes acceleration — comprehensive prevention program 3. Hypertension control — medication adherence intervention 4. Heart failure — transitional care + RPM program 5. COPD — continue smoking cessation investment (working)

4Health Equity Assessment

AI agent monitors health equity indicators across provider and community organization domains to track disparities in access, outcomes, and resource allocation across demographic groups and geographic areas.

1
Analyze Health Equity Signals
/about/products/press/supportPersonasCountries
HEALTH EQUITY ASSESSMENT — SERVICE AREA ════════════════════════════════════════════════════════════ ACCESS DISPARITIES (from provider domain analysis): Multi-language /support pages: Only 23% of provider domains ADA compliant /login portals: 67% — improving but gaps remain Telehealth availability in rural areas: 42% vs. 89% urban Evening/weekend availability on /contact: 28% rural vs. 78% urban OUTCOME DISPARITIES: Maternal mortality: 3.2x higher in underserved zip codes Diabetes management: HbA1c control 23% lower in minority populations Preventive screening: Mammography 34% lower in rural areas Mental health access: Wait times 3x longer in underserved areas
2
Generate Equity Action Plan

Health Equity Intelligence Report

EQUITY GAPS IDENTIFIED ──────────────────────────────────────── Critical disparities: 8 | Moderate: 12 | Monitoring: 6 Most impacted: Rural populations, minority communities, low-income areas PRIORITY INTERVENTIONS 1. Maternal health equity program — 3.2x disparity requires immediate action 2. Multi-language support expansion — only 23% of provider sites compliant 3. Rural telehealth expansion — close 47% access gap 4. Community health worker program — SDOH navigation in underserved areas 5. Mobile screening units — address 34% mammography gap in rural areas

5Chronic Disease Management Intelligence

AI agent monitors chronic disease management program websites, digital health platforms, and provider care management pages to track best practices, technology adoption, and outcomes improvement strategies.

1
Scan CDM Program Landscape
/products/case-studies/partners/blogPersonas
CHRONIC DISEASE MANAGEMENT LANDSCAPE ════════════════════════════════════════════════════════════ livongo.com (now part of Teladoc) /products: AI-powered diabetes + hypertension management /case-studies: 34% HbA1c improvement in managed populations /partners: Integration with 89% of employer health plans omadahealth.com /products: Prevention + chronic care — diabetes, MSK, behavioral /case-studies: 12% cost reduction in managed populations /press: Medicare coverage expanded for DPP program CDM TECHNOLOGY ADOPTION: AI-powered: 45% of CDM programs now use AI RPM-integrated: 34% — growing as device costs decline Social determinants: 18% integrate SDOH data — emerging
2
Assess Program Effectiveness
CDM Trend
SDOH Integration Gap — Only 18% of CDM programs integrate social determinant data despite evidence showing SDOH drives 80% of health outcomes. Programs with SDOH integration show 2.3x better outcomes per /case-studies analysis. Recommend SDOH data platform integration into all chronic disease management programs.
OPPORTUNITY — SDOH integration differentiates CDM programs

6Preventive Care Gap Analysis

AI agent monitors preventive care service availability, screening program capacity, and immunization coverage across provider networks to identify preventive care gaps and intervention opportunities.

1
Identify Preventive Care Gaps
/products/events/press/contactPersonas
PREVENTIVE CARE GAP ANALYSIS ════════════════════════════════════════════════════════════ SCREENING PROGRAM AVAILABILITY: Mammography: 92% of providers offer — 8% gap in rural areas Colonoscopy: 78% availability — capacity constraints at 34% of sites Lung cancer screening: Only 34% of eligible providers offer LDCT Cervical screening: 89% availability — well-covered Diabetes prevention: DPP programs at only 23% of providers IMMUNIZATION GAPS: COVID-19 boosters: Only 38% of adults current — declining RSV vaccination: New program — 23% of eligible adults vaccinated HPV vaccination: Completion rate 56% — below Healthy People target
2
Prioritize Interventions

Preventive Care Gap Report

TOP GAPS BY IMPACT ──────────────────────────────────────── 1. Lung cancer LDCT screening — 66% of eligible providers lack program 2. HPV vaccination completion — 44% below target 3. DPP enrollment — 77% of providers without program 4. Colonoscopy capacity — 34% of sites at capacity 5. COVID booster uptake — declining engagement RECOMMENDED INTERVENTIONS 1. Deploy mobile LDCT screening units — 14 rural county gap 2. School-based HPV vaccination program expansion 3. Partner with Omada/Livongo for DPP referral pipeline 4. Add colonoscopy capacity at 3 high-volume sites 5. Pharmacy-based immunization outreach program

7Behavioral Health Trend Monitoring

AI agent monitors behavioral health provider websites, crisis service domains, and mental health advocacy organizations to track behavioral health trends, service availability, and crisis intervention capacity.

1
Track Behavioral Health Trends
/products/about/press/careersIAB Categories
BEHAVIORAL HEALTH LANDSCAPE — Q1 2026 ════════════════════════════════════════════════════════════ SERVICE AVAILABILITY: Outpatient behavioral health: Wait times averaging 28 days Crisis services: 988 Lifeline — answer rates improving to 89% Substance use treatment: 12% of facilities at capacity Youth behavioral health: Wait times 42 days — crisis level PROVIDER LANDSCAPE: talkspace.com /products: Insurance-covered teletherapy — 4.2M sessions in 2025 cerebral.com /products: Restructured services after FDA scrutiny /press: Regulatory investigations ongoing WORKFORCE: Therapist shortage: +45% vacancy rate across monitored providers Psychiatrist shortage: Most severe in rural areas — 67% of counties underserved
2
Assess Behavioral Health Strategy
Behavioral Health Signal
Youth Behavioral Health Crisis — 42-day wait times for youth behavioral health represent a crisis-level access gap. Domain monitoring shows only 34% of provider /products pages feature dedicated youth mental health programs. Telehealth behavioral health (Talkspace model) could reduce wait times by 60% based on /case-studies evidence from early adopters. Immediate expansion warranted.
CRISIS — Youth behavioral health wait times at crisis level

8Environmental Health Tracking

AI agent monitors environmental health agencies, air quality databases, and climate health research domains to track environmental factors affecting population health including air quality, water safety, and climate-related illness patterns.

1
Track Environmental Health Signals
/docs/press/blogCountriesIAB Categories
ENVIRONMENTAL HEALTH MONITOR ════════════════════════════════════════════════════════════ epa.gov /docs: Updated PFAS exposure guidelines — lower thresholds /press: 14 counties in service area exceed new air quality standards climate.gov /blog: Heat wave projections for summer 2026 — above average /docs: Climate and health assessment — service area impact report HEALTH IMPACTS: Heat-related illness: +34% ER visits in summer 2025 Respiratory (air quality): Asthma exacerbations +12% in affected counties PFAS exposure: 3 communities in service area above new thresholds
2
Generate Environmental Health Report

Environmental Health Intelligence

ENVIRONMENTAL RISK FACTORS ──────────────────────────────────────── Counties above air quality standards: 14 | PFAS communities: 3 Projected heat risk: Above average for summer 2026 POPULATION HEALTH ACTIONS 1. Deploy heat illness prevention program — at-risk populations 2. Expand asthma management in 14 air quality-affected counties 3. PFAS screening program for 3 affected communities 4. Climate resilience plan for health system operations 5. Partner with environmental health agencies for data sharing

9Community Health Intelligence

AI agent monitors community health organizations, local health departments, and social service agencies to track community health needs assessments, resource availability changes, and community engagement opportunities.

1
Scan Community Health Landscape
/about/products/press/eventsPersonas
COMMUNITY HEALTH INTELLIGENCE ════════════════════════════════════════════════════════════ COMMUNITY ORG DOMAINS: 4,800 LOCAL HEALTH DEPARTMENTS: 47 COMMUNITY HEALTH NEEDS: Priority #1: Behavioral health access (cited by 89% of CHNAs) Priority #2: Chronic disease management (cited by 78%) Priority #3: Food insecurity (cited by 67%) Priority #4: Transportation to care (cited by 56%) Priority #5: Health literacy (cited by 45%) NEW COMMUNITY PROGRAMS: 12 new community health worker programs launched (domain age <1 year) 8 new food pharmacy initiatives detected 4 new mobile health units deployed
2
Identify Community Partnerships
Community Signal
Community Health Worker Expansion — 12 new CHW programs detected via new domain registrations in our service area. CHW programs show 2.8x ROI in chronic disease management per /case-studies analysis. Only 23% of our provider network has CHW integration. Partnership with these new programs could close care gaps in 28 underserved census tracts.
OPPORTUNITY — CHW programs expanding, partnership window open

10Health System Capacity Planning

AI agent monitors population growth projections, disease trend data, and provider capacity signals to support health system capacity planning for facility expansion, workforce development, and service line optimization.

1
Analyze Capacity Demand Signals
/about/careers/products/pressCountries
CAPACITY PLANNING INTELLIGENCE ════════════════════════════════════════════════════════════ DEMAND PROJECTIONS (5-year horizon): Population growth: +8.4% in service area Aging population: 65+ population growing at 3.2x rate of overall Behavioral health: Demand projected +45% — largest growth area Surgical services: +12% driven by aging + elective backlog Primary care: +8% — aligned with population growth CURRENT CAPACITY UTILIZATION: Inpatient beds: 84% average occupancy — approaching constraint OR suites: 92% utilization — at capacity ED throughput: Left without being seen: 4.2% — above target Behavioral health beds: 98% occupancy — critical shortage
2
Generate Capacity Plan

Capacity Planning Report

5-YEAR CAPACITY STRATEGY ──────────────────────────────────────── Current capacity score: 62/100 (constrained) Projected 2031 demand: +22% above current capacity Capital investment needed: $340-480M over 5 years PRIORITY INVESTMENTS 1. Behavioral health beds — 98% occupancy, add 120 beds ($45M) 2. OR expansion — 92% utilization, add 8 suites ($68M) 3. ED throughput — redesign + expansion, reduce LWBS ($34M) 4. Ambulatory expansion — 4 new multispecialty centers ($120M) 5. Hospital-at-home — virtual capacity for 200 patients ($12M)
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