commvita Outcome Intelligence
A board-level decision dashboard for an Integrated Health Organisation. Not a passive report — it answers the board’s questions — now with the voluntary & community sector woven in — and then tells you where to deploy resources next: are people healthier & more independent, is access fair and timely, are we deploying resource for the greatest impact and least inequality, is the workforce able to work without friction, and are we using voluntary & community capacity to prevent clinical escalation? Know where to act. Prove what changed. Reduce the gap.
The board answer, at a glance
A persistent board scorecard sits above six lenses — now including the VUIT Partner & Social Value layer — plus LeftShift embedded as the Shift-Maturity sub-module. Each tile is a named query that drills to exactly the people behind it — here the risk-stratification pyramid, with a tier selected to reveal its rising-risk cohorts.
The trajectory view — did we change the slope?
Outcome Intelligence never asks “how much activity happened?” It asks the only question that matters: did the intervention change the person’s trajectory? These two views make that visible — the cohort’s path against the path it was on, and how the whole population’s outcome mix moves over time.
| Month | Without support (modelled) | With support | + VUIT partner support |
|---|---|---|---|
| M0 | 72 | 72 | 72 |
| M3 | 66.1 | 70.7 | 72.9 |
| M6 | 60.5 | 69.5 | 74.0 |
| M9 | 54.9 | 68.3 | 75.0 |
| M12 | 48.6 | 67.2 | 76.1 |
◎ Demonstrated — illustrative trajectory. In production the actual path is measured from risk-score history & PROMs; the counterfactual is the cohort’s modelled no-intervention baseline. The gap is the measured effect, reconciling with the people behind the cohort.
| Quarter | Improved | Stabilised | Deteriorated |
|---|---|---|---|
| Q1 | 22 | 46 | 32 |
| Q2 | 28 | 47 | 25 |
| Q3 | 34 | 46 | 20 |
| Q4 | 41 | 44 | 15 |
From insight to action — the point of the whole thing
Most platforms stop at the chart. Outcome Intelligence turns the chart into a decision: here is where to act next, why, who should act, and how we’ll know whether it worked.
Insight
Frailty in Locality A ranks highest on the Resource Impact Score: high falls risk and emergency attendance, low proactive support — and outcomes are worse in the Core20 cohort.
Recommendation
Scale — stand up a community frailty MDT + proactive review, targeted at the rising-risk Core20 tier. A parallel Partner recommendation routes the socially-isolated sub-group to VUIT voluntary / community support — lower-cost and escalation-preventing. Confidence: High (data-complete, prior-outcome evidence).
Who acts & what changes
Owner: the locality frailty lead. The board sees the expected benefit (fewer crisis contacts, improved independence), the workforce impact (reduces reactive caseload) and the value impact (prevents higher-cost downstream demand).
Prove what changed
The same dashboard tracks it — deterioration rate, crisis escalations avoided, independence improvement and the Core20 outcome gap — so you can see whether the deployment worked, then reallocate. The loop closes.
One board product · six lenses and a sub-module
Population & Risk
Risk-stratification pyramid, rising-risk cohorts and Core20 share — drill to the people behind each tier.
Outcomes
% improved / stabilised / deteriorated and cohort improvement with the Core20 gap. Did the intervention change the person’s trajectory?
Access & Inequality
Core20 vs rest on every access measure, plus gap indicators. Core20PLUS5 by default; k≥5 suppression.
Value & Resource Deployment
Outcome per unit of resource, four-quadrant prioritisation and the Resource Impact Score that ranks where to deploy next.
Workforce Experience
Complexity-adjusted caseload, staff-confidence pulse and the Workaround Index — don’t use people as the workaround for siloed systems.
Partner & Social Value (VUIT)
Referrals to VUIT, uptake, completion, partner-attributed outcomes and social value — partner support as an inequality reducer and a lower-cost alternative to clinical escalation.
Shift Maturity (LeftShift)
LeftShift Intelligence — the three-shifts (Digital · Community · Prevention) maturity view — embedded, not duplicated.
Making inequality actionable
Every access and outcome measure splits by the Core20PLUS5 lens, and the gap indicators turn inequality into something you can act on — not just a chart to note. The point isn’t to show inequality; it’s to close it.
The VUIT partner layer, switched on
With the feature flag enabled, the voluntary & community sector becomes visible on the board four ways — not as a side report, but woven into the same scorecard, drill-through and recommendations as everything else.
A destination for support
Referrals into VUIT partner services, acceptance rate, time-to-contact, engagement and completion — so social support is a real onward pathway, tracked end-to-end.
A contributor to outcomes
Outcomes, wellbeing and independence where a partner was involved, and the reduction in repeat contact / escalation after partner support — recorded as a contributing link on the person, so it reconciles on drill-through.
An inequality reducer
Partner support reaching Core20 / PLUS / digitally-excluded / isolated groups, and the access improvement for hard-to-reach people — the Core20PLUS5 gap, closed with social capacity.
A value contributor
Lower-cost non-clinical support that prevents higher-cost clinical demand, staff time released and avoided escalation — expressed as social value (configurable unit costs, labelled as estimates).
Illustrative — the board scorecard row and partner sub-section with the flag on (◎ Demonstrated):
◎ Demonstrated — illustrative UI mock-up of the VUIT surface with the feature flag enabled. Partner data arrives through the pluggable PartnerActivity adapter; no commvita schema change is required to add a partner source. Value figures are estimates.
What makes it different
It decides, it doesn’t just display
The Resource Impact Score and Start / Scale / Redesign / Stop / Shift recommendations, each with a confidence level, tell you where to act next.
Outcomes, not activity — equity by default
It stays away from vanity metrics (referrals processed, contacts made) and makes the Core20PLUS5 gap a first-class, actionable lens.
It respects the workforce
The Workaround Index quantifies how often staff compensate for system fragmentation — so the board can see and remove the friction.
It brings the voluntary & community sector onto the board
VUIT partner activity, partner-attributed outcomes and social value are first-class — so social capacity is deployed to prevent clinical demand, and its impact is measured, not assumed.
How it works
Built on commvita’s own operational data, not a separate warehouse; person-first data-lineage means every tile reconciles with the people it counts.
| Lens | Derived from commvita | Status |
|---|---|---|
| Population & Risk | Population Risk Pyramid · Frailty · Population Health | ◎ Demonstrated |
| Outcomes | Care-plan goals · risk-score history · PROMs/PREMs | ◎ Demonstrated |
| Access & Inequality | Referral Hub · Comms CRM · Deprivation Mapping (Core20PLUS5) | ◎ Demonstrated |
| Value & Resource Deployment | PLICS/TCOC (configurable unit costs) · outcomes · risk | ◎ Demonstrated |
| Workforce Experience | Tasks · Safe Staffing · Workforce Intelligence | ◎ Demonstrated |
| Partner & Social Value (VUIT) | VUIT partner adapter — normalised PartnerActivity contract (referral · uptake · completion · outcome · social value) | ◎ Demonstrated |
| Shift Maturity (LeftShift) | LeftShift Intelligence (embedded sub-module) | ● Live surface |
PartnerActivity adapter, appear on the board scorecard, and add a “Partner” option to the deployment recommendations. Partner involvement is recorded as a contributing link on the existing person / outcome objects (not a parallel record), so partner-attributed outcomes reconcile with the same drill-through as everything else. The VUIT partner layer is now BUILT and LIVE (API-backed, fail-safe-OFF feature flag) — in the demo it’s switched ON for England, Scotland, Wales, Northern Ireland and Ireland, so the partner sub-section, board-scorecard row and Partner recommendation are live (the seeded partner activity behind them is illustrative). Non-SaMD: aggregate decision-support; commissioners and clinicians make the decisions.