PRISM

Patients Readmission Intelligence & Simulation Model

Built with Healthcare Compliance in Mind

PRISM is designed to support healthcare organizations operating under HIPAA, HITECH, CMS, and industry security best practices. We prioritize patient privacy, secure data handling, auditability, and responsible AI throughout the platform architecture.
AS-IS · DISCHARGE PROCESS MODEL Discharge Home Follow-up scheduled? Readmitted p = 0.24 TO-BE · + TRANSITION COORDINATOR Risk stratify + 24h call Book follow-up Verify meds SIMULATED (10,000 runs) estimated readmit rate 0.24 → 0.17* *modeled estimate, validated in pilot

Reduce avoidable readmissions before you change a thing.

A validated digital twin of your discharge process, calibrated to your own data. See where 30-day readmissions come from across the conditions Medicare penalizes, then test a change before you commit staff and budget to it.

The Problem

The easy gains are gone. What’s left is hard, hospital-specific, and operational.

Medicare’s Hospital Readmissions Reduction Program cuts payments by up to 3% across all Medicare inpatient payments for hospitals with higher-than-expected readmissions. Beginning in FY 2027, CMS calculates these ratios using both fee-for-service and Medicare Advantage data, widening the exposure.

After a decade of effort, most hospitals have captured the straightforward improvements. What remains is stubborn: which specific breakdown in your discharge process is driving your readmissions, and which change would actually move the number? The answer must work not only in a controlled trial, but also in your building, with your staff and your patients.

The interventions are well known. The hard part isn’t the playbook. It’s knowing which play to run, in what order, for which patients, and being confident it will hold up before you spend on it.

Heart failure
COPD
Pneumonia
Acute Myocardial Infarction (AMI)
CABG surgery
Total Hip and/or Total Knee Arthroplasty (THA/TKA)
What PRISM Does

A digital twin of your care transition, so you decide with evidence, not guesswork.

PRISM mirrors how patients actually move through your discharge process. Calibrated to your own data, it does three things.

Pinpoints the breakdowns

Identifies and ranks the care-transition failures driving your 30-day readmissions.

Simulates the fix before you fund it

Models a candidate change and estimates its likely effect on readmissions and cost, so you can compare options before committing.

Reconfigures, rather than rebuilds

One engine tunes to a different hospital and extends from one penalized condition to the next without starting over.

How It Works

Three steps, calibrated to your data.

STEP 01
Model the as-is

We build a working model of your current discharge and transition process from your operational and claims data, and quantify where and how often it breaks down.

STEP 02
Simulate
the to-be

We model candidate improvements against your own baseline and run the process thousands of times to estimate each option’s likely impact on readmissions and cost.

STEP 03
Validate in a pilot

The chosen change is piloted against your baseline, so you confirm the lift is real before scaling it, turning an estimate into evidence.

Why PRISM

Built to answer “and then what?”

Test before you invest

Most tools tell you your readmission risk. PRISM lets you simulate the redesign, comparing interventions before you spend and using your data rather than a generic average.

Traces the whole transition

Effects are followed across the care journey, not treated as isolated checkboxes, so you see where a well-intentioned step quietly fails.

Grounded in the evidence base

The interventions PRISM models are drawn from established, peer-reviewed transitional-care research, applied to your operational reality.

Configure, don’t rebuild

One validated engine, reusable across hospitals and across every condition CMS penalizes.

Who We Are

Two decades of systems engineering, applied to healthcare.

PRISM is the healthcare initiative of GTC Analytics a metro-Atlanta R&D firm working at the intersection of engineering, modeling & simulation, and data science.

We bring the same model-based systems-engineering rigor GTC has applied for 25 years to the problem of avoidable readmissions. We model a complex system, test changes in simulation, and validate them before deployment.

NASA & Department of Defense research heritage
Physics modeling · MBSE · automation · AI / ML
Headquartered in Atlanta, Georgia

Become an Early PRISM Customer.

Know which interventions are most likely to reduce readmissions before you invest.

PRISM uses AI, Digital Twins, and Systems Engineering to identify the operational drivers of avoidable readmissions and simulate the expected impact of evidence-based interventions using your hospital’s own data.

We’re offering early access to a limited number of hospitals interested in improving patient outcomes while reducing unnecessary costs.