PATIENT PATTERN: Frailty-Based Clinical Decision Support

Customer Success


LivePAC customers manage frail patients to reduce readmissions, lower utilization costs, improve patient outcomes and increase their star ratings. Read on to see how!

With 380 beds across two facilities, Kaleida Health serves a diverse population in Buffalo's city core. In a value based purchasing environment, these facilities must provide high quality care to a new set of high cost, medically complex patients.

"Patient Pattern has provided us with the tools to be successful in an ever changing environment. LivePAC’s screening function allowed us to immediately predict and reduce costs. In the first 6 months, we saw our hospital readmissions decrease from 24% to 9%."

Eugene Gonsiorek, Ph.D Results
VP, Post-Acute and Long-Term Care
Kaleida Health



  • Medically & economically challenged patients
  • Increased CMS deficiencies
  • Decreased CMS star ratings
  • Increased hospital readmissions



  • LivePAC software from Patient Pattern
  • Used daily by Medical Director & all clinicians
  • 300 new admissions assessed monthly



  • Reduced readmissions from 24% to 9%
  • Decreased pharmacy costs by $300k annually
  • Saved $200k in lab costs
  • Raised Medicare stars
  • Higher family satisfaction
  • Reduced state audits

Roswell Park Cancer Institute (RPCI), in Buffalo, New York, has the distinction of being the only upstate New York facility to hold the National Cancer Institute designation of "Comprehensive Cancer Center"; and 1 of 47 such centers in the United States. Working with their surgeons, Patient Pattern conducted a Quality Initiative to compare the predictive value of our comprehensive geriatric assessment (CGA) and Patient Pattern Frailty Score (PPFS) to the National Surgical Quality Improvement Program (NSQIP) when incorporated into the preoperative assessment of patients 65 years of age and older facing high-risk cancer surgery.



  • NSQIP underestimates risk in frail patient
  • Unidentified frailty-risk hampers prehabilitation efforts
  • A frailty metric frames a risk/benefit discussion


  • Pre-operative assessment to determine PPFS
  • Frailty score used to design prehabilitation
  • CGA Management information for proactive discharge plans


  • PPFS enhanced the predictive power of NSQIP
  • PPFS among top predictors for 30-day readmission
  • PPFS insights improved interdisciplinary communication

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