Tina Esposito, Vice President of Information and Technology Innovation, and Tim Arnold, Manager, Advocate Center Collaborative, Advocate Aurora Health Care. One of the major challenges for an ACO is identifying the right patients for an intervention. Advocate Healthcare leveraged its extensive data platform to create predictive models that identify patients who are at elevated risk of going to the hospital in the next 90 days. It has been using one of these models to identify heart failure patients for a targeted outpatient care management program. Early results have shown that patients in this program are going to the hospital less often than patients in a control group.