The document discusses the need for improved clinical decision support tools to identify COVID-19 patients at highest risk of deterioration. It summarizes a U.K. study that found a respiratory scoring index called ROX to more accurately predict COVID-19 severity than existing risk scores. The study analyzed data from a healthcare data platform to identify patterns of physiological deterioration in COVID patients. It concluded that incorporating oxygen levels improves prediction of deterioration compared to scores like NEWS2 that treat oxygen as binary. Health systems need aggregated patient data and clinician-data scientist collaboration to develop customized COVID risk scores.