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3M Clinical Risk Groups: Measuring risk, managing care

3M Clinical Risk Groups: Measuring risk, managing care

The 3M Clinical Risk Groups (CRGs) are a population classification system that uses inpatient and ambulatory diagnosis and procedure codes, pharmaceutical data and functional health status to assign each individual to a single, severity-adjusted group. Each 3M CRG represents a clinically meaningful group of individuals who require similar amounts and types of resources. 3M CRGs can be used ...

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3M™ Clinical Risk Groups: At work in the real world

3M™ Clinical Risk Groups: At work in the real world

• Measure health status over a period of time (typically a year) • Assign less significance to time-limited acute diseases • Effectively represent how chronic disease affects post-acute resource use . 4 3M™ Clinical Risk Groups: At work in the real world 3M CRGs at work for providers Accounting for clinical complexity requires that you identify patients with chronic illnesses and ...

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3M Quality Measures: 3M Potentially Preventable Events

3M Quality Measures: 3M Potentially Preventable Events

Population health segments are groupings of 3MTM Clinical Risk Groups. Targets for focused care management Potentially Preventable Events: costs by segment 3M™ Clinical Risk Groups categorize persons by their overall illness burden, regardless of specific disease status, as the foundation for population health management.

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A strategy for building a value-based care program

A strategy for building a value-based care program

3M™ Clinical Risk Groups (CRGs) Classifies patients into risk-adjusted groups by clinical characteristics, severity and burden of illness 3M CRGs provide insight into a patient’s health status, clinical risk and expected utilization— creating a way to link the clinical and financial aspects of care. 3M

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3M HIS - Superior HealthPlan

3M HIS - Superior HealthPlan

• Superior utilizes the 3M Health Information System (HIS), to offer select providers and provider networks a value-based incentive program. • Providers may access specialized 3M dashboards to monitor performance and identify specific opportunities for improvement. • The following training will provide guidance on the basics of the 3M HIS Prospective Dashboard, as well as how to use the ...

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3M Health Information Systems (HIS) Training

3M Health Information Systems (HIS) Training

• Clinical Risk Groups (CRGs)-groupings of clinically similar individuals. • Provide the basis for a comparison. Grouped by: – Severity – Treatment – Best practice patterns – Disease management strategies • Includes inpatient, outpatient, professional and pharmacy claims. • CRGs are created using data to: – Build a member profile.

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Risk-adjustment methods for all-payer comparative ...

Risk-adjustment methods for all-payer comparative ...

It increased to 0.265 with the additional adjustment for 3M Clinical Risk Groups and to 0.293 with the full model. For the adult population at the practice level, the no-adjustment model had the highest variation as measured by the coefficient of variation (18.5) compared to the age and gender model (14.8); the age, gender, and CRG model (13.0); and the full model (11.7). Similar results were ...

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A Comparison of Explanatory Power of Two Approaches to ...

A Comparison of Explanatory Power of Two Approaches to ...

An aggregated version of Clinical Risk Groups (CRGs) comprised of 19 classes (referred to as ACRG4s) was used to create payment levels within each MS-DRG. The CRG was assigned to each hospital episode based on the data for the patient in the preceding year including the diagnoses from the trigger hospitalization. In order for the CRG and HCC

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Risk-Adjustment Model Comparison

Risk-Adjustment Model Comparison

Risk-Adjustment Model Comparison May 7, 2009 Model Feature Adjusted Clinical Groups (ACGs) Chronic-Illness Disability Payment System (CDPS) Clinical Risk Groups (CRGs) Diagnostic Risk Group (DCG) Episode Risk Groups (ERGs) Background Model Developer Johns Hopkins University of California, San Diego (UCSD) 3M Health Information Systems

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Clinical Redesign Using All Patient Refined Diagnosis ...

Clinical Redesign Using All Patient Refined Diagnosis ...

Clinical Redesign Using All Patient Refined Diagnosis Related Groups Aileen B. Sedman, MD*; Vinita Bahl, DMD*; Ellen Bunting, MA*; Kenneth Bandy, BS, RRT*;

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APR-DRGs: A Research and Practical Update Focused on Quality

APR-DRGs: A Research and Practical Update Focused on Quality

Ambulatory Patient Groups (APGs) –Visits All-Patient Refined DRGs (APR-DRGs) –Hospital Stays Clinical Risk Groups (CRGs) –Episodes APR-DRGs plus Health Status-Long Term Care Quality Cost Value = Maximum Quality/ Lowest Cost. In Every Country There Are Four Sources for Variation in Health Services • Patient/family variation • Caregiver/clinician variation • Hospital/system variation ...

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