3M™ Clinical Risk Grouping (CRG) Software
Using demographic data, diagnosis codes and procedure codes, 3M Clinical Risk Grouping (CRG) Software helps you identify and classify patients into clinically meaningful groups for risk adjustment. CRGs relate the historical clinical and demographic characteristics of an individual to the amount and type of healthcare resources that an individual will consume in the future. Thus, CRGs provide a tool for prospective planning. This provides increased incentives for health plans to treat those patients at high risk, and promotes financial and clinical efficiency in care delivery.

CRGs are a powerful tool for targeting cases for care management, tracking patients over time, profiling providers, and enhancing the quality of the care delivered.

Population Based Tools

Expenditures for healthcare services represent an increasingly large amount of funds. High healthcare expenditures create a financial burden for Hospitals, Regional Health Authorities and Provincial Governments.

The 3M Clinical Risk Groups are a clinical model in which each individual is assigned to a single mutually exclusive risk group which relates the historical clinical and demographic characteristics of the individual to the amount and type of healthcare resources that individual will consume in the future. Since the Clinical Risk Groups, or CRGs, are clinically based, they create a language that links the clinical and financial aspects of care. The CRGs were designed to serve as the foundation of management systems and was developed through a highly iterative process that combined extensive clinical input with evaluation and verification from historical data.

3M HIS has developed a classification system for accurately describing the health status of individuals. This development focused on creating a management tool for hospitals, health authorities and provinces, which allows them to deliver care efficiently and effectively. This classification system is not only a management tool but also can be used as a basis for risk adjusting payments. CRGs are risk groups that can be used as the basis of risk adjustment in a payment-based system and also are sufficiently clinically precise enough that they can be used as a management tool for both the Regional Health Authorities and Provincial Health Ministries/Departments. Since the CRGs are clinically based, they create a language that links the clinical and financial aspects of care. Thus, CRGs are designed to serve as the foundation of management systems.

Calgary Health Region uses the advanced 3M CRG to plan future needs