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  • 3M™ Clinical Risk Grouping Software
  • 3M™ Clinical Risk Grouping Software

    3M ID V100579025
    • Rated better than other health risk measures in clinical relevance and convenience of resource weighting
    • Accurately predicts the costs associated with patient groups
    • Links patient outcomes with clinical practice and costs
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    Read more about 3M CRGs

    • Fact sheet

      Fact Sheet: 3M™ Clinical Risk Grouping Software

      The 3M Clinical Risk Groups (CRGs) are a population classification system that uses diagnosis and procedure codes, pharmaceutical data and functional/mental health status to assign individuals to severity-adjusted homogeneous groups.

    • CRG eBook

      eGuide: Real results using CRGs

      A profile of seven organizations and their success with 3M™ Clinical Risk Groups (CRG).

    • CRG eBook

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

      See practical examples of how healthcare organizations, including commercial accountable care organizations (ACO), Medicaid managed care (MMC) systems, large urban hospitals and a specialized cancer research facility have all used 3M CRGs to accomplish a variety of goals.

    • CRG whitepaper

      Whitepaper: 3M™ Clinical Risk Groups: Measuring risk, managing care

      Get an overview of what CRGs are, how they work, how organizations are using them and how they compare to other classification systems (such as HCCs).

    Specifications
    Attribute Name
    Value
    Help Me With
    Care Coordination, Population Health Management, Provider Quality Comparison, Risk-based Provider Payment
    Organization Type
    Government, Health System/Hospital, Payer, Provider
    Role
    Clinical, Quality
    Details
    • Rated better than other health risk measures in clinical relevance and convenience of resource weighting
    • Accurately predicts the costs associated with patient groups
    • Links patient outcomes with clinical practice and costs

    In the shift from volume- to value-based care, one challenge is to measure patient health status and costs over time and across care settings. 3M Clinical Risk Groups (CRGs) measure illness and resource utilization of all patients, including children, low income or elderly individuals, commercial beneficiaries, and those with disabilities using inpatient, ambulatory, and pharmacy data.

    Healthcare reform has spawned a range of initiatives to promote financial and clinical efficiency in healthcare delivery. Regardless of the payment model, one challenge is to measure patient health status and associated costs over time and across care settings. 3M Clinical Risk Groups (CRGs) provide a way to consider illness and resource utilization of a full range of patient types, including low income, elderly, commercial beneficiaries and those with disabilities. 3M CRGs use standard claims data and, when available, additional data—such as pharmaceutical data and functional health status—collected longitudinally to assign each individual to a single, mutually exclusive risk group. Each 3M CRG can be used to predict healthcare utilization and costs on a prospective as well as retrospective basis. 3M CRGs are similar in concept to Diagnosis Related Groups (DRGs), since they can be used to identify clinically meaningful groups of individuals who require similar amounts and types of resources. However, the DRG grouping process addresses a specific inpatient hospital admission, while the 3M CRG grouping process can analyze inpatient, ambulatory, and pharmacy data over a period of time. 3M 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.

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