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3M AM-PPCs identify potentially preventable complications that occur following elective ambulatory procedure encounters using sophisticated grouping logic. Potentially preventable complications (PPCs) are identified and linked to an ambulatory procedure when a complication diagnosis code is found to be clinically related as well as meeting predefined timing guidelines. Complications may be identified within subsequent hospital admissions, emergency department visits and other ambulatory revisit encounters. The software allows you to look closely at the procedure encounters and the clinically related complications by specific procedure, condition, service line, provider and facility, providing insight into incentives and interventions that can help improve patient safety.
Using clinical insights, health care providers, payers, policy makers, quality improvement organizations and researchers can address the existing gap in accessing quality of outpatient care and can drive accurate, actionable efforts to improve patient outcomes related to outpatient procedures.
3M AM-PPCs were developed to address the existing gap in assessing the quality of outpatient care, specifically for procedures being performed in outpatient care settings. 3M AM-PPCs include more than 2,900 procedures clinically categorized to 93 unique procedure subgroups (PSGs) which can be utilized to evaluate the performance of 16 hospital service lines.
As with 3M’s inpatient PPC logic, the 3M AM-PPC logic defines a wide range of potentially preventable complications but with a refined approach to include complications such as infections (e.g., pneumonia, urinary tract infection) or major complications (e.g., sepsis, significant bleeding) that can occur following specific procedures and within designated timing guidelines. Settings that complications are identified in, include subsequent hospital admissions, emergency department visits and other ambulatory revisit encounters, all of which are used to differentiate complications by care setting within performance evaluation.
Generates detailed chained data about the incidence of procedures performed in ambulatory care settings and those that result in complications. Clinicians, payers, hospital managers or researchers can use this information to improve the quality of care at both the time of the initial procedure and in the post-procedural management of patients.
Developed for use in all populations, 3M AM-PPCs include common adult and pediatric procedures and uses age in the standard risk adjustment process.
The 3M AM-PPC methodology generates actionable insights and enables hospitals and payers to improve ambulatory outcomes and reduce costs.
Here are a few examples of the value the 3M AM-PPC methodology can bring to customers:
*Analysis conducted by 3M using National Medicare Data from 2019-2020 and State Medicaid Data Statistics from 2018-2021
3M AM-PPCs are available in the following 3M products:
Available to software licensees on the 3M customer support website
The 3M AM-PPCs are identified through diagnosis and procedure codes listed on standard claim forms. The 3M proprietary clinical logic is maintained by a team of 3M clinicians, data analysts, nosologists, programmers and economists and can be viewed by software licensees in an online definition’s manual. 3M plans to release a new 3M AM-PPCs version every Oct. 1, to reflect updates in the ICD-10 diagnosis and procedure code sets and to include enhancements in the clinical classification logic.
Hear from 3M Health Information Systems Global Chief Medical Officer Sandeep Wadhwa, MD, MBA, who discusses his thoughts on increasing ambulatory patient safety protocols in our Inside Angle blog: Three questions with Sandeep Wadhwa, MD, MBA: Making ambulatory patient safer.
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