3M grouping, editing and reimbursement content

With 3M’s grouping and methodology solutions, you can address population health reporting and management needs and closely look at hospitalizations, readmissions, complications, ED visits and ancillary services and associated costs. 3M’s population health solutions include:
 

• 3M™ Potentially Preventable Complications (PPC) Grouping Software - identifies in-hospital complications among secondary diagnoses in patient discharge data. Complications that may be prevented include harmful events or negative outcomes that may result from the process of care and treatment rather than from the natural progression of an underlying illness.


• 3M™ Population-focused Preventables (PFP) Classification Methodology - identifies potentially preventable hospital admissions, ED visits and ancillary services.


• 3M™ Clinical Risk Grouping (CRG) Software - a clinically precise tool for longitudinal disease management; ideal for provider profiling, quality measurement and outcomes improvement. 3M CRGs can help align payment incentives with clinical goals and form the basis for effective chronic disease risk adjustment.


• 3M™ Patient-focused Episodes (PFE) Software - defines more than 500 episodes spanning inpatient and outpatient encounters and chronic and acute diseases. Supports provider profiling based on risk-adjusted clinical outcomes and computes actual costs and expected resource utilization.


• 3M™ Potentially Preventable Readmissions (PPR) Grouping Software - uses claims data to identify hospital readmissions, or ED visits following a hospitalization that could have been prevented. PPRs are return hospitalizations that occur within a specified time interval after discharge from the hospital. PPRs may result from deficiencies in the process of care and treatment during a prior admission; from the development of a complication that became evident only after discharge; or from a lack of post-admission follow up, rather than from unrelated events.


• CMS and HHS Hierarchical Condition Categories (HCC) - risk adjustment model used by CMS for the Medicare Advantage population and by the U.S. Department of Health and Human Services (HHS) for Affordable Care Act (ACA) plans [only available in 3M Grouper Plus Content Services (GPCS)]