6. Real results
Health Information Systems
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Real health systems. Real data. Real opportunities.

We analyzed Medicare data from hundreds of health systems using the 3M™ Performance Matrix Platform. From just 10 health systems, we found over $1B in cost-savings opportunities.

Download the full eGuide (PDF, 258 KB)

Are operational inefficiencies draining your health system’s resources? And what impact does this have on the quality of care you deliver?

These are the kinds of questions that brought 3M Health Information Systems and Verily Life Sciences together. 3M has decades of experience in health data, and Verily has deep understanding of analytics engines. It’s a perfect match for tackling these important and costly questions.

We investigated health system performance against several key quality benchmarks, identified the preventable issues, and finally created a prospective savings opportunity analysis for every hospital in the U.S. health care system. The tool we developed for this work is the 3M™ Performance Matrix Platform—a performance management solution that can analyze health data from hundreds of health systems.

What approach did we take?

  • All data was risk-adjusted using 3M’s proprietary methodologies to assign each patient to a clinically meaningful risk category. Risk-adjusting the data provided a standardized view of the patient population, making it possible to accurately compare performance against risk-adjusted national benchmarks. Underperformance is illustrated by its financial impact on the organization.

    The methodologies used include:

  • Payment methodologies
    Payment methodologies

    • 3M™ All Patient Refined DRG (APR DRG) Classification system – The 3M APR DRG System is widely used throughout the United States to adjust inpatient claims data for severity of illness and risk of mortality. The software is used by commissions and over 30 state agencies for risk-adjusted quality reporting and payment. Because they use readily available data, the cost-effective 3M APR DRGs help organizations avoid additional, expensive data collection outside of the normal coding process.


    • 3M™ Enhanced Ambulatory Patient Grouping (EAPG) Classification System – The 3M EAPG System classifies outpatient care into patient groups and categories based by key procedures and primary diagnosis code. It consolidates multiple single procedures into a bundle and packages ancillary services together with the significant procedure, where appropriate. 3M EAPGs are a powerful tool for calculating expected payment under an outpatient prospective payment system. They also provide a useful metric for benchmarking, analytics, reporting, case management and care coordination.

  • Clinical methodologies
    Clinical methodologies

    • 3M™ Clinical Risk Groups (CRG) – 3M 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 both to predict future health care utilization and cost (prospective) and explain past health care utilization and cost (retrospective).

  • Quality methodologies
    Quality methodologies

    • 3M Solutions for Potentially Preventable Events (PPE) – 3M PPE software identifies avoidable and unnecessary care. The focus on "potentially preventable" events gives organizations actionable information to make improvements where they can have the greatest impact. The full suite includes: 3M™ Potentially Preventables Readmissions Software, 3M™ Potentially Preventable Complications Software and 3M™ Population-focused Preventables Software.

Let 3M help you convert challenges to financial opportunities.

  • Today’s health care environment is continually increasing pressure on health care providers to maximize clinical and operational efficiencies. From payment reform to the rise of consumerism in health care, health systems must find ways to provide higher quality care at reduced costs.

    The 3M™ Performance Matrix Platform identifies, quantifies, and prioritizes a health system’s most pressing issues to help providers convert challenges to opportunities.

    Request your custom report

What benchmark measures were evaluated?

  • Click the dots for a description of each measure
    Click the dots for a description of each measure
 
 
 
 
 
 
 
 
Length of stay (LOS)

Length of stay (LOS) is an indicator of efficiency and provides guidance for LOS reduction.

ICU

Hospital ICU days indicate a hospital’s propensity to admit patients to an ICU, as well as quality of care and cost variation.

Potentially preventable complications (PPCs)

Potentially preventable complications (PPCs) are harmful events or negative outcomes that develop after a hospital admission and may result from processes of care and treatment rather than from natural progression of the underlying illness.

Potentially preventable readmissions (PPRs)

Potentially preventable readmissions (PPRs) are acute care hospital readmissions that are potentially preventable based on clinically precise criteria.

We’ve highlighted a sample of ten health care organizations we analyzed, ranging in size from a one-hospital system in the Midwest to a nationwide IDN with more than 50 hospitals. Click on the profile that matches your organization’s size to see what prospective savings opportunities we uncovered.

Health system profile:

Single hospitals

  • Icon of small hospital

    Region: Southwest
    Type: Public system with teaching hospital
    Beds: 500+
    Annual Admissions: 20,000+

    Explore this hospital's results
  • Icon of small hospital

    Region: Midwest
    Type: Public, non-profit
    Beds: 700+
    Annual Admissions: 20,000+

    Explore this hospital's results

Health system profile:

2 - 10 hospitals

  • Icon of medium-sized hospital

    Region: Northeast
    Type: Non-profit IDN
    Beds: 2,000+
    Annual Admissions: 75,000+

    Explore this hospital's results
  • Icon of medium-sized hospital

    Region: Southeast
    Type: Academic medical center
    Beds: 1,000+
    Annual Admissions: 35,000+

    Explore this hospital's results

Health system profile:

11 - 25 hospitals

  • Icon of large hospital

    Region: Northeast
    Type: Non-profit, public health system
    Beds:  4,500+
    Annual Admissions: 150,000+

    Explore this hospital's results
  • Icon of large hospital

    Region: Southwest
    Type: Faith-based, not-for-profit
    Beds: 3,500+
    Annual Admissions: 150,000+

    Explore this hospital's results

Health system profile:

26 - 50 hospitals

  • Icon of large hospital

    Region: National
    Type: Private, non-profit and for-profit 
    Beds: 6,500+
    Annual Admissions:  250,000+

    Explore this hospital's results
  • Icon of large hospital

    Region: West
    Type: Faith-based, non-profit IDN 
    Beds: 10,000+
    Annual Admissions: 500,000+

    Explore this hospital's results

Health system profile:

50+ hospitals

  • Icon of a very large hospital

    Region: National
    Type: Publicly-traded, for-profit IDN 
    Beds:  10,000+
    Annual Admissions: 500,000+

    Explore this hospital's results
  • Icon of a very large hospital

    Region: National
    Type: Faith-based, non-profit IDN
    Beds: 10,000+
    Annual Admissions: 500,000+

    Explore this hospital's results

Curious about your organization’s savings opportunity?

Receive a custom report with detailed insights of what we found for your organization.
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Icon of small hospital
LOS: $1,793,626
ICU: $229,940
PPRs: $487,446
PPCs: $398,557
Total opportunity: $2,909,569
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Icon of small hospital
LOS: $3,407,989
ICU: $149,399
PPRs: $864,772
PPCs: $231,151
Total opportunity: $4,653,311
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Icon of medium-sized hospital
LOS: $1,793,626
ICU: $229,940
PPRs: $487,446
PPCs: $398,557
Total opportunity: $45,100,584
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Icon of medium-sized hospital
LOS: $27,822,270
ICU: $1,720,105
PPRs: $1,869,130
PPCs: $6,213,628
Total opportunity: $37,625,133
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Icon of large hospital
LOS: $51,910,101
ICU: $529,153
PPRs: $5,528,699
PPCs: $5,096,856
Total opportunity: $63,064,809
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Icon of large hospital
LOS: $72,262,463
ICU: $5,742,389
PPRs: $10,142,926
PPCs: $11,648,216
Total opportunity: $99,795,994
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Icon of large hospital
LOS: $49,120,140
ICU: $3,721,590
PPRs: $24,402,319
PPCs: $1,666,687
Total opportunity: $78,910,736
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Icon of large hospital
LOS: $104,183,384
ICU: $8,797,031
PPRs: $19,264,820
PPCs: $15,466,166
Total opportunity: $147,711,401
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Icon of a very large hospital
LOS: $250,855,211
ICU: $20,680,246
PPRs: $44,638,548
PPCs: $29,258,850
Total opportunity: $345,432,854
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Icon of a very large hospital
LOS: $315,505,264
ICU: $20,355,211
PPRs: $42,577,504
PPCs: $45,280,515
Total opportunity: $432,718,494
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