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3M™ Patient-focused Episodes (PFE) Software

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3M™ Patient-focused Episodes (PFE) Software generate extensive risk adjustment using widely adopted methodologies for inpatient hospital care, ambulatory care and baseline health status.

Identify patient-focused episodes using a clinical model that categorizes episodes of care to reflect a patient’s total burden of illness and comorbidities, not merely the presence of a single diagnosis.

Product Details

Patient centric, not disease specific

Patient centric, not disease specific

In contrast to approaches that define episodes by disease with minimal recognition of the complex interplay of comorbidities, 3M PFEs are patient-centered. An episode includes all conditions and costs of caring for the patient during the episode. This is important because patients with comorbidities account for most healthcare spending.

Careful, clinically defined risk adjustment

Careful, clinically defined risk adjustment

To reflect the clinical reality that resource needs vary widely depending on comorbidities, 3M PFEs include extensive risk adjustment using widely adopted and well vetted methodologies such as the 3M™ All Patient Refined Diagnosis Related Groups (3M APR DRGs) for inpatient hospital care, the 3M™ Enhanced Ambulatory Patient Groups (EAPGs) for ambulatory care, and the 3M™ Clinical Risk Groups (CRGs) for baseline health status.

Comprehensive

Comprehensive

The 3M PFE methodology includes more than 240 event-based episodes covering a full range of medical and procedural encounters with triggers from both ambulatory and inpatient settings. In addition, more than 120 cohort episodes cover a wide range of chronic conditions and pregnancy-related care over a one year period.

Flexible and suitable for payment

Flexible and suitable for payment

3M PFEs were designed not only for analysis but also as the unit of payment. 3M PFE users have wide latitude to define various parameters such as the length of the episode window and included or excluded services. Because 3M PFEs are a clinical, categorical model, clinicians and analysts can drill into the data to gain insights on how to reduce cost and improve outcomes.

PFEs

All about 3M PFE Software