What is Risk Stratification?
Risk Stratification is a systematic process for identifying and predicting patient risk levels relating to health care needs, services, coordination and transitions of care. The goal of risk stratification is to identify those patients that are at the greatest risk and prioritizing the management of their care to prevent uncontrollable costs and poor patient outcomes.
How can we help?
We collaborate on strategy and use our Patient Engagement Centers to provide services to the healthcare organizations at risk patient population
As value-based care delivery models—like Accountable Care organizations (ACOs), Patient Centered Medical Homes (PCMH) or Integrated Delivery Networks (IDNs) hoping to drive down costs and improve patient outcomes are now becoming more focused on managing population health and risk stratification becomes more important than ever. Healthcare organizations working to drive down their patient cost structure and improve outcomes must design interventions that target high-risk, high-cost patients who need to be managed carefully and proactively.
Risk Management in Healthcare Begins with Stratification
The foundational step of targeting these high-risk patients is, of course, to identify them. For example, ACOs have to be able to pinpoint which heart failure patients or diabetes patients are at high risk for readmission. Empowered with insight into their at risk patient population, our Patient Engagement Center assist healthcare organization by helping them manage these populations by; scheduling follow-up appointments, educate patients on their condition to promote literacy, medication reconciliation and adherence, care coordination and manage care transitions ultimately creating a continuum of care and improving patient outcomes while also driving down cost. The process of separating patient populations into high-risk, low-risk, and the ever-important rising-risk groups is called risk stratification. Providing services to support the healthcare organization to stratify patients according to risk and implement the support to the patients is key to the success of any population health management or risk stratification initiative.
Overview of Risk Stratification Methods
Several different methods are available for stratifying a population by risk. The following are some of the most common methods.
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