Practice Fusion’s Patient risk score feature can assist providers with risk stratification and classification, which helps make it easier to identify patients who may need additional care management.
Documenting patient risk score
1. On the patient Summary, click the Go to drop-down menu and select Patient risk score or scroll down to the specific section. Click the + icon to document the risk type and score.
2. Select the Risk score type from the drop-down menu and enter the risk score. If the risk score type you are interested in documenting is not available, select Other. The risk score must be numeric and can include up to three characters, a decimal, and another three characters (e.g. XXX.XXX).
The following risk score types are available in Practice Fusion:
Hierarchical Condition Category (HCC): Hierarchical Condition Category (HCC) coding is a risk adjustment model used by the Centers for Medicare and Medicaid Services (CMS). This model identifies individuals with serious or chronic illness and assigns a risk factor score to the person based upon a combination of the individual’s health conditions and demographic details.
Adjusted Clinical Groups (ACG): The ACG system measures health status by grouping diagnoses into clinically cogent groups. The goal of the ACG system is to assign each individual a single, mutually exclusive ACG value, which is a relative measure of the individual's expected or actual consumption of health services.
Elder Risk Assessment (ERA): For adults over 60, ERA uses age, gender, marital status, number of hospital days over the prior two years, and selected comorbid medical illness to assign an index score to each patient.
Chronic Comorbidity Counts (CCC): The CCC risk adjustment method is based on the publicly available Agency for Healthcare Research and Quality’s Clinical Classification Software. The CCC method uses the total sum of chronic conditions grouped into 6 categories: 0, 1, 2, 3, 4, and 5 or more.
Minnesota Tiering (MN): The Minnesota Tiering (MN Tiering) risk adjustment model is based on a product of ACGs, Major Extended Diagnostic Groups. The purpose of MN Tiering is to group patients into “complexity tiers” based on the number of major condition categories from which they suffer.
Other: Use this category to record practice-specific risk scores or any other risk score not listed above.
3. Enter or edit the Date assigned and click Save.
4. The patient risk score will display for quick reference on the patient Summary.
5. To print the patient risk score, click the printer icon next to the Patient risk score section on the Summary page.
Q: Does Practice Fusion automatically calculate a risk score for my patients?
A: While some EHR products do generate risk scores for patients, that is not something that Practice Fusion offers right now. In this version of this feature, the Practice Fusion EHR supports the ability for a provider to record a structured patient risk score (in numeric form) in a patient's medical record.