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Closely examine hospitalizations, ED visits and ancillary services to identify, measure and reduce avoidable utilization

Avoidable utilization can negatively impact the patient experience and care outcomes while also being costly for health systems and payers alike. Fragmented data across care settings, claim types and timelines makes it difficult to track patient journeys, consistently define preventable events and determine where intervention could have changed outcomes.

The Solventum™ Population-focused Preventables (PFPs) Classification System identifies potentially preventable healthcare events across care settings to pinpoint drivers of avoidable utilization so organizations can take action to address them.

Product details

Comprehensive

Identifies potentially preventable healthcare events across inpatient, ED and outpatient settings.

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Targeted

Offers insights into avoidable utilization to inform strategic interventions.

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Fair

Enables apples-to-apples benchmarking across providers and populations.

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Bundles three methodologies into one population-focused framework
 

MethodologyServices identifiedUnderlying issue
Solventum™ Potentially Preventable Admissions (PPAs) Classification SystemHospital admissions that could potentially have been treated in an alternative settingInadequate access to care or resources
Solventum™ Potentially Preventable Services (PPSs) Classification SystemLow-value or duplicative outpatient or professional services that may be overutilized or do not provide useful information for diagnosis or treatmentAvoidable low-value outpatient services
Solventum™ Potentially Preventable Emergency Department Visits (PPVs) Classification SystemED visits for conditions that could otherwise be treated in a non-emergency settingInadequate access to care or resources

All about Solventum PFPs 

Solventum PFPs: 

  • Unify claims across settings for a longitudinal view
  • Group patients by clinical characteristics and population criteria to identify potentially preventable healthcare events 
  • Conduct robust risk adjustment for fair comparisons
  • Apply updated logic that aligns with current clinical standards 

Healthcare organizations can use the resulting actionable insights to reduce avoidable utilization, improve outcomes and manage total cost of care.

Payers can use Solventum PFPs to:

  • Manage population-level cost and utilization trends
  • Design incentives to reduce unnecessary inpatient care
  • Lower total cost of care 

Health systems can use Solventum PFPs to:

  • Identify high-risk populations and care gaps
  • Improve population health outcomes through proactive intervention and access strategies
  • Enhance value-based care performance with measurable metrics

State agencies can use Solventum PFPs to:

  • Monitor Medicaid and population health programs
  • Support value-based care program design and oversight
  • Advance health equity by identifying disparities in access and utilization

Customers using Solventum™ Grouper Plus Content Services (GPCS) and Solventum™ Core Grouping Software (CGS) can integrate Solventum PFPs into existing workflows to identify and analyze potentially preventable events.

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