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This product was previously 3M™ Quality Services

Expertise to help organizations identify, improve and sustain quality performance

Hospital staffs are stretched with the demands of health care reform, cost pressures, increasing regulation and the omnipresent quality initiatives. All of these factors can create quality initiative fatigue and reduce the positive results of each new quality program. With Solventum™ Quality Transformation Services, you can focus your quality initiatives on the right problems to help ease quality initiative fatigue in your clinical, support and administrative staffs.

Product details

Identify the root cause of quality performance issues
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Provide a customized roadmap for quality improvement efforts with an organization-specific implementation plan
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Deliver accurate, complete and compliant reporting of quality metrics
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The challenge: An accurate portrayal

Hospital quality scores are now widely accessible to the public through Medicare, private organizations and patient reviews. As a result, hospitals must keep their publicly reported scorecards accurate and up to date to uphold their reputations. At the same time, healthcare is shifting from fee-for-service to value-based purchasing and risk-sharing payment models. To stay competitive, organizations must adapt and embrace this new performance-driven environment.

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The solution: Investing to find the right program

Hospital staff face mounting cost, quality and regulatory pressures, often leading to initiative fatigue and less effective improvement efforts. To succeed, hospitals must focus on the most critical initiatives rather than constantly shifting priorities.

Solventum Quality Transformation Services helps by uncovering the root causes of quality issues through accurate documentation, driving lasting improvements in care and outcomes.

We partner with you to create tailored quality improvement plans by:

  • Reviewing electronic health record (EHR) templates
  • Assessing clinical documentation integrity (CDI)
  • Optimizing coding and complication workflows
  • Enhancing CDI and coding diagnosis query and capture processes
  • Delivering provider education and training

If quality-of-care issues are identified, Solventum helps develop targeted improvement strategies.

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The Solventum advantage

Solventum consultants apply their expertise with both public and Solventum-proprietary quality metrics to determine if a perceived quality issue or low scorecard may be due to any of the following:

  • Documentation issues
  • Missed CDI query/clarification opportunities
  • Coder or coding issues
  • Hospital policy or guideline issues
  • EHR formatting/template issues
  • Clinical quality or patient safety concerns
  • Risk adjustment opportunities
  • Training and communications
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Solventum™ Risk Adjustment and Quality Optimization Services

Advance your quality efforts with a more accurate reflection of mortality, readmission and complication risk measures. Focus on validating documentation and coding, refining high-impact workflows and simplifying quality reporting across your organization.

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Our quality experts bring a diverse range of skills and tools to help organizations achieve their quality goals. This includes AI-driven quality reviews that empower CDI teams to flag quality concerns and identify prebill quality issues.

 

OfferingKey capabilities
AI-driven technology for proactive quality review
  • Concurrent quality review technology with customized prioritization and swim lanes
  • Automated case-finding logic to surface cases with quality concerns, allowing prioritization
  • Simultaneous and retrospective (prebill) reviewer workflow and customized worklists for quality, CDI and provider staff
  • Advanced code sequencing that helps to ensure the top 25 most impactful codes are captured on the claim and duplicates are removed (includes hierarchical condition categories (HCCs) and Elixhauser comorbidity measures)
Improvement planning
  • Identify true quality issues by eliminating coding/documentation-related noise
  • Provide support for root cause analysis and quality improvement action planning
  • Highlight preventable issues to drive measurable change
  • Identify true quality issues by process review and design to ensure capture of risk adjustment conditions affecting expected rates of complications such as readmissions, mortality and patient safety indicators (PSIs)
Intelligent documentation
  • Automated and custom physician query technology to clarify documentation in real time
  • Reduced false positives and refined data for better reporting and decision-making
Risk adjustment and quality optimization services
  • Validates risk adjustment by ensuring accurate capture and sequencing of conditions to accurately reflect expected rates for mortalities, readmissions and complications
  • Optimizes processes that impact risk adjustment, improving concurrent and discharge workflows as well as documentation practices
  • Empowers teams with the education and training needed to sustain quality improvements and
Software & services optimization
  • Embedded complications/indicators logic in Solventum™ 360 Encompass™ System for efficient review
  • Validate documentation before claim submission with our prebill audit tool
  • Enhance current workflows with Solventum 360 Encompass optimization services
Tailored consulting & education services
  • Enable documentation and quality audits on complications, readmissions, mortality and risk adjustment
  • Review and enhance EHR templates
  • Customize education for CDI, quality, coding and providers (general or metric-specific)
  • Customize workflow improvement and design including use/optimization of technology
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Let’s solve what’s next

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