The number and severity of conditions affecting a patient are a few of the factors that contribute to their total health. In today’s health care environment, it is important for providers to understand their patient population including the common disease states and diagnoses. Risk stratification is one approach where providers assign a health risk status to a patient, and use the patient’s risk status to direct and improve care. The goal of risk stratification is to help patients achieve the best health and quality of life possible by preventing chronic disease, stabilizing current chronic conditions, and preventing acceleration to higher-risk categories and higher associated costs. There are a number of methodologies used to assign risk categories, a selection of which are included below.
The Minnesota Complexity Assessment Method takes into account the social services and supports accessible to the patient, in addition to the clinical criteria.
The AAFP published a process for Risk Stratified Care Cordination.