Risk Stratification v1.0.0
Full or Partial Capability status. For this Capability, Solutions are required to meet a minimum of one MUST EPIC and associated acceptance criteria but not all MUST EPICs (where there are multiple MUST EPICS) to achieve Partial Capability Status, or; to meet all MUST EPICs and their associated acceptance criteria to achieve Full Capability Status.
Description
Risk Stratification tools are specifically designed to identify those individuals who are at high risk of experiencing a future adverse event, such as readmission to hospital or unplanned hospital admission, or an acute event such as a heart attack. Risk Stratification often takes into account multiple risk factors and morbidities and their inter dependency, rather than just concentrating on one criterion (e.g. high blood pressure).Â
A Risk Stratification Capability will allow risk calculations to be performed for individual patients using algorithms that can be run against Patient data (known algorithms can be used such as QRISK®2, QDiabetes®, QFracture®, QCancer®, QAdmissions®) to proactively identify a Patient's risk level (e.g. of an unplanned admission). If the high-risk individuals can be identified early and offered better support and preventive care then it may be possible to improve their health outcomes and their experiences of care while, at the same time, making net savings for the health service as a whole by averting complications and avoiding hospital admissions.
Outcomes
GPs |
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Patients |
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EpicRS1 - run Risk Stratification algorithms
As a Service Provider
I want to identify whether a Patient is at risk
So that I can prioritise the management of their care
Acceptance criterion 1: Service Provider can run Risk Stratification algorithmsÂ
Given the Service Provider is using a Risk Stratification Tool
When they want to identify whether a Patient is at high risk of developing certain outcomes or diseases
Then they can run Risk Stratification algorithms against that Patient's data
And a risk level can be calculated
And the results can be saved
Acceptance criterion 2: tools based on nationally or industry recognised algorithms
Given the Service Provider is using a Risk Stratification Tool
When there is a nationally or industry recognised algorithm for the Risk Stratification Tool
Then the Risk Stratification Tool uses the nationally or industry recognised algorithm
Acceptance criterion 3:Â view Risk Stratification Tool algorithm details
Given the Service Provider is using a Risk Stratification Tool
When the Service Provider chooses to view details about the algorithm used by the tool
Then the algorithm details can be viewed
And the source is displayed
Suppliers will have to attain compliance with these Standards during the compliance stage before they can be live on a framework with this Capability:
None
Suppliers will have to attain compliance with these Standards during the compliance stage before they can be live on a framework with this Capability:
- Interoperability Standard
- Overarching Standards
Suppliers will not be assessed or assured on these Roadmap Items as part of Onboarding