Risk-Stratified Care Mgmt. Scoring Algorithm

The Risk-Stratified Care Management (RSCM) Scoring Algorithm is designed to support practices in the process of stratifying patients into three risk levels based on utilization, chronic disease, behavioral and mental health, and social determinants of health. The tool enables practices to generate a score and associated risk level to identify patients who may benefit from longitudinal care management services.   

While many practices have access to a registry or population health system, this tool can be helpful for implementing RSCM in practices that do not. 

Once a patient’s score and risk level are determined, the care team can use the RSCM Rubric to identify care plan suggestions and opportunities for planned care, if appropriate.