Sigesa Case-Mix: from coding to insight

Case-mix analysis is built on three key stages: clinical coding, grouping of patient episodes, and analysis using standardised metrics.

Together, these stages provide the insights needed to support better decision-making in healthcare management.

Case-Mix products

Enara APR

Enara APR

Analytics | Spain | Specialty Care

Data analytics solution developed by Sigesa and Solventum for hospital case-mix analysis. It enables analysis, benchmarking and tracking of general inpatient indicators based on the Solventum APR-DRG patient grouping system.

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Enara CAL

Enara CAL

Analytics | Spain | Specialty Care | Quality of Care

Supports the analysis of the organization's quality of care through standardized, validated and internationally recognized quality-of-care indicators.

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Enara MLS

Enara MLS

Analytics | Spain | Machine Learning | Specialty Care

Machine Learning models developed by Sigesa that allow building comparison standards for highly relevant activity and quality indicators, analytically optimized by taking into account multiple variables of each clinical episode.

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SmartView AE

SmartView AE

Analytics | Spain | Specialty Care

Solution specifically designed for Heads of Department and Specialty Care physicians. It provides synthesized insights drawn from the knowledge generated by the different solutions of the Enara platform.

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SmartView Manager

SmartView Manager

Analytics | Spain | Specialty Care

Solution designed for executive profiles within the institution. It provides synthesized information that delivers a quick and straightforward overview of the hospital's overall situation.

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TeamCoder

TeamCoder

Coding | Spain | Latin America | Specialty Care

A versatile, adaptable and highly configurable coding platform, designed by and for medical coders. It contains tools that speed up and optimize the coding process, with a visual, intuitive design that allows regulatory changes — in Spain and internationally — to be incorporated easily.

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Alcor GRD

Alcor GRD

Analytics | Latin America | Specialty Care

Hospital case-mix analytics solution that supports decision-making based on objective and comparable information. It allows the calculation, evaluation and comparison of risk-adjusted case-mix indicators based on the Solventum IR-DRG patient grouping system.

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Alcor CAL

Alcor CAL

Analytics | Latin America | Specialty Care | Quality of Care

Solution dedicated to calculating standardized, validated and internationally recognized quality-of-care indicators. It helps hospitals analyze the quality of their care and the safety of their patients in a simple way.

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Alcor CCI

Alcor CCI

Coding | Latin America | Specialty Care

Calculates the DRG at any point during the patient's care process and stores the coding so that temporal tracking can be performed of both the patient and the DRG associated with that time slice.

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Enara Emergency Room

Enara Emergency Room

Analytics | Spain | Specialty Care

Enables the normalization, validation and advanced analysis of the activity carried out in the hospital's Emergency Department.

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Enara Outpatient

Enara Outpatient

Analytics | Spain | Outpatient Specialty Care

Enables the normalization, validation and advanced analysis of the activity carried out in the hospital's outpatient area.

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Enara CRG

Enara CRG

Analytics | Spain | Population Health

Data analytics solution developed by Sigesa and Solventum for population health analysis, the calculation of population risk-adjustment indicators, and the management of chronic patients, based on the Solventum-CRG (Clinical Risk Groups) population stratification algorithm.

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Alcor POB

Alcor POB

Analytics | Latin America | Population Health

Data analytics solution for population health analysis, the calculation of population risk-adjustment indicators and the management of chronic patients, based on the Solventum™ CRG stratification algorithm. Particularly useful in capitated funding models.

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APR-DRG

APR-DRG

Grouping | Spain

Patient classification system that allows grouping the most refined hospital case-mix, providing information about the severity of illness, the patient's risk of mortality and the impact on the cost of care.

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IR-DRG

IR-DRG

Grouping | Latin America

Patient classification system capable of grouping all the patients of a hospital, covering the full scope of activity: inpatient stays, day hospital, ambulatory surgery, outpatient clinics, emergency, rehabilitation, etc. It includes 3 levels of severity and 3 levels of mortality risk per DRG.

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CRG

CRG

Grouping | Spain | Latin America | Population Health

Solventum™ CRG (Clinical Risk Groups) population stratification algorithm that classifies each individual into a single exhaustive and mutually exclusive category based on their clinical status over a historical period, to support population analysis and chronic-patient management.

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MS-DRG

MS-DRG

Grouping | Spain | Quality of Care

Solventum™ Core Grouping MS software that assigns a DRG to each patient based on hospital discharge record data, using ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes in accordance with the Medicare Severity DRG standard.

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