Symmetry® Procedure Episode Groups ®
Symmetry® Procedure Episode Groups ® (PEG®)
Symmetry® Procedure Episode Groups ® (PEG®) is decision support analytic software that categorizes surgical procedures into procedural episodes to form consistent episodes of care as building blocks for analysis of clinical specialists.
PEG, the only procedure episode grouper software that is commercially available in the market, provides organizations that need to evaluate the value of health care provided by specialty surgeons with a simple method for comparing clinical specialists and performing sequence-of-care analysis.
Unified Unit of Measurement for Surgical Procedures
The PEG methodology uses carefully designed algorithms, based on clinical guidelines and a complete understanding of the complexity of medical claims data, to facilitate accurate identification and thorough development of complete procedure episodes.
One of the most important considerations in comparing procedures is accurate assignment of procedure episodes to the clinical specialists who perform them. PEG uses a sophisticated system for ranking and identifying for effective assignment of the appropriate provider.
PEG uses a new approach to measuring the value in surgical procedures, delivering:
- More than 180 Procedure Episodes, categorized into six (6) Procedure Practice Categories
- A complete unit of analysis for surgical procedures
- Easy identification of repeated procedures Consistent methodology with the Symmetry Suite of products
- Flexible output files that offer seamless integration with existing data-marts and other applications
- Information for analyzing the sequence of care related to surgical procedures
- Combined Episode Flag to alert the presence of a competing Anchor Procedure
- Transparent and available data for drill-down detail to the original claims
- Included content update service to keep pharmacy and medical code libraries up to date
- Grouping of responsible surgical providers into pre-defined clinical specialties creating ideal conditions for value-based measurement
PEG is the only commercially available procedure episode grouper software available in the market. It supports a comprehensive suite of products, leveraging a single methodological platform to address a wide array of business needs, when combined with other Symmetry products – ETGs, ERGs, PRGs, and EBM Connect.
Procedure Episode Groups is part of the Symmetry Suite of products supporting provider measurement, population and individual health care measurement, and clinical and financial trend analysis. The suite includes Episode Treatment Groups®, the market’s leading episode grouper; Episode Risk Groups®, which predicts current and future health care usage for individuals and groups; PCQ Connect, which provides comparisons of physician peer groups and performance; EBM Connect®, which measures patient and provider compliance to evidence-based guidelines; and Pharmacy Risk Groups®, which uses prescription data and proprietary classification systems to understand and measure individual health risk.
