Systematic Care Management

Paradigm's exclusive proprietary outcomes and complexity systems were designed to enhance the catastrophic injury management system.  Paradigm developed an outcome classification system to establish mileposts in the recovery process.  Paradigm also developed a proprietary application to determine resource utilization for a catastrophic event which can be applied very early in the injury management process.  Outcomes and complexity, combined with its expert clinical management team and systematic management process, are the cornerstones of the Paradigm Model and are why Paradigm leads the nation in the management of catastrophic and complex medical injuries.

Outcome System
Paradigm has developed proprietary objective measures of recovery for catastrophic and complex medical events which allow for consistent benchmarking of the entire process of care. Paradigm's outcomes are based on the concept that every recovering individual passes through a sequence of clinical phases which can be objectively defined and measured.  These global measures establish significant mileposts by which the effectiveness and efficiency of care can be assessed by both clinical and cost criteria. Thereby, when combined with sophisticated risk stratification (Complexity) of the individual, Paradigm can achieve accuracy in forecasting treatment resources, duration of care, and cost required for each individual. This capacity allows carriers to have confidence in Paradigm's clinical outcomes that are not ahcievable elsewhere in the industry. 

Complexity Application
Paradigm's measure of Complexity is a proprietary measure of the relative amount of resources expected to achieve a specific clinical outcome. This complexity is determined based upon extensive objective demographic, clinical, functional, and psychological measures acquired by Paradigm during its initial assessment of each case. The value for these measures is assessed by Paradigm's specialist physicians and entered into an algorithm which produces a statistically significant weighted score correlating with the amount of expected resources and costs for that individual. The algorithm is based upon the statistical analysis, utilizing advanced predictive multivariate analysis, of thousands of catastrophic and complex cases previously managed by Paradigm.  This complexity measure, simplified to a 1 to 6 integral scale, (i.e. with 1 being least and 6 being most costly), allows the prediction of resources and financial reserve required to achieve a defined objective outcome for each specific event. This ability to classify cases by expected costs allows, for the first time, an unmatched ability to measure the performance, effectiveness and efficiency of the entire care process for these complex medical events.

For additional information on outcomes and complexity please contact Paradigm.