RAG Rating of Patients
The key to the RAG rating of patients is that it is a clinician-lead decision made decision based on the level of continuity that you feel that patient needs. This is based on the template that pops up at the end of each consultation and asks the clinician to review their current categorisation and whether this is currently correct. When introducing this system for the first time there are two options:
- Introduce the pop up and the end of the consultation and then run this system for 3-6 months. At the end of this time then code everyone who does not have any RAG code as Green. This might mean that some Amber patients who have not been seen in 3-6 months are mis-coded as Green but in time they will be seen and the RAG categorisation will improve.
- Choose a particular search e.g. number of Long Term Conditions, Frailty codes, Electronic Frailty Index or combination of searches and set the RAG categories based on particular criteria within these searches. This will not be as accurate as the clinician-led pop up at the end of the consultation but once you have done this then you can set up the pop-up and over 3-12 months the RAG categorisation will get more accurate.
Technical Guide
Systmone
The building blocks of the RAG rating system are
RAG Category SNOMED codes
Data Entry template
Clinical reports
Protocol
Patient Status Alert
RAG Read codes:
Code Description | SNOMED | CTV3 Code | |
Green | General health good | 135815002 | XalMt |
Amber | Chronic long term disease management required | 416239002 | XaKdU |
Red | Chronic long term disease management required: complex needs | 416357003 | XaKdV |