DOCUMENTS

Presentations

Session 9: Nathan Cohen – Leveraging Data to Improve Outcomes and Delivery of Care

Leveraging Data to Improve Outcomes and Delivery of Care Nathan Cohen Philips Population Health Management  

10 Features in the Next Version of the ACG System – Steve Sutch

Dr. Steve Sutch Product Management Director Johns Hopkins HealthCare Solutions

Session 10A: Anna-Marie Mitchell – Assessing Mortality: Ontario Mortality Score

Assessing Mortality: Ontario Mortality Score Anna-Marie Mitchell Senior Analytic Product Consultant DST Health Solutions  

Session 7: Prada – Using the ACG System in Colombia: What Have We Learned About Our Health System?

Universidad Icesi – Proesa Using the ACG System in Colombia: What have we learned about our health system? Sergio I. Prada, PhD Melissa Perez, M.A.

09 C Morris S Scobie – Population Health Analytics

NHS – South, Central and West Commissioning Support Unit SCW | CSU Population Health Analytics – from supporting clinical commissioning to shaping New Models of […]

Session 10B: Tyler Boese – Assessing Mortality: Ontario Mortality Risk Score

Assessing Mortality: Ontario Mortality Risk Score Tyler Boese Medica

Session 7: Lieberman – Integrating The Johns Hopkins ACG System with Other Proprietary and Non-Proprietary Tools

Mile High Healthcare Analytics Integrating The Johns Hopkins ACG System with Other Proprietary and Non-Proprietary Tools Richard Lieberman

10 David Shepherd – Pin the Tail on the Donkey

Pin the tail on the donkey and other party games David Shepherd

Session 11: DST Health Solutions Team – Ask the Experts

Ask the Experts DST Health Solutions Team

11 Alan Gwynne – The Magic of Venn Diagrams

Some practical examples of using population profiling and risk stratification within The South Cotswold’s locality Alan Gwynne

Session 8: Hall – Creating Reporting Benchmarks for Provider ACOs

Minnesota Department of Human Services Creating Reporting Benchmarks for Provider ACOs Jackie Sias, Data Analyst Kristofer Hall, Provider Informatics Lead

Session 12: Adele Allison – Value-Based Payment

Anatomy of Value-Based Payment Adele Allison Director, Provider Innovation Strategies SS&C Health

Session 8: McGaw – Customizing ACG System Output Using Filters and Calculations

DST Health Solutions Customizing ACG Output Using Filters and Calculations Donald D. McGaw Jr. Client Relations Consultant

12 Alan Thompson – Closing Remarks

ACG Johns Hopkins Healthcare Solutions (JHHCS) Reflections on the Day Alan Thompson  

Session 13: Amy Salls – Total Cost of Care

Total Cost of Care Analytics Amy Salls Senior Director, Analytics SS&C Health

Session 9: Khomenko – Confidence in Predictions to Meet Organizational Needs

DataSmart Solutions Confidence in Predictions to Meet Organizational Needs Analytics Driven Solutions Bernard Khomenko, CEBS Vice President of Client Services

Session 1 – Pepa Soriano – ACG System as a key factor for a PHM program

ACG System as a key factor for a PHM program Pepa Soriano Leader of the Population Management Program at Ribera Salud

Session 14: Arielle Trzcinski – Advanced Analytics Required to Win, Serve, and Retain Customers

Advanced Analytics Required to Win, Serve, and Retain Customers Arielle Trzcinski Senior Analyst Forrester Research

Session 9: Singal – Pharmacy Value-Based Programs

DST Pharmacy Value Based Programs Rahul Singal, MD Chief Medical Officer

Session 15: Tim Terrell – Storytelling with Exploratory Data

Storytelling with Exploratory Data Tim Terrell Director of Analytics Lightbeam Health Solutions

Session 16: Dustin Burt – Turning Health Risk Assessments into ACG System Inputs

Turning Health Risk Assessments into ACG System Inputs Dustin Burt Data Scientist Buckeye Health Plan  

Session 17: Don McGaw – ACG Panel Size and Risk

Panel Sizing using ACG outputs Don McGaw DST Health Solutions  

Session 1 – Sokchay Chiv – Implementation and Continuation of a Care Coordination Program

Meridian Member Clinical Profile Sokchay Chiv Director Population Health Strategies and Analytics

Keynote II – Doug Rupp, Jonathan Mathieu, Gunnar Nelson & Brantley Scott – Exploring & Understanding Impacts of Risk Adjustment Across Regions

Exploring & Understanding Impacts of Risk Adjustment Across Regions Jonathan Mathieu, PhD, Vice President for Research and Compliance and Chief Economist Center for Improving Value […]

Session 2, Workshop 1 – Richard Chien – Assessing the Effects of a Demonstrated Integrated Outpatient Care Program(IOCP) on Geriatric Patients Whom Suffered by Multiple Chronic Diseases

Assessing the Effects of a Demonstrated Integrated Outpatient Care Program(IOCP) on Geriatric Patients Whom Suffered by Multiple Chronic Diseases Ching Wen Chien, Ph.D. Professor Tsing […]

Session 2, Workshop 1 – Hong Kan – New Advances in Defining Frailty in Older Adults

Defining and assessing geriatric risk factors and associated health care utilization among older adults using claims and electronic health records Hong J. Kan, PhD, MPP, […]

Session 2, Workshop 1 – David Bodycombe – Health Care Costs and Utilization Associated with High-Risk Prescription Opioid Use

Health care costs and utilization associated with high-risk prescription opioid use H-Y CHANG, H KHARRAZI, D BODYCOMBE, J P WEINER, G C ALEXANDER Johns Hopkins […]

Session 2, Workshop 2 – Ryan Morton – Towards Value-based Contracting using the ACG System

ACG System and value-based contracting Ryan Morton, Analyst DataSmartSolutions

Session 2, Workshop 2 – Jacob Hofdijk – The Dutch Health System’s Journey

The Dutch Health System’s Journey:  the ACG test from a silo killer perspective Jacob Hofdijk Founding Partner Q-Consultzorg  

Session 2, Workshop 3 – Steve Sutch – Measurement of Health Organisation Performance across Multiple Sector Services: A Population Health Analytic Perspective

Measurement of health organisation performance across multiple sector services: a population health analytic perspective Stephen Sutch DrPH, Alan Thompson MS, Chad Abrams MA Johns Hopkins […]

Session 2, Workshop 3 – Sergio Prada – Examining Regional Variation in Health Care Spending in Colombia

Examining regional variation in health care spending in Colombia Sergio I. Prada, PhD PROESA Universidad ICESI

Session 2, Workshop 3 – Marcus Lindvall – Evaluation and Revision Model for Primary Healthcare Reimbursement System with ACG®System

Evaluation and revision model for primary healthcare reimbursement system with ACG®System Marcus Lindvall, MSc Founder Ensolution AB, Sweden      

Session 3 – Hong Kan – A Comparison of Risk Adjustment Models Using Traditional Statistical and Machine Learning Techniques in Predicting Health Care Costs in Older Adults

A Comparison of Risk Adjustment Models Using Traditional Statistical and Machine Learning Techniques in Predicting Health Care Costs in Older Adults Hong Kan, PhD, MPP, […]

Session 4 – Mary Delaney – Data as an Influencer to Key Partners

Data as an Influencer to Key Partners Collaborative Healthcare Reform Mary Delaney Founder and President Vital Incite      

Session 4 – Lennart Carlsson – Visualising Health States for a Clearer Understanding of Multimorbidity and Enhancing Epidemiology

Mutual understanding: The complex health state Lennart Carlsson MSc, MPH, PhD Karolinska Institutet DepofNeurobiology, Care Sciences and Society Div of Family Medicine and Primary Care

Session 4 – Hang Yue – Visualizing ACG System-Based Population Health Assessment Data for NCQA Accreditation in QlikView

Visualizing ACG System-Based Population Health Assessment Data for NCQA Accreditation in QlikView Hang Yue, Shannon Murphy, Hemalatha George, Sarah Kachur Population Health Research and Development […]

Keynote III – Sangeeta Saran – Population Profiling to Support a New Model of Clinical Delivery

Population Profiling to Support a New Model of Clinical Delivery Sangeeta Saran NHS Slough Clinical Commissioning Group

Session 5 – Steve Sutch & David Bodycombe – Two Longitudinal Approaches with ACG System v12:  History of EDCs and Using Registry Data

Two longitudinal approaches with ACG System v12:  History of EDCs and using registry data (v12 update) Stephen Sutch, DR.P.H. Johns Hopkins HealthCare Solutions     […]

Session 5 – David Bodycombe – Re-engineering the RX-MGs

Re-engineering the RX-MGs David Bodycombe, M.SC, SC.D. Johns Hopkins Bloomberg School of Public Health

Session 5 – Klaus Lemke – Condition Identification and Control Assessment using Laboratory Data: A Refinement of Risk Measurement in the ACG System

Condition Identification and Control Assessment using Laboratory Data: A Refinement of Risk Measurement in the ACG System Klaus Lemke Johns Hopkins Bloomberg School of Public […]

Session 5 – Klaus Lemke & Shannon Murphy – Expansion of the NYU Emergency Department (ED) Visit Classification:  A Framework for a Retrospective Review of ED Utilization

Expansion of the NYU emergency department (ED) visit classification:  A framework for a retrospective review of ED utilization Klaus Lemke Johns Hopkins Bloomberg School of […]

Session 5 – Shannon Murphy – ED Visit Classification Using ACG System

ED Visit Classification Using ACG System Shannon Murphy Senior Analyst, Population Health Research & Development Johns Hopkins HealthCare

Session 6, Workshop 1 – Brian Norris – Data to Insights Quickly – Getting Started with Johns Hopkins ACG System

Data to Insights Quickly – Getting Started with Johns Hopkins ACG System Brian Norris MBA, RN-BC, FHIMSS Vice President of Data and Analytics OurHealth

Session 6, Workshop 1 – Marc Bruijnzeels – The First Results of Using the ACG System in Dutch General Practice

The first results of using the ACG System in Dutch General Practice Marc Bruijnzeels PhD LUMC-Campus The Hague/Jan van Es Institute Almere

Session 6, Workshop 2 – Alan Thompson – Inter-Relationship Between Frailty & Multimorbidity in East Berkshire, UK

Inter-Relationship Between Frailty & Multimorbidity in East Berkshire, UK Alan Thompson, MSc Johns Hopkins Healthcare Solutions     Sangeeta Saran NHS Slough Clinical Commissioning Group […]

Session 6, Workshop 2 – Melinda Cumby & Justin Stebbins – Population Segmentation: A New Way of Care Management

The Population Health Model POPULATION SEGMENTATION: A NEW WAY OF CARE MANAGEMENT Melinda Cumby CareSource     Justin Stebbins CareSource

Session 6, Workshop 3 – Marty Bendy & Seray Gardner – Hybridization of ACG®System Runs–One Size Doesn’t Fit All

Hybridization of ACG® System Runs–One Size Doesn’t Fit All Marty Bendy Medical University of South Carolina     Seray Gardner Medical University of South Carolina

Session 6, Workshop 3 – Aaron Blumkin – Visualization of Population Health Data:  A Picture is Worth a Thousand Data Points

Visualization of Population Health Data:  A Picture is Worth a Thousand Data Points  Aaron Blumkin, MS nextgen healthcare

Workshop 1 – Lisa Kabasakalian – A Beginner’s Guide to the ACG System

ACG System A Beginner’s Guide to The ACG System Lisa Kabasakalian Business Solutions Manager, DST Health Solutions

Session 6, Workshop 3 – Michael Simon – Social Determinants, Clinical Data, and ACG System:  Developing a Care Management Impact Score

Social Determinants, Clinical Data, and ACG System:  Developing a Care Management Impact Score Michael Simon, PhD Principal Data Scientist Arcadia

Session 7 – Steve Sutch & Chris Morris – Recalibrating the ACG System Predictive Models & Developing New Models Based on Emerging Priorities within the UK NHS

Recalibrating the ACG System Predictive models & developing new models based on emerging priorities within the UK NHS Stephen Sutch DrPH Johns Hopkins Healthcare Solutions […]

Session 7 – Andreas Johansson – Combining ACG System and Cost per Patient Data for Multiple Analyses

Combining ACG System and Cost per Patient Data for Multiple Analyses Andreas Johannson, M.Sc. Chairman Ensolution AB, Sweden

Session 7 – Hong Kan – Evaluating the Impact of Prescription Fill Rates on Risk Stratification Model Performance

Evaluating the Impact of Prescription Fill Rates on Risk Stratification Model Performance Hong J. Kan, PhD, MPP, MA Johns Hopkins School of Public Health Center […]

Session 8 – Zezhen Qiu – Prediction of Risk Scores of Patients with Incomplete Claims History

Prediction of Risk Scores of Patients with Incomplete Claims History Zezhen Qiu Business Intelligence Engineer MVP Health Care

Session 8 – Yanyan Lu – Impact of Inaccurate Coding on ACG System Analytics

Impact of Inaccurate Coding on ACG System Analytics Yanyan Lu Johns Hopkins HealthCare  

Session 8 – Manon Ruben & Stephen Jackson – Predictive Modeling–Working with Incomplete Data

Predictive Modeling–Working with Incomplete Data Pharmacy Claims Enhance Conventional Risk Prediction Manon Ruben AlignCare Product Development     Stephen Jackson AlignCare Chief Executive

Keynote IV – Manon Ruben – The Changing Face of Population-based Analytics Since the Advent of the ACG System

The Changing Face of Population-based Analytics Since the Advent of the ACG System Manon Ruben AlignCare Product Development

Keynote V – Dwight Raum & Patrick Ostendarp – Maximizing Value from Technology & Informatics Investments

Maximizing Value from Technology & Informatics Investments Engineering Integrated but Transformational Solutions Dwight Raum Johns Hopkins University & Health System VP & Chief Technology Officer […]

Workshop 2 – Lisa Kabasakalian – Using Filters to Identify Patients for Care Programs

ACG System Using Filters to Identify Patients for Care Management Programs Lisa Kabasakalian Business Solutions Manager, DST Health Solutions

Keynote II – Chris Forrest – Computable Phenotypes – Using Digitized Clinical Data to Improve Classification of Patient Health Risk

ACG System Computable Phenotypes: Using Digitized Clinical Data to Improve Classification of Patient Health Risk Christopher B Forrest, MD, PhD. Professor of Pediatrics and Health […]

Session 1 – Shannon Murphy – Identification and Stratification for Care Management Programs Using the ACG System

Johns Hopkins HealthCare (JHHC) Identification and Stratification for Care Management Programs Using ACGs Shannon Murphy Laura Herrera Scott Cassy Peterson Marianne Moulet Teresa Eyer Hema […]

Session 1 – Fernando Arbelaez – Improving Cohort Identification for Interventions Based on a Holistic Analytical Model

Gateway Health Improving Cohort Identification for Interventions based on Holistic Analytical Model Fernando Arbelaez

Session 1 – Bev Seddon – Big Data Comes in Small Package

HealthPlus of Michigan- HAP ACG TOP 10% OF SPEND TOOL Bev Seddon Manager of Health System Performance & Population Health Analytics

Session 1 – Steve Sutch – Patient Involvement in Care Management Programs

Johns Hopkins Bloomberg School of Public Health Patient involvement in care management programs for chronic conditions Stephen Sutch, MAppSc, BSc.

Session 2 – Bernard Khomenko – The Predictive Value of Consumer Data to Health Outcomes

ACG Johns Hopkins DataSmart Solutions The Predictive Value of Consumer Data to Near Term Health Care Utilization and Cost Paul Bogumill

Session 2 Handout – Bernard Khomenko – The Predictive Value of Consumer Data to Health Outcomes

ACG Johns Hopkins DataSmart Solutions The Predictive Value of Consumer Data to Near Term Health Care Utilization and Cost Paul Bogumill, President

Session 2 – Ching Wen Chien – Elderly Depression is Associated With Alzheimer’s Disease

Elderly Depression is Associated With Alzheimer’s Disease Ching Wen Chien

Session 2 – Ching Wen Chien – ABSTRACT-Elderly Depression is Associated With Alzheimer’s Disease

Elderly depression is associated with Alzheimer’s disease Ping Tao, RN, MHA Ching Wen Chien, Ph.D.

Session 2 Poster – Yanyan Lu – The Application of the ACG System in High-Risk Patient identification for Medicare ACO

Johns Hopkins HealthCare (JHHC) The Application of ACGs in Patient Identification and Stratification for a Medicare ACO Yanyan Lu, MS. Sarah G. Kachur, PharmD, MBA, […]

Session 2 – Hong Kan – Using Body Mass Index to Improve Claims-based Risk Adjustment

ACG Johns Hopkins Johns Hopkins Bloomberg School of Public Health Using Body Mass Index from Electronic Health Records to Improve Claims-based Risk Adjustment Heins SE […]

Session 2 – David Bodycombe – Using Historical Diagnostic and Contemporary Prescribing Data to Improve Diagnosis Capture

ACG Johns Hopkins JHU Bloomberg School of Public Health Using Historical Diagnostic Data and Contemporary Prescribing Data to Improve Diagnosis Capture David Bodycombe, M.Sc., Sc.D. […]

Session 2 – Maurice Dalton – Coordinated Medicare, Competitive Obamacare

Coordinated Medicare, Competitive Obamacare Amitabh Chandra Maurice Dalton Tyler Hoppenfeld

Session 2 – Natalia Alba and Elena Schievano – Implementing the ACG System in Italy

ACG Johns Hopkins Implementing the ACG System in Italy: Validation of Predicted Probability of Hospital Admission Natalia Alba Elena Schievano

Session 2 – Andreas Johansson – Usage and Practical Applications for the ACG System in Sweden

ACG System Ensolution Usage and practical applications for the ACG System in Sweden Marcus Lindvall, MSc Andreas Johansson, MSc

Workshop 3 – Steve Sutch – Customization Calibration and Predictive Modeling

Johns Hopkins HealthCare (JHHC) Customization, Calibration and Predictive Modelling Stephen Sutch, Dir. Product Development

Workshop 3 – Klaus Lemke – Refining Patient Risk Assessment with Clinical Markers: Do Laboratory Measurements Add Value to a Claims-Based Predictive Model for Cost Risk?

ACG System Johns Hopkins Bloomberg School of Public Health Refining patient risk assessment with clinical markers: Do laboratory results add value to a claims-based predictive […]

Workshop 3 – Chris Morris – Refining the ACG System for International Use – UK Developments

NHS South, Central and West Commissioning Support Unit Refining ACGs for International Use: UK Developments Chris Morris Principal Analyst

Session 3 – Jonathan Weiner – ACG System for the Digital Future: The “E-ACG System” EHR-Based R&D Agenda and Findings to Date

ACG System The Johns Hopkins Bloomberg School of Public Health Leveraging the Power of Electronic Health Records (EHRs) for Predictive Modeling Professor Jonathan Weiner ACG […]

Session 3 – Tom Richards – Challenges to using EHR Data with the ACG System

ACG System The Johns Hopkins Bloomberg School of Public Health Challenges to Using Electronic Health Record Data with the ACG System Thomas Richards Technology Director

Session 3 – Martha Sylvia – Experiences at the Medical University of S. Carolina (MUSC) in Applying the ACG System in the EHR Environment

Medical University of South Carolina MUSC Health ACGs and EMR Data Martha Sylvia, PhD., MBA., RN. Erik Sederstrom, MHA.

Session 4 – Klaus Lemke – The Intersection of Care Density and Coordination Risk: Can We Use Care Density and Coordination Risk to Identify Individuals at Risk for High Cost of Care?

ACG System Johns Hopkins Bloomberg School of Public Health The intersection of coordination risk and care density : Can we use these measures to identify […]

Session 4 – Amy Salls – The ACG System Care Density Marker

DST Health Solutions Care Density: A Social Network Approach to Claims Data Amy Salls Director, Population Health Strategy

Keynote III – Lizelle Steenkamp and Sharon Naidoo – Improving Patient Coordination Through Effective Primary Care Management

Discovery Health Improving patient coordination through effective primary care management Lizelle Steenkamp Sharon Naidoo

Session 5 – Jessica Nurick – Using ACG System Coordination of Care Measures in Family Practitioner Profiling

Medscheme Using ACG Coordination of Care Measures in Family Practitioner Profiling Jessica Nurick

Session 5 – Xuan Huang – Leveraging the ACG System to Support NCQA Accreditation for Health Plan Population Assessment

Johns Hopkins HealthCare (JHHC) Leveraging ACG to Support NCQA Accreditation for Health Plan Population Assessment Xuan Huang Lindsay Andon Hemalatha George Sarah Kachur Population Health […]

Session 5 – Jorge Salvatierra Pecho – Segmentation and Model Localization In Peru

Rimac Segmentation and Model Localization of ACG in Peru Jorge Salvatierra Pecho

Session 5 – Nigel Slone – Building Collaborative, Multi-Implementation, Care Variation Analysis

Sollis Building Collaborative, Multi-Implementation, Care Variation Analysis Nigel Slone Managing Director

Workshop 4 – Gary Nissen – Integrating the ACG System with BI and DV Tools

ACG System Health Plus Technologies, Inc. Integrating the ACG System with Business Intelligence and Data Visualization Tools Gary Nissen

Workshop 4 – Francesco Avossa – ACG System and BI Technologies in the Veneto Region

ACG Johns Hopkins ACG System and BI Technologies in the Veneto Region Francesco Avossa, Veneto Epidemiological Department Elena Schievano, Veneto Epidemiological Department Natalia Alba, LHU […]

Workshop 4 – James Barrett – Visualizing Data from the ACG System Using BI Methods

ACG System Visualizing data from the ACG System using BI methods James Barrett Technical Consultant

Workshop 4 – Don McGaw – Data Visualization

DST Health Solutions Integrating the ACG System with Business Intelligence and Data Visualization Tools Donald D. McGaw Jr

Workshop 4 – Cathy Meade – Data Integration and Visualization

CareSource Data Integration and Visualization using ACG Cathy Meade Director Healthcare Analytics

Workshop 5 – David Carnahan – ACG System Visualization in MHS

Defense Health Agency (DHA) Visualization & Use of ACG in the Military Health System David Carnahan Susan Chao Enterprise Intelligence Branch

Keynote IV – Linda Dunbar – The Johns Hopkins Community Health Partnership: Challenges In Measuring Multiple Determinants of Health

Johns Hopkins HealthCare (JHHC) Accountable Care, Population Health, and a Community Model for Partnership Challenges and Opportunities in Addressing Social Determinants of Health Linda Dunbar […]

Session 6 – Cristina Mannie and Stefan Strydom – A Comprehensive Care Management Program Focused On Emerging And High Risk Individuals: An Update

Medscheme A Comprehensive Care Management Programme Focused on Emerging and High Risk Individuals: An Update Stefan Strydom Cristina Mannie

Session 6 – Fernando Arbelaez – Population Focus Approach

Gateway Health Population Focus Approach Fernando Arbelaez

Session 6 – David Cochrane – Applying the ACG System to Evidence Based Care Coordination Co-Located with Primary Care in the North Kirklees Yorkshire, England

Conrane International Health Solutions (IHS) Evidence Based Care Coordination: Towards A Replicable Model in North Kirklees, West Yorkshire Dr. David Cochrane

Session 6 – Silvia Netti – Nurses’ Role in a Team-Based Approach for Primary Care Management of Complex Patients Identified with the ACG System: Preliminary Results from a Pilot Program in the Veneto Region – Italy

ACG System Nurses’ Role in a Team-Based Approach for Primary Care Management of Complex Patients Identified with ACG: Preliminary Results from a Pilot Program in […]

Keynote V – Hong Kan and David Bodycombe – The Future of Risk Stratification

ACG System The ACG System and Future of Predictive Modeling Dave Bodycombe, ScD. ACG Research Director Hong J. Kan, PhD. ACG Deputy Research Director

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