Documents
Documents
Am J Manag Care 17:e410-8. Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA OBJECTIVES: To determine the […]
Adm Policy Ment Health 39:374-382. Addiction Research Institute, University of Texas at Austin, Austin, TX, USA This study examined antidepressant adherence and persistence among uninsured […]
Ann Emerg Med 61:539-548.e1. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada STUDY OBJECTIVE: More than 10% of patients treated in the emergency department (ED) […]
Health Aff 32:1942-1948. University of Wisconsin–Madison, WI, USA; University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA One approach to the patient-centered medical home, particularly […]
Int J Equity Health 12:69. Center of Comparative Effectiveness Research, National Center of Excellence for Clinical Trial and Research, National Taiwan University Hospital, Taipei City, […]
Ann Fam Med 11 Suppl 1:S19-S26. Group Health Physicians, Seattle, WA, USA PURPOSE: The patient-centered medical home (PCMH) is being rapidly deployed in many settings […]
Pharmacoepidemiol Drug Saf 22:744-751. University of British Columbia, Vancouver, BC, Canada; BC Children’s Hospital, Vancouver, BC, Canada; Child and Family Research Institute, Vancouver, BC, Canada; […]
Am J Manag Care 7:389-398. MEDTAP International, Bethesda, MD, USA OBJECTIVE: To examine the relation between blood pressure (BP) control and utilization and cost of […]
Ann Epidemiol 24:532-537. St. Michael’s Hospital, Toronto, ON, Canada; University of Toronto, Toronto, ON, Canada; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada PURPOSE: We […]
Rev Esp Salud Publica 88:251-260. Published in Spanish. Centro de Salud de Astrabudua,.Osakidetza (Servicio Vasco de Salud), Erandio. Bizkaia, Spain; Instituto Vasco de Innovación Sanitaria. […]
Winnipeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, Winnipeg, MB, Canada Canadian policy makers are considering a variety of new […]
International Conference for Pharmacoepidemiology (ICPE) – August, 2015 Boston, MA, USA. Background: A MedsCheck Annual (MCA) consultation is a government-funded, medication review service in Ontario, […]
Gastroenterology 146:S-171. Background: The incidence of Crohn’s disease (CD) and ulcerative colitis (UC) in the elderly population is reported to be increasing. Comorbid diseases, which […]
BMC Health Serv Res 7:A13. Karolinska Institute, Stockholm, Sweden BACKGROUND: Longitudinal studies on clinical categories of patients in primary health care are rare, as are […]
Final report to Centers for Medicare and Medicaid Services, US Department of Health and Human Services. Baltimore, MD, USA: Johns Hopkins University. Johns Hopkins University, […]
Bethesda, MD, USA: Project Hope Center for Health Affairs. Project Hope, Bethesda, MD, USA This report contains findings from a project conducted by the Project […]
Johns Hopkins University, Lewin Group. Prepared for Health Care Financing Administration. Fairfax, VA, USA: Lewin Group. Johns Hopkins University, Baltimore, MD, USA; Lewin Group, Fairfax, […]
Project final report. Baltimore, MD, USA: Johns Hopkins University and Aetna Health Plans. Johns Hopkins University and Aetna Health Plans, USA As the US health […]
Baltimore, MD, USA: CMS Tribal Affairs Group.. CMS Tribal Affairs Group, Baltimore, MD, USA The Indian Health Service (IHS) is a discretionary federal program that […]
Linkoping, Sweden: Linkoping University. Linkoping University, Linkoping, Sweden The general aim of this thesis is to describe and analyse the role of primary care in […]
Los Angeles, CA, USA: University of California, Los Angeles (doctoral dissertation). University of California, Los Angeles, CA, USA Increased technology in the development of effective […]
Baltimore, MD, USA: Centers for Medicare and Medicaid Services. Schneider Institute for Health Policy, Heller School for Social Policy and Management, Brandeis University, Waltham, MA, […]
Waltham, MA, USA: Brandeis University (doctoral dissertation). Brandeis University, Waltham, MA, USA Health care organizations must find creative ways to achieve cost-efficient, high-quality primary care […]
Winnipeg, MB, Canada: Manitoba Metis Federation. Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada; Health & Wellness Department, Manitoba Metis Federation, Winnipeg, […]
J Nurs Ed Pract 3:23-29. Basque Institute for Healthcare Innovation, Sondika, Bizkaia, Spain In 2011 advanced competences in nursing were defined and pilot tested in […]
Dunedin, New Zealand: University of Otago (doctoral dissertation). University of Otago, Dunedin, New Zealand BACKGROUND: Comorbidity has an important impact on cancer outcomes, but the […]
Using case finding and risk stratification: A key service component for personalised care and support planningThis handbook describes current thinking and provides practitioner insights into […]
The Defense Health Agency (DHA) supports the delivery of integrated, affordable, and high-quality health services to Military Health System (MHS) beneficiaries and is responsible for […]
Johns Hopkins Bloomberg School of Public Health How Health Information Technology can Impact the Delivery of Health Care Karen Kinder, PhD, MBA
Johns Hopkins HealthCare Develop a Risk Prediction Model to Identify Diabetic Members at High Risk of Hospitalization Martha Sylvia and Yanyan Lu
University of Minnesota Chinese Health Insurance System and Pilot Study for Applying ACG System to Chinese Healthcare System Yi Zhang and Stephen T. Parente, Ph.D.
Johns Hopkins ACG System ACG Predictive Model for Readmission Risk Klaus Lemke
NHS ACGs in Leicestershire and Leicester city Mark Pierce
DST Health Solutions Medication Therapy Management Amy Salls, Director Population Health Strategy Diana R. Kesser, Director Care Management Strategy
Cluster Analysis: Conditions and Variables That Are the Best Predictors of High Cost Members —Bob Gladden and Cathy Meade, CareSource
Use of ACG within Benefit Informatics for employer health plan cost management-Bruns Benefit Focus
N. Alba1, C. Bovo1, R. Marchi1, R. Borin1, F. Avossa2, E. Schievano2, M. Saugo2, M.C. Corti3, E. Boscolo3, C. Abrams4, K. Kinder4, D. Mantoan3; 1Local […]
ACG System DST Health Solutions The Impact of Transitioning Coding Systems on Risk Adjustment Kelsey Rauch
Amy Salls, Director of Population Health Strategy at DST Health Solutions, provides a summary on the commercialization process and the various populations, applications, and user needs that the ACG System helps in the United States. Learn More.
Johns Hopkins Healthcare (JHHC) develops and manages medical care contracts for close to 400,000 plan members. JHHC created a framework based on an adapted version of the National Academy of Medicine taxonomy, combined with ACG System output, to provide a more extensive set of risk categories in an effort to expand their care management programs to high-risk Medicare patients.
Thomas E. Kottke, MD, MSPH; Jason M. Gallagher, MBA; Sachin Rauri, MS; Juliana O. Tillema, MPA; Nicolaas P. Pronk, PhD, FACSM; Susan M. Knudson, MA […]
Objective To determine how to best measure the provision of comprehensive preventive care assessment to adults with IDD. Design Cross-sectional. Setting Ontario. Participants Adults with […]
Abstract Background: Several different indices summarize patient comorbidity using health care data. An accurate index can be used to describe the risk profile of patients, […]
Abstract Background Payers and providers still primarily use ordinary least squares (OLS) to estimate expected economic and clinical outcomes for risk adjustment purposes. Penalized […]
Abstract Study design Retrospective cohort study. Objectives The objectives for this study were to examine the prevalence of polypharmacy for people with traumatic spinal cord […]
Abstract BACKGROUND AND AIMS Methadone maintenance therapy (MMT) is associated with improved outcomes for children exposed to maternal opioid dependence in utero. We examined Ontario’s […]
Abstract Background Events occurring outside the hospital setting are underevaluated in surgical quality improvement initiatives and research. Objective To quantify regional variation in home care […]
Abstract Importance Sex-based income disparities are well documented in medicine and most pronounced in surgery. These disparities are commonly attributed to differences in hours worked. […]
Abstract Background Individuals on the autism spectrum are at greater risk for a variety of co-occurring psychiatric and medical conditions, which could result in greater […]
Abstract Background and purpose To characterize the frequency and risk of serious infections in patients with myasthenia gravis (MG) relative to age/sex/area‐matched comparators. Methods This […]
Abstract Background Gastrointestinal cancer surgery patients often develop perioperative anemia commonly treated with red blood cell (RBC) transfusions. Given the potential associated risks, evidence published […]
Aims Echocardiography is commonly used in hip fracture patients to evaluate perioperative cardiac risk. However, echocardiography that delays surgical repair may be harmful. The objective […]
ABSTRACT Background We examined HIV care and treatment in prison and after release for people with HIV in Ontario, Canada, and compared HIV care and […]
Abstract Purpose This study is conducted to explore the association between potentially inappropriate medication (PIM) and Alzheimer’s disease (AD) among the elderly. Methods We used […]
Abstract Objective Prednisone is a common treatment for myasthenia gravis (MG), and osteoporosis is a known potential risk of chronic prednisone therapy. Our aim was […]
Abstract Background Frailty is linked to perioperative morbidity and mortality. We evaluated the impact of preoperative frailty on inpatient outcomes of patients undergoing surgery for […]
Abstract Background Severe nutritional complications can occur following Roux-en-Y gastric bypass (RYGB). Adherence to follow-up visits can reduce the risk of many bariatric surgery complications, […]
Abstract The prevalence of Type 1 Diabetes (T1D) in the Veneto Region (Italy) in the 2015–2020 years was 152.5/100,000 subjects and the incidence 19.7/100,000 person-years. Accordingly, Veneto Region […]
Abstract Background In Canada, epidermal growth factor receptor (EGFR) inhibitor therapies in advanced non-small cell lung cancer (NSCLC) were initially approved regardless of EGFR status. The purpose […]
Abstract Background Healthcare systems have increasingly adopted integrated care models with demonstrated effectiveness. However, few studies examine integrated care for individuals with co-morbid mental illness […]
Abstract SARS-CoV-2 variants of concern (VOC) are more transmissible and may have the potential for increased disease severity and decreased vaccine effectiveness. We estimated the […]
Abstract Objective Patient vital signs are related to specific health risks and outcomes but are underutilized in the prediction of health-care utilization and cost. To […]
Abstract Hip fractures have life-altering consequences. Individuals with schizophrenia may experience a higher likelihood of hip fractures, worse postfracture outcomes, and suboptimal care. This thesis […]
ABSTRACT Background This study examined death from breast cancer and death from other causes among women with Stage 1 and 2 Her2-positive and triple-negative breast […]
Abstract Objective Determine relationship between frailty and hospital mortality, length of stay, cost, and medical and surgical complications in Zenker diverticulum surgery. Study Design Retrospective […]
Graphical abstract
Abstract Background Shingles remains a significant cause of morbidity in people living with HIV despite advances in antiretroviral therapy. The recombinant zoster vaccine (RZV) is […]
Abstract Background Many burn survivors experience poor long-term outcomes, including reduced quality of life and greater mortality than the general population, yet post-discharge interventions to […]
Abstract Background Chronic respiratory diseases (CRDs), such as asthma and chronic obstructive pulmonary disease (COPD), are heterogeneous conditions with a high multimorbidity burden. However, existing risk […]
Abstract Background Continuity of care is key for high-quality primary care, associated with improved health outcomes, reduced mortality and more efficient use of resources. Achieving […]
Abstract England’s population is living longer, a sign of progress and better health, but adult social care (ASC) services must adapt to support a growing […]
Risk stratification models have traditionally used medical and pharmacy claims data combined with other sources, such as electronic health records (EHRs). But provider organizations often […]
People usually go to the Emergency Department (ED) when they are experiencing a medical emergency. But some people choose the ED for non-urgent care, which […]
This webinar provides an introduction to the principle of case mix and the constructs within the ACG System that make this possible. This session is a […]
This white paper provides an overview of the ACG System and how it is being used to support a range of clinical and commissioning activities […]
Med Care 38:836-846. Department of Family Medicine, University of Rochester, New York, NY, USA BACKGROUND: Primary care physicians (PCPs) exhibit widely varying referral rates, resulting […]
Eval Health Prof 37:434-456. National Kaohsiung First University of Science and Technology, Kaohsiung, Taiwan It is well known that the differences-in-differences (DD) estimator is based […]
Manag Care 24:46-52. University of Texas, Houston, TX, USA; Michael E. DeBakey Veterans Affairs Medical Center HSR&D, Houston, TX, USA; Baylor College of Medicine, Houston, […]
Am J Manag Care 8:1105-1115. Center for Health Quality, Outcomes and Economic Research, Bedford Veterans Affairs Medical Center, Bedford, MA, USA OBJECTIVES: To examine whether […]
JAMA 272:871-874. Harvard Community Health Plan, Brookline, MA, USA OBJECTIVE: To assess the influence of patient characteristics on practice profiling. Using the example of specialty […]
Ann Intern Med 164:395-405. Weill Cornell Medical College, New York, NY, USA BACKGROUND: Effects of the patient-centered medical home (PCMH) are unclear. Previous studies had […]
Appl Clin Inform 6:42-55. Weill Cornell Medical College, New York, NY, USA BACKGROUND: The federal government is investing approximately $20 billion in electronic health records […]
BMC Geriatr 15:117. Lund University, Malmö, Sweden; Stanford University School of Medicine, Stanford, CA, USA; University of Southern Denmark, Odense C, Denmark BACKGROUND: Although the […]
Dis Colon Rectum 57:83-90. University of British Columbia, Vancouver, BC, Canada BACKGROUND: Approximately 20% of patients with ulcerative colitis will require surgical treatment. Recent data […]
Pediatrics 108:851-855. University of Virginia Children’s Medical Center, Charlottesville, Virginia, USA OBJECTIVE: Hospital care for children with viral lower respiratory illness (VLRI) is highly variable, […]
Health Aff W4:73-75. Center for Health Workforce Studies, School of Public Health, University at Albany, State University of New York, Rensselaer, NY, USA The paper […]
Schizophr Res 113:95-100. Department of Psychiatry, University of Manitoba, CancerCare Manitoba, Winnipeg, MB, Canada It is estimated that mammography screening can reduce mortality from breast […]
J Clin Epidemiol 61:1250-1260. Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, MB, Canada OBJECTIVES: The aim was to construct and validate algorithms for […]
Am J Psychiatry 169:704-709. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA OBJECTIVE: In 2014, an estimated […]
J Fam Pract 50:427-432. Health Services Research and Development Center, Department of Health Policy and Management, Johns Hopkins School of Hygiene and Public Health, Baltimore, […]
Adm Policy Ment Health 39:440-447. Group Health Research Institute, Seattle, WA, USA Administrative data were used to examine early dropout among 16,451 health plan members […]
Psychiatry Res 196:32-37. Institute for Clinical Evaluative Sciences, University of Toronto, Toronto, ON, Canad Administrative health care databases are increasingly used for health services and […]
PLoS One 7:e32190. IIS Aragón, Aragón Health Sciences Institute, Miguel Servet University Hospital, University of Zaragoza, Zaragoza, Spain OBJECTIVES: The primary objective of this study […]
Health Serv Res 38:191-209. University of Rochester School of Medicine and Dentistry, Department of Community and Preventive Medicine, Rochester, NY, USA OBJECTIVE: To examine the […]
Adm Policy Ment Health 24:339-357. Department of Health Care Policy, Harvard Medical School, Boston, MA, USA This paper evaluates the ability of Ambulatory Care Groups […]
Aten Primaria 45:54-60. Published in Spanish. Instituto Vasco de Innovación Sanitaria, Sondika, Bizkaia, Spain Predictive models allow populations to be stratified according to their health […]
BMC Health Serv Res 12:153. Department of Health Care Management and Policy, University of Surrey, Guildford, UK BACKGROUND: Internationally health services are facing increasing demands […]
Health Care Financ Rev 23:53-68. Center for Health Program Development and Management, University of Maryland Baltimore County, Baltimore, MD, USA Managed care organizations (MCOs) may […]
BMC Health Serv Res 12:365. Osakidetza, Basque Health Service, C/ Alava n° 45, Vitoria-Gazteiz, Spain BACKGROUND: Chronic diseases are an increasing threat to people’s health […]
