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This document provides a high-level overview of what risk stratification is its relevance to the health service and some things to consider when using risk […]
Naresuan University Ambulatory casemix systems and Thai health financing arrangements Supasit Pannarunothai Faculty of Medicine
BMC Public Health Co-morbidity and Health Care Utilisation Five Years Prior to Diagnosis for Depression: A Register-Based Study in a Swedish Population David Andersson Henrik […]
Johns Hopkins ACG System The Development of a Coordination Risk Measure Patricio Muñiz
Cricket Green Medical Practice, Mitcham, Surrey Improving Patient Care Using Risk Profiling in Primary Care Dr Simon Gilbert, GP
Bridging the Gap Between Payer Data and EHR Data —Rohan D’Souza, eClinicalWorks
OVERVIEW OF VERSION 11: ENHANCEMENTS AND FEATURES Overview of Version 11: Enhancements and Features —Amy Salls, DST Health Solutions
Karen Kinder, PhD, MBA, Executive Director, ACG System, gives an overview of the ACG System and its various applications to solve health care challenges worldwide. Dr. Kinder highlights how the different users including health organizations, national and regional health authorities, clinic directors, and practitioners use the ACG System to improve accuracy and fairness in evaluating performance, identifying individuals at high risk, forecasting health care utilization, or setting equitable payment rates.
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 Introduction Neuroendocrine tumours (nets) are a poorly understood malignancy lacking standardized care. Differences in socioeconomic status (ses) might worsen the effect of non-standardized care. […]
Are you a provider, payor or population health organization looking for a quick tune-up to your existing strategy and planning? Then look no further. We […]
Presented by: David H. Carnahan, Colonel, USAF, MD, MSCE
BMJ 348:g3284. University of Toronto, Toronto, ON, Canada; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada OBJECTIVES: To identify a cut point in annual surgeon […]
Med Care 47:105-114. Division of Research, Kaiser Permanente Medical Care Program, Northern California Region, Oakland, CA, USA BACKGROUND: Analyzing health conditions and medical utilization of […]
Med Care 52:557-564. University of Ottawa, Ottawa, ON, Canada; Ottawa Hospital Research Institute, Ottawa, ON, Canada IMPORTANCE: Previous research has demonstrated that patients undergoing elective […]
Eur J Intern Med 26:197-202. Basque Institute for Healthcare Innovation, Barakaldo, Spain; Osakidetza (Basque Health Service), Erandio, Spain; Department of Health, Vitoria-Gasteiz, Spain; World Health […]
Palliat Med 29:147-156. Queen’s University, Kingston, ON, Canada; University of Toronto, Toronto, ON, Canada; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; Queen’s University, Kingston, […]
Health Econ 11:165-174. Department of Health Services, Boston University School of Public Health, Boston, MA, USA To mitigate selection triggered by capitation payments, risk-adjustment models […]
CMAJ Western University, London, ON, Canada; London Health Sciences Centre, London, ON, Canada; Institute for Clinical Evaluative Sciences (ICES) Western, London, ON, Canada BACKGROUND: Many […]
BMC Health Serv Res 15:63. Bruyère Research Institute, Ottawa, ON, Canada; University of Ottawa, Ottawa, ON, Canada; McGill University, Montreal, QC, Canada; Ottawa Hospital Research […]
PLoS One 10:e0138907. University of Toronto, Toronto, ON, Canada; Ontario Institute for Cancer Research/Cancer Care Ontario, Toronto, ON, Canada; Institute for Clinical Evaluative Sciences, Toronto, ON, […]
Healthc Policy 8:79-90. University of British Columbia, Vancouver, BC, Canada OBJECTIVES: Amenable mortality is proposed as a health system performance measure, and has been used […]
Med Care 33:783-795. Indiana University Department of Medicine, Indianapolis, IN, USA. Different types of medication prescribed during a 6-month period for the treatment and management […]
BMC Public Health 11:609. Faculty of Social Welfare and Health Sciences, University of Haifa, Mount Carmel, Israel BACKGROUND: The ability to accurately detect differential resource […]
CMAJ 180:E72-E81. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada BACKGROUND: Primary care reform in Ontario, Canada, included the initiation of a blended capitation model […]
BMC Health Serv Res 8:53. Catalan Institute of Oncology, IDIBELL, L’Hospitalet, Barcelona, Spain BACKGROUND: In view of rapidly increasing prescription costs, case-mix adjustment should be […]
BMC Public Health 6:36. Ryd Primary Health Care Centre, Linköping, Sweden BACKGROUND: The objective was to explore the usefulness of the morbidity risk adjustment system […]
J Ambul Care Manage 18:56-72. Harvard School of Public Health, Harvard University, Boston, MA, USA This article presents our principles for developing performance measures to […]
Health Aff 10:140-154. Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD, USA Differences between the health services utilization patterns of persons enrolled […]
CMAJ 173:1173-1177. Radiology, University of Manitoba, Winnipeg, MB, Canada INTRODUCTION AND HYPOTHESIS: An inverse relationship exists between socio-economic status (SES) and osteoporotic fractures. In publicly […]
Am J Public Health 96:363-370. Institute for Health Policy Studies, University of California San Francisco, USA OBJECTIVES: We determined differences in Medicaid service use and […]
Arch Phys Med Rehabil 85:218-226. OBJECTIVE: To examine performance of models in predicting health care utilization for individuals with spinal cord dysfunction.DESIGN: Regression models compared […]
J Urban Health 77:645-662. Mathematica Policy Research in Washington, DC, USA Studies have highlighted the tensions that can arise between Medicaid managed care organizations and […]
Int J Health Serv 35:465-478. Department of Public Health, Wellington School of Medicine and Health Sciences, New Zealand This study compared community-governed nonprofit and for-profit […]
J Am Geriatr Soc 60:1316-1321. Group Health Research Institute, Seattle, Washington, USA OBJECTIVES: To identify patterns and predictors of 1-year change in patient activation in […]
Asia Pac J Public Health 27:NP958-971. Department of Health Policy & Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA. OBJECTIVES: To […]
Scand J Prim Health Care 31:83-88. Blekinge Centre of Competence, Karlskrona, Sweden Objective. The aim of this study was to investigate how distance to hospital […]
Am JPublic Health 90:97-102. Department of Family Medicine, University of Washington School of Medicine, Seattle, WA, USA OBJECTIVES: This study sought to determine the rate […]
Gac Sanit 20:132-141. Published in Spanish. Badalona Serveis Assistencials, S.A., Badalona, Barcelona, España OBJECTIVE: The objective of the study is to obtain the cost’s relative […]
Open Med 2:e91. University of British Columbia, Vancouver, BC, Canada BACKGROUND: The primary demonstration of the principle of income-related equity in Canada is the provision […]
JTrauma 67:834-840. Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA BACKGROUND: Hurricane Katrina, which struck the Gulf Coast […]
Health Policy 101:133-139. Faculty of Health, University of Plymouth, Plymouth, UK The English system of health resource allocation has been described as the apotheosis of […]
Am J Manag Care 12:397-404. Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, WA, USA BACKGROUND: Since 1996, […]
Br J Gen Pract 62:e821. Aragón Health Sciences Institute (IACS), Miguel Servet University Hospital, University of Zaragoza, Spain BACKGROUND: The consequences of multimorbidity include polypharmacy […]
Aten Primaria 44:667-675. Published in Spanish. Dirección de Planificación, Badalona Serveis Assistencials, Barcelona, Spain OBJECTIVE: To evaluate the compliance, persistence and costs of the treatment […]
J Intellect Disabil Res 57:226-239. Dual Diagnosis Program, Centre for Addiction and Mental Health, Toronto, ON, Canada BACKGROUND: Hospitalisations for ambulatory care-sensitive (ACS) conditions are […]
JAMA Intern Med 173:1175-1185. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada; Child Health Evaluative […]
J Rheumatol 40:1736-1741. University of Alberta, Edmonton, AB, Canada; University of Manitoba, Winnipeg, MB; McGill University, Montreal, QC, Canada OBJECTIVE: The quality of glucocorticoid-induced osteoporosis […]
JAMA Intern Med 173:534-539. Department of Medicine, Johns Hopkins University Schools of Medicine and Public Health, Baltimore, MD, USA IMPORTANCE: Acute pancreatitis has significant morbidity […]
Int J Obes 38:113-119. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; Public Health Ontario, Toronto, ON, Canada; University of Toronto, Toronto, ON, Canada OBJECTIVE: […]
BMC Geriatr 14:9. Queen’s University, Kingston, ON, Canada BACKGROUND: Impairment in activities of daily living (ADL) is an important predictor of outcomes although many administrative […]
Health Serv Res. University of Texas School of Public Health, Houston, TX, USA OBJECTIVE: To measure the contribution of market-level prices, utilization, and health risk […]
York, UK: University of York. University of York, York, UK CRD has developed an evidence briefing and support service tailored to the needs of commissioners […]
Winnipeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, Winnipeg, MB, Canada This is the second report from Manitoba Centre for […]
Commissioning Success :34-36. No abstract. Article a PDF.
Final report to WorkSafeBC. Vancouver, BC, Canada: University of British Columbia. University of British Columbia, Vancouver, BC, Canada; University Health, Toronto, ON, Canada; University of […]
Hamilton, NJ, USA: Center for Health Care Strategies. Center for Health Care Strategies, Hamilton, NJ, USA A complex question has persisted in our minds since […]
New York, NY, USA: Commonwealth Fund. Commonwealth Fund, New York, NY, USA Choice among health plans increases patient satisfaction with care and enables families to […]
Stockholm, Sweden: Karolinska Institute (doctoral dissertation). Department of Clinical Services, Center for Family and Community Medicine, Karolinska Institute, Stockholm, Sweden This thesis addresses the use […]
National Health Information LLC. Capitation Rates and Data 9:61-65. National Health Information LLC, Atlanta, GA, USA Health plans and capitated provider organizations live or die […]
Washington, DC, USA: AcademyHealth. AcademyHealth, Washington, DC, USA A number of payers across the country, including Medicaid managed care programs, the Medicare+Choice program, some state […]
J Managed Care Pharm 4:303-308. Nova Southeastern University, Ft. Lauderdale, FL, USA The objective was to evaluate the economic impact of Medicaid pharmaceutical care services […]
Ottawa, ON, Canada: Canadian Health Services Research Foundation. Canadian Health Services Research Foundation, Ottawa, ON, Canada Diagnostic-Based Risk-Adjustment Systems (DBRAS) are now widely used in […]
A study focusing on the Swedish national drug register. BMC Health Serv Res 0:A6. Ensolution, Stockholm, Sweden INTRODUCTION: The aim of the project was to […]
Rev Panam Salud Publica 27:49-55. Published in Spanish. Dirección de Planificación, Badalona Serveis Assistencials, S.A., Barcelona, Spain OBJETIVOS. Evaluar los resultados de la aplicación del […]
Vancouver, BC, Canada: University of British Columbia (masters thesis). University of British Columbia, Vancouver, BC, Canada OBJECTIVES: To examine ethnic and income-related disparities in the […]
ImPrim Report #3. Karlskrona, Sweden: ImPrim. Klaipeda University, Klaipeda, Lithuania Quality improvement of primary health care is the topic requiring attention from all stakeholders throughout […]
Winnipeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, Winnipeg, MB, Canada This report provides a snapshot of patients in acute […]
Ugeskrift for Laeger 176:380-381. Published in Danish. Syddansk University, Odense, Denmark
This document provides a high-level overview of how the predictive models within the Johns Hopkins Adjusted Clinical Groups® (ACG) System are designed and the factors […]
Morbidity Burden in persons with Multiple Chronic Conditions and Identification of inequitable resource use in Israel Dr. Efrat Shadmi Faculty of Social Welfare and Health […]
Tokyo Medical and Dental University Application of the ACG System to Medical Claim Records in Japan Koichi Kawabuchi
Johns Hopkins ACG System Consistent High Users: Characteristics and Identification Hsien-Yen Chang, PhD. Research Associate
Johns Hopkins ACG System Risk Adjustment and Predictive Modeling in Health Reform Jonathan Weiner
Johns Hopkins ACG System Innovations in Measuring and Managing Care Coordination Craig Pollack, MD, MHS
