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Learn more about the innovative work shortlisted for the HSJ Partnership Awards. See the blog post
Learn more about the innovative work shortlisted for the HSJ Partnership Awards. See the blog post
FOLLOW US
Abstract Women with intellectual disability have low screening rates for breast and cervical cancer. This population-based cohort study examined the association between the level of […]
Abstract A majority of Americans have health care insurance through their employers, the cost for which is rising at an alarming rate. Unfortunately, higher […]
Abstract Objective To evaluate the impact of frailty on adverse perioperative outcomes in patients treated with radical cystectomy for bladder cancer. Material and Methods We […]
Abstract We examine family physicians’ responses to financial incentives for medical services in Ontario, Canada. We use administrative data covering 2003–2008, a period during which […]
Abstract Background Relatively few studies investigated the importance of frailty in radical cystectomy (RC) patients. We tested the ability of frailty, using the Johns Hopkins […]
Summary The majority of patients with esophagus cancer have advanced-stage disease without curative options. For these patients, treatment is focused on improving symptoms and quality […]
Abstract Background & Aims Hepatitis C virus (HCV) is a common and treatable cause of cirrhosis and its complications, yet many chronically infected individuals remain […]
Abstract Health plans develop predictive models to predict key clinical events (eg, admissions, readmissions, emergency department visits). The authors developed predictive models of admissions and […]
Abstract Background Few studies have investigated the outcomes of surgical fracture care among socially deprived patients despite the increased incidence of fractures and the inequality […]
Abstract Background Breast assessment sites (bass) were developed to provide expedited and coordinated care for patients being evaluated for breast cancer (bca) in Ontario. We […]
Abstract Objective Although experience suggests a shift in the epidemiology of spinal cord injury (SCI) toward an older demographic, population studies are lacking. We aimed […]
ABSTRACT Objectives There are multiple instruments for measuring multimorbidity. The main objective of this systematic review was to provide a list of instruments that are […]
Abstract Background Stigma and high-care needs can present barriers to the provision of high-quality primary care for people with opioid use disorder (OUD) and those […]
Abstract Background It is well established that cancer patients infected with SARSCoV-2 are at particularly elevated risk of adverse outcomes, but the comparison of SARS-CoV-2 […]
Abstract Background In June 2013, Ontario Health (Cancer Care Ontario), the agency responsible for advancing cancer care in Ontario, Canada, published practice guidelines recommending that […]
Abstract Objective Practice guidelines advocating for regionalization of endometrial cancer surgery to gynecologic oncologists practicing in designated gynecologic oncology centres were published in Ontario in […]
Abstract Background Patients in geriatric care display a high degree of multimorbidity. We aimed to explore and visualise various patterns of multimorbidity in a person-oriented […]
Abstract Patients enrolled in Medicaid have significantly higher social needs (SNs) than others. Using claims and electronic health records (EHRs) data, managed care organizations (MCOs) […]
Abstract Purpose It is difficult to reduce cost and improve quality without knowledge pertaining to the distribution of expenses in the population in question. We […]
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 […]
Med Care 40:717-724. Department of Family and Community Medicine, University of California School of Medicine, Davis, CA, USA BACKGROUND: Previous research shows patient socioeconomic status […]
Pharmacotherapy 25:924-934. Medical and Pharmacy Integration Services, Prime Therapeutics, LLC, Eagan, MN, USA STUDY OBJECTIVE: To evaluate the effects of a cyclooxygenase (COX)-2 inhibitor prior […]
J Clin Psychol Med Settings 15:98-119. Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA For more than 60 years it has been known […]
Results of the SNAC study. Aging Ment Health 13:1-8. School of Social Science, Vaxjo University, Vaxjo, Sweden OBJECTIVES: The aim of the present study was […]
Gac Sanit 24:13-19. Published in Spanish. Dirección de Planificación, Badalona Serveis Assistencials S.A., Badalona, Barcelona, Spain OBJECTIVE: To determinate the impact of comorbidity, resource use […]
Acad Emerg Med 18:836-843. Division of Emergency Medicine, Department of Medicine, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada OBJECTIVES: The […]
Am J Manag Care 14:326-334. Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, WA, USA OBJECTIVE: To assess […]
Health Serv Res 47:633-654. Center for Public Health Statistics, University of Iowa, Iowa City, IA, USA OBJECTIVE: To compare patient profiles and health care use […]
Ann Emerg Med 62:570-577. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada; […]
PLoS Med 10:e1001425. Department of Medicine, University of Toronto, Toronto, ON, Canada BACKGROUND: Women with preeclampsia (PEC) and gestational hypertension (GH) exhibit insulin resistance during […]
Clin Infect Dis 57:820-827. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada BACKGROUND: Although annual influenza immunization is recommended for adults aged ≥65 years due […]
Neurologia 28:126-129. Directorate of Planning, Badalona Serveis Assistencials SA, Badalona, Spain La presencia de múltiples enfermedades es frecuente en edades avanzadas, y diferentes estudios poblacionales […]
Vaccine 32:990-995. Clalit Research Institute, Tel Aviv, Israel BACKGROUND: Current pneumococcal vaccine campaigns take a broad, primarily age-based approach to immunization targeting, overlooking many clinical […]
PLoS One 9:e89787. Basque Health Service, Erandio, Bizkaia, Spain; Basque Institute for Healthcare Innovation, Sondika, Bizkaia, Spain; Universidad Complutense de Madrid, Madrid, Spain; Australian National […]
BMC Fam Pract 15:150. Basque Institute for Healthcare Innovation, Bizkaia, Spain BACKGROUND: A prospective Population Risk Stratification (PRS) tool was first introduced in the public […]
Santelices C E, Muñoz P F, Muñiz P, Rojas J. BACKGROUND: Health care must be provided with strong primary health care models, emphasizing prevention and a […]
Eur J Operational Res 240:235-244. Universidad de Extremadura, Badajoz, Spain; Basque Institute for Healthcare Innovation, Sondika, Spain; Osakidetza, Basque Health Service, Erandio, Spain This paper […]
Canadian Association for Population Therapeutics Conference, November 2015, Toronto, ON, Canada. A MedsCheck Diabetes (MCD) consultation is a pharmacist-led medication review service funded by the […]
J Popul Ther Clin Pharmacol 21:pe120. Background: The aging population in Ontario is accompanied by an increased incidence and prevalence of Alzheimer’s disease (AD). Given […]
Journal of Vocational Rehabilitation 34:97-106. Addiction Research Institute, Center for Social Work Research, University of Texas at Austin, Austin, TX, USA Uninsured working adults with […]
Centre for Health Services and Policy Research, University of British Columbia. Centre for Health Services and Policy Research, University of British Columbia, Vancouver, BC, Canada […]
New York, NY, USA: Academy Health/Milbank Memorial Fund. Academy Health/Milbank Memorial Fund, New York, NY, USA As the move toward an evidence-based approach to health […]
Barcelona, Spain: Fundacio Salut, Empresa i Economia. Published in Spanish. Fundacio Salut, Empresa i Economia, Barcelona, Spain No abstract
Malmo, Sweden: Lund University (doctoral dissertation). Lund University, Malmo, Sweden The overall aim of this thesis was to analyse the importance of co-morbidity level for […]
Winnipeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, Winnipeg, MB, Canada This report was conducted at the Manitoba Centre for […]
Value in Health 7:371. AdvancePCS, Hunt Valley, MD, USA OBJECTIVE: To determine the effect of adding the pharmacy cost data option to the Adjusted Clinical […]
BMC Public Health 9:157. Data on morbidity in Sweden are based on numbers of diagnoses, classified by the WHO system, the International Statistical Classification of […]
Child Youth Serv Rev 32:103-112. Washington University in St. Louis, St. Louis, MO, USA Federal policymaking in the last decade has dramatically expanded performance measurement […]
Sacramento, CA, USA: California Health Care Foundation. In this paper, a Medical Productivity Index (MPI) is proposed as such a metric to capture the value […]
Princeton, NJ, USA: Princeton University (doctoral dissertation) Princeton University, Princeton, NJ, USA This thesis is a collection of essays in the economics of health insurance, […]
Health Economics Papers 2013:6. Odense, Denmark: University of Southern Denmark. University of Southern Denmark, Odense, Denmark Much research in health economics revolves around the analysis […]
Rev Peru Med Exp Salud Publica 30:308-314. Published in Spanish. Directorate of Planning, Badalona Serveis Assistencials SA, Badalona, Spain Adjusted Clinical Groups (ACG) are risk […]
High-Risk Case Identification for Use in Comprehensive Complex Care Management Because patients with multiple chronic conditions require proactive, coordinated care management to effectively manage […]
Population health management at JHHC represents a comprehensive approach to health care considering the distribution of health outcomes within a population, and the health determinants […]
Hospital Authority Casemix and Quality – Are they rivals or partners? Dr. K.H. Lee
Dovetail Managing Hospitalization Risk: Refining Patient Selection in a Care Transitions Program Lara Terry, MD. Jeff Oberg
Johns Hopkins ACG System Using ACGs to Support Risk Adjusted Premiums within the Health Insurance Exchange Chad Abrams
Medica Leveraging the John Hopkins ACG Tool to Support Total Cost of Care Contracts Peter M. Thibodeau
NHS Airedale, Bradford & Leeds Cluster Information Services Implementing the ACG risk of hospitalization model with NHS data: experiences from Leeds Dr Thomas Mason MA., […]
Johns Hopkins Bloomberg School of Public Health Using Predictive Modeling to Identify Readmission Risk K. Lemke
Geographically Identifying Expanded Diagnosis Clusters in the Hispanic/Latino Population —Thomas Ludden, Carolinas Healthcare System
Swinging from a new tee – towards ‘The Extended Epidemiology’ by analysing the outcome from ACG processing in a County Council in Sweden —Ulf Börjesson, […]
ACG System DST Health Solutions Care Density Amy Salls
Chad Abrams, Director of U.S. Operations, ACG System; describes common challenges around the world such as language differences, data quality, turning data into impact, and […]
Slough Clinical Commissioning Group (CCG), which covers a population of 143,000 in the UK, used the Johns Hopkins ACG System to conduct a population health analysis that generated several new insights. After just 18 months, unplanned hospitalizations were reduced by 18% and emergency department visits were reduced by 19%.
Background: Home care services use has been proposed as a means of reducing costs in palliative care by decreasing hospital stay without impacting quality of […]
Abstract Background Chronic kidney disease is a recognized independent risk factor for cardiovascular disease, but whether the risks of ST‐segment–elevation myocardial infarction (STEMI) and non–ST‐segment–elevation […]
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 […]
Abstract Background The identification of contextual factors that modify associations between client frailty and their health and service use outcomes is essential for informed home […]
Abstract Objective In this study, we investigated the incremental 1-year direct costs of health care associated with frailty among home care recipients in Ontario with and without […]
ABSTRACT Primary care payment reform in the US and elsewhere usually involves capitation, often combined with bonuses and incentives. In capitation systems, providing care within […]
Abstract Background Population-based survival and costs of pancreas adenocarcinoma patients receiving adjuvant chemoradiation and chemotherapy following pancreaticoduodenectomy are poorly understood. Methods This retrospective cohort study used […]
