DOCUMENTS

Documents

Trends in prevalence of chronic disease and multimorbidity in Ontario, Canada

Abstract BACKGROUND New case-mix tools from the Canadian Institute for Health Information offer a novel way of exploring the prevalence of chronic disease and multimorbidity […]

Assessing the Population-Level Correlation of Medication Regimen Complexity and Adherence Indices Using Electronic Health Records and Insurance Claims

Abstract BACKGROUND Nonadherence to medication regimens can lead to adverse health care outcomes and increasing costs. OBJECTIVES To (a) assess the level of medication complexity […]

Direct cost of Parkinson’s disease in a health system with high judicialization: evidence from Colombia

Abstract Objective To estimate all-claims-all-conditions expenditures paid for by health plans for patients suffering from Parkinson´s disease (PD). Methods Using administrative claims data from two […]

Partial nephrectomy in frail patients: Benefits of robot-assisted surgery

Abstract Background To compare the effect of robot-assisted (RAPN) vs. open (OPN) partial nephrectomy on short-term postoperative outcomes and total hospital charges in frail patients […]

Controller Medication Use and Exacerbations for Children and Adults With Asthma in High-Deductible Health Plans

Abstract Importance High-deductible health plans (HDHPs) are increasingly common and associated with decreased medication use in some adult populations. How children are affected is less […]

How long does it take patients to find a new primary care physician when theirs retires: a population-based, longitudinal study

Abstract Background The retirement of a family physician can represent a challenge in accessibility and continuity of care for patients. In this population-based, longitudinal cohort […]

High prevalence of comorbidities at diagnosis in immigrants with multiple sclerosis

Abstract Background Multiple sclerosis (MS) has been associated with certain comorbidities in general population studies, but it is unknown how comorbidity may affect immigrants with […]

Primary Care Continuity andWait Times to Receiving Breast Cancer Chemotherapy: A Population-Based Retrospective Cohort Study Using CanIMPACT Data

Abstract Background Wait times to chemotherapy are associated with morbidity and mortality in breast cancer patients; however, it is unclear how primary care physician (PCP) continuity […]

Small steps, strong shield: directly measured, moderate physical activity in 65 361 adults is associated with significant protective effects from severe COVID-19 outcomes

Abstract Objective To determine the association between directly measured physical activity and hospitalisation, intensive care unit (ICU) admission, ventilation and mortality rates in patients with […]

Matching Special Olympics registration data with administrative health databases: Feasibility and health status differences in children and youth with IDD

Abstract Background Children and youth with intellectual and developmental disabilities (IDD) experience health disparities. What is unknown is if data collected from children and youth […]

Association Between Frailty, 30-day Unplanned Readmission and Mortality After Hospitalization for Heart Failure: Results From the Nationwide Readmissions Database

Abstract Objectives: This study examined how frailty in traditional risk-adjusted models could improve the predictability of unplanned 30-day readmission and mortality among heart failure patients. […]

Profiling Hospital Performance Based on Mortality After Transcatheter Aortic Valve Replacement in Ontario, Canada

Abstract Background: Public reporting of hospital-level outcomes is increasingly common as a means to target quality improvement strategies to ensure the delivery of optimal care. […]

Case Management and Care Coordination Part 2

This webinar will provide an introduction to different types of care programs in use to care for patients with existing and emerging risk and the […]

Provider Profiling and Engagement

Presented by: Dina Goldberg
Executive Director of Population Health, Innovations and Transformation for JHHC

This webinar describes how Johns Hopkins HealthCare (JHHC) uses Provide Profile Reports, created with data from the ACG System, as part of its comprehensive Provider Engagement Strategy.

Association between use of a health information exchange system and hospital admissions

Appl Clin Inform 5:219-231. Weill Cornell Medical College, New York, NY, USA OBJECTIVE: Relevant patient information is frequently difficult to obtain in emergency department (ED) […]

Impact of socio-economic status on breast cancer screening in women with diabetes: a population-based study

Diabet Med 31:806-812. Women’s College Research Institute, Women’s College Hospital, Toronto, ON, Canada AIMS: There is evidence to suggest that mammography rates are decreased in […]

Postoperative medical complications associated with anesthesia in older adults with dementia

J Am Geriatr Soc 62:2102-2109. Queen’s University, Kingston, On, Canada OBJECTIVES: To examine the association between anesthetic technique and postoperative complications in older adults with […]

High-risk case identification for use in comprehensive complex care management

Popul Health Manag 18:15-22. Clalit Health Services, Tel Aviv, Israel The current study aimed to develop a patient selection process for muiltimorbid care management that […]

Paying for primary care: a cross-sectional analysis of cost and morbidity distributions across primary care payment models in Ontario Canada

Soc Sci Med 124:18-28. University of Toronto, Toronto, ON, Canada; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada Policy-makers desire an optimal balance of financial […]

Primary care physician panel size and quality of care: a population-based study in Ontario, Canada

Ann Fam Med 14:26-33. University of Ottawa, Ottawa, ON, Canada; Institute for Clinical Evaluative Sciences, Ottawa, ON, Canada; Institute for Clinical Evaluative Sciences, Toronto, ON, […]

Comorbidity: implications for the importance of primary care in ‘case’ management

Ann Fam Med 1:8-14. Department of Health Policy and Management, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA BACKGROUND: Although comorbidity is […]

Classifying physician practice style: a new approach using administrative data in British Columbia

Med Care 53:276-282. University of British Columbia, Vancouver, BC, Canada; Simon Fraser University, Burnaby, BC, Canada; Access Consulting Ltd, Saskatoon, SK, Canada; University of Alberta, […]

Removal or revision of vaginal mesh used for the treatment of stress urinary incontinence

JAMA Surg :1-9. Western University, London, ON, Canada; Institute for Clinical Evaluative Sciences, London, ON, Canada; Hamad Medical Corporation, Doha, Qatar IMPORTANCE: Synthetic mesh slings […]

Post-discharge intervention in vulnerable, chronically ill patients

J Hosp Med 7:124-130. Oregon Health and Sciences University, Portland VA Medical Center, Portland, OR, USA BACKGROUND: Studies suggest that the inpatient to outpatient transition […]

Patient based ‘burden-of-illness’ in Swedish primary health care. Applying the Johns Hopkins ACG case-mix system in a retrospective study of electronic patient records

Int J Health Plann Manage 17:269-282. Centre for Development of Health Services, Stockholm County Council, Sweden Patients from one municipality in Sweden utilizing primary health […]

Development and estimation of a pediatric chronic disease score using automated pharmacy data

Med Care 37:874-883. Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, WA, USA BACKGROUND: Although risk assessment models for specific adult populations […]

Effectiveness of bone density measurement for predicting osteoporotic fractures in clinical practice

J Clin Endocrinol Metab 92:77-81. Department of Medicine, University of Manitoba, Winnipeg, MB, Canada CONTEXT: Bone density measurement with dual-energy x-ray absorptiometry is widely used […]

The population health approach: health GIS as a bridge from theory to practice

Int J Health Geogr 4:23. Population Health Surveillance Unit, Vancouver Island Health Authority, Victoria, BC, Canada BACKGROUND: The Population Health Approach, proposed by Health Canada, […]

Explanatory ability of the ACG system regarding the utilization and expenditure of the national health insurance population in Taiwan–a 5-year analysis

J Chin Med Assoc 71:191-199. Department of Medical Affairs and Planning, Taipei Veterans General Hospital, Taipei, Taiwan, ROC BACKGROUND: The adjusted clinical group (ACG) is […]

Impact of physician assistant care on office visit resource use in the United States

Health Serv Res 43:1906-1922. Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA OBJECTIVE: To investigate whether the use of physician […]

Provider profiling: doing it right

Healthplan 41:74-79. Medstat Group, Washington, DC, USA Managed care plans are a type of health insurance. They have contracts with health care providers and medical facilities […]

Risk of low bone mineral density associated with psychotropic medications and mental disorders in postmenopausal women

J Clin Psychopharmacol 31:56-60. Department of Psychiatry, University of Manitoba, Winnipeg, MB, Canada BACKGROUND: Independent reports suggest that various psychotropic medications and psychiatric disorders are […]

Health reform, health insurance, and mental health care

Am J Psychiatry 169:675-677. Kaiser Commission on Medicaid and the Uninsured, Henry J. Kaiser Family Foundation, Washington, DC; Rollins School of Public Health, Emory University, […]

Disease burden in the managed care population at an academic medical center: the effect of adding local partners

Acad Med 80:587-593. University of Michigan Medical School, Ann Arbor, USA. jbilli@umich.edu PURPOSE: Academic medical centers (AMCs) have traditionally cared for the most severely ill […]

Building health plan databases to risk adjust outcomes and payments

Int J Qual Health Care 10:531-538. Center for Health Research, Kaiser Permanente, Northwest Division, Portland, OR, USA OBJECTIVES: To highlight the types and sources of […]

The changing shape of the physician workforce in prepaid group practice

Health Aff W4:60-63. Permanente Federation, Kaiser Permanente Health Care Program, Oakland, CA, USA Multiple factors have combined to change the size and specialty composition of […]

Does a large-scale organizational transformation toward patient-centered access change the utilization and costs of care for patients with diabetes?

Med Care Res Rev 69:519-539. Department of Health Services, School of Public Health, University of Washington, Seattle, WA, USA The authors examined whether Group Health’s […]

A hospital system’s wellness program linked to health plan enrollment cut hospitalizations but not overall costs

Health Aff 32:477-485. University of Arizona, Tucson, AZ, USA Many policy makers believe that health status would be improved and health care spending reduced if […]

Comparison of specialty referral rates in the United Kingdom and the United States: retrospective cohort analysis

BMJ 325:370-371. Health Services Research and Development Center, Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA […]

Effects of patient and physician practice socioeconomic status on the health care of privately insured managed care patients

Med Care 41:842-852. Department of Family and Community Medicine, Center for Health Services Research in Primary Care, University of California, Davis, USA BACKGROUND: Previous research […]

Diffusion into use of exenatide for glucose control in diabetes mellitus: a retrospective cohort study of a new therapy

Clin Ther 29:1784-1794. Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA BACKGROUND: Exenatide was approved by the US Food and Drug […]

Efficiency profile in the neurological referrals effectuate reference specialists: use case-mix system Adjusted Clinical Groups

An Med Interna 25:213-221. Published in Spanish. Badalona Serveis Assistencials S.A., Barcelona, Spain OBJECTIVES: To determine the general referral and neurological rate per center and […]

Is pharmacologic care of chronic obstructive pulmonary disease consistent with the guidelines?

Popul Health Manag 13:21-26. Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA Chronic obstructive pulmonary disease (COPD) […]

Mental health service use before and after diagnosis of early-onset bipolar disorder

J Behav Health Serv 38:398-413. Health Service and Population Research Department, Institute of Psychiatry, King’s College London, London, UK To investigate patterns of mental health […]

Potential Medicare savings through prevention and risk reduction

Popul Health Manag 14 Suppl 1:S35-S44. Healthways Center for Health Research, Franklin, TN, USA Medicare is challenged to maintain solvency as enrollment climbs because of […]

The relationship between financial incentives and quality of diabetes care in Ontario, Canada

Diabetes Care 35:1038-1046. Centre for Research on Inner City Health, Keenan Research Centre in the Li Ka Shing Knowledge Institute of St. Michael’s Hospital, Toronto, […]

Comparison of three methods for measuring multiple morbidity according to the use of health resources in primary healthcare

Aten Primaria 44:348-357. Published in Spanish. Badalona Serveis Assistencials, Badalona, Barcelona, Spain OBJECTIVE: To compare three methods of measuring multiple morbidity according to the use […]

Heart failure in primary care: co-morbidity and utilization of health care resources

Fam Pract 30:520-524. Bioengineering and Telemedicine Unit, Puerta de Hierro University Teaching Hospital, Majadahonda, Madrid, Spain BACKGROUND: In order to ensure proper management of primary […]

Risk-stratification methods for identifying patients for care coordination

Am J Manag Care 19:725-732. Mayo Clinic, Rochester, MN, USA BACKGROUND: Care coordination is a key component of the patient-centered medical home. However, the mechanism […]

Predictors of short-term postoperative survival after elective colectomy in colon cancer patients >/= 80 years of age

Ann Surg Oncol 20:1427-1435. Department of Surgery, UW Madison School of Medicine and Public Health, Madison, Wisconsin, USA BACKGROUND: Individuals ≥ 80 years of age […]

Movement disorders in elderly users of risperidone and first generation antipsychotic agents: a Canadian population-based study

PLoS One 8:e64217. Faculty of Pharmacy, University of Manitoba, Winnipeg, MB, Canada BACKGROUND: Despite concerns over the potential for severe adverse events, antipsychotic medications remain […]

Patient and Physician Factors Associated With Pulmonary Function Testing for COPD: A Population Study

Chest 145:272-281. Institute for Clinical Evaluative Sciences; Sunnybrook Research Institute; Sunnybrook Health Sciences Centre; University of Toronto, Toronto, ON, Canada BACKGROUND: The diagnosis of COPD […]

Identifying controlled substance patterns of utilization requiring evaluation using administrative claims data

Am J Manag Care 10:783-790. HSI Network LLC, USA OBJECTIVES: To develop a systems approach to identify, for further evaluation, patients with potential controlled substance […]

The meaningful use of electronic health records and health care quality

Am J Med Qual 30:512-519. Weill Cornell Medical College, New York, NY, USA The federal government is investing approximately $30 billion in incentives for adoption […]

Copayment level and drug switching: findings for type 2 diabetes

Am J Pharm Benefits 2:412-420. University of Hawaii at Manoa, Honolulu, HI, USA OBJECTIVE: To assess the relationship between copayment level and drug switching among […]

Does increased medication use among seniors increase risk of hospitalization and emergency department visits?

Working Paper 150004. Toronto, ON, Canada: Canadian Centre for Health Economics. Canadian Centre for Health Economics, Toronto, ON, Canada Objective: to examine the extent of […]

Diagnosis and disruption: understanding guideline-consistent dementia care and patterns of transition experienced by individuals with dementia

Vancouver, BC, Canada: University of British Columbia (doctoral dissertation). University of British Columbia, Vancouver, BC, Canada Introduction: Early detection and management, as outlined in dementia […]

CareOregon: transforming the role of a Medicaid health plan from payer to partner

New York, NY, USA: Commonwealth Fund. Commonwealth Fund, New York, NY, USA CareOregon, a Portland, Oregon-based nonprofit Medicaid health plan, developed two innovative programs to […]

The knowledge of morbidity in primary care as an aid in the planning and management of the services

Semergen doi:10.1016/j.semerg.2009.12.003. Published in Spanish. Servicio Canario de la Salud, Santa Cruzde Tenerife, Spain The analysis of the morbidity and management of its knowledge is […]

Allocating funds for healthcare in Manitoba regional health authorities: a first step – population-based funding

Winnipeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, Dept. of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, […]

Managed care holds down costs, doesn’t hurt quality

Minneapolis Star Tribune, January 3:A13. No abstract

Risk adjustment lexicon

Reporting Framework Subcommittee of the Steering Committee of the Minnesota ACG Users Group. Revised by Chad Abrams, Terry Bernhardt, Steven Foldes, Jason Wiley, May 17, […]

Quality of care for Medicaid and privately insured children in a commercial insurance plan

Richmond, VA, USA: Virginia Commonwealth University (doctoral dissertation). Virginia Commonwealth University, Richmond, VA, USA The central thesis of this study is that exposure to the […]

Risk adjustment in competitive health plan markets

In: Culyer AJ, Newhouse JP, ed. Handbook of Health Economics, Volume 1. Amsterdam, Netherlands: Elsevier Science B. V.:755-845. Erasmus University, Rotterdam, Netherlands; Boston University, Boston, […]

Equity in health, health care services use and health care financing in British Columbia, 1992 and 2002

Vancouver, BC, Canada: University of British Columbia (doctoral dissertation). University of British Columbia, Vancouver, BC, Canada The objectives of this thesis are to identify equity […]

Work limitations and their relationship with morbidity burden in employed persons with diabetes

Baltimore, MD, USA: Johns Hopkins University (doctoral dissertation). Johns Hopkins University, Baltimore, MD, USA BACKGROUND. Work limitations are functional limitations within the work context resulting […]

The application of Johns Hopkins Adjusted Clinical Group Case-mix System in AFMS

In: Cato W, Roberts WC, ed. Proceedings of the 2011 AFMS Medical Research Symposium, Volume 4. Healthcare Informatics Track. August 2-4, 2011, National Harbor, MD, […]

Morbi-mortality and use of recourses after acute coronary syndrome in a Spanish population

Revista Clinica Espanola 211:560-571. Directorate of Planning, Badalona Serveis Assistencials SA, Badalona, Spain Morbi-mortality and use of recourses after acute coronary syndrome in a Spanish […]

A population-based study of healthcare resource utilization by metastatic gastric cancer patients in Ontario

Kingston, ON, Canada: Queens University (masters theseis). Queens University, Kingston, ON, Canada BACKGROUND: Gastric cancer is the fourth most common cancer in the world. Non-curative, […]

Association between use of a specialized diagnostic assessment unit and the diagnostic interval in Ontario breast cancer patients

Kingston, ON, Canada: Queen’s University (masters thesis). Queen’s University, Kingston, ON, Canada BACKGROUND: The amount of time that it takes to get a breast cancer […]

Comorbidity and healthcare expenditure in women with osteoporosis living in the Basque Country (Spain)

J Osteoporosis Basque Institute for Healthcare Innovation, Barakaldo, Spain BACKGROUND: The aim of the study was to estimate the prevalence of depression in the population […]

The Value of Patient Identification

Johns Hopkins Bloomberg School of Public Health The Value of Patient Identification Karen Kinder, PhD., MBA

One way of measuring morbidity of HA Patients

Hospital Authority One Way of Measuring Morbidity of HA Patients: from Research to Lessons Learnt Dr. Deacons Yeung Chief Manager

ACG 101

DST Health Solutions ACG 10 Lisa Kabasakalian

Applying the ACG System to support case management for the population of Eastern Cheshire

Integral Health Solutions Applying ACGs to care co-ordination, planning and commissioning Bernadette Bailey, Transformation Programme Manager, Eastern Cheshire CCG Jayne Molyneux, Care Co-ordination Advisor, Integral […]

Monday(C1)-Concurrent Resource Use and All Age Modeling – Abrams

Concurrent Resource Use and All Age Modeling – Chad Abrams

Monday(P5)-Understanding Transitions in Morbidity Burden: an Exploratory Analysis

David Linz, MA Robert Reid, MD, PhD  Paul Fishman, PhD 

A Health Plan and the ACG System

At an event celebrating the ACG System receiving the 2015 Health Services Research (HSR) Award from AcademyHealth, Patricia M. C. Brown, Esq., President, Johns Hopkins […]

Data Visualization and Patient Identification – Military

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 […]

Outcomes of patients with chronic obstructive pulmonary disease diagnosed with or without pulmonary function testing

Background: A small number of people with chronic obstructive pulmonary disease (COPD) receive pulmonary function testing around the time of diagnosis. Because omitting testing increases […]

Defining and Assessing Geriatric Risk Factors and Associated Health Care Utilization Among Older Adults Using Claims and Electronic Health Records

Abstract Background: Using electronic health records (EHRs), in addition to claims, to systematically identify patients with factors associated with adverse outcomes (geriatric risk) among older […]

A Canadian Population-Based Cohort to the Study Cost and Burden of Surgically Resected Hidradenitis Suppurativa

Abstract Background: Hidradenitis suppurativa (HS) is a chronic debilitating disease with long-lasting comorbidities that impose direct and indirect costs on the health care system. However, […]

Medicaid trends in prescription opioid and non-opioid use by HIV status

Abstract   Background Pain is more common among people living with HIV (PLWH) than their counterparts; however, it is unclear whether analgesic use differs by […]

Supporting general practice to make timely decisions for better health care: a population health approach

Abstract Primary Health Networks (PHNs) are tasked to enhance the efficiency and effectiveness of general practice. Gold Coast Primary Health Network (GCPHN) has been collecting […]

Is Post-discharge Rehabilitation Timing Associated with 90-Day Readmission in Primary Total Joint Arthroplasty?

Abstract Background Physical therapy (PT) is an accepted standard of care after total joint arthroplasty (TJA) and essential to maximizing joint functionality and minimizing complications […]

Prediction of 30-day pediatric unplanned hospitalizations using the Johns Hopkins Adjusted Clinical Groups risk adjustment system

Abstract Background The Johns Hopkins ACG System is widely used to predict patient healthcare service use and costs. Most applications have focused on adult populations. […]

Impact of comprehensive care on health care use among a cohort of marginalized people living with hepatitis C in Toronto, Canada

Abstract Background The majority of new hepatitis C (HCV) cases occur among people who inject drugs. In recent years, multidisciplinary models of HCV treatment have […]

Association of Follow-Up Care With Long-Term Death and Subsequent Hospitalization in Patients With Atrial Fibrillation Who Receive Emergency Care in the Province of Ontario

Abstract Background Currently, 11% of patients seen in the emergency department for atrial fibrillation die within 1 year of the visit. Our objective was to […]

Measuring multimorbidity beyond counting diseases: systematic review of community and population studies and guide to index choice

Abstract Objectives To identify and summarise existing indices for measuring multimorbidity beyond disease counts, to establish which indices include mental health comorbidities or outcomes, and […]

Health characteristics of reproductive-aged autistic women in Ontario: A population-based, cross-sectional study

Abstract While an increasing number of girls and women are being identified with autism, we know little about the health of reproductive-aged autistic women. Our […]

The effect of frailty on postoperative readmissions, morbidity, and mortality in endometrial Cancer surgery

Abstract Objectives To determine the impact of frailty on postoperative readmission, morbidity, and mortality among patients undergoing surgery for endometrial cancer. Methods Patients with endometrial […]

Association between mental health comorbidity and health outcomes in type 2 diabetes mellitus patients

Abstract Background Type 2 diabetes mellitus (T2D) is often accompanied by chronic diseases, including mental health problems. We aimed at studying mental health comorbidity prevalence […]

Analysis of modifiable and nonmodifiable risk factors in patients undergoing pituitary surgery

Abstract OBJECTIVE Pituitary adenomas (PAs) are among the most common intracranial tumors. Understanding the clinical effects of various modifiable risk factors (MRFs) and nonmodifiable risk […]

Health care service use and costs for a cohort of high-needs elderly diabetic patients

Abstract Aims To describe the impact of diabetes comorbidities on the health care services use and costs of a cohort of elderly patients with diabetes […]

Management and outcomes of patients with chronic obstructive lung disease and lung cancer in a public healthcare system

Abstract Hypothesis There is limited data on the care and outcomes of individuals with both chronic obstructive pulmonary disease (COPD) and lung cancer, particularly in […]

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