THE ACG® SYSTEM: ONE TOOL, MANY SOLUTIONS

By capturing the morbidity burden of populations, the Johns Hopkins ACG System helps explain and predict how health care resources are delivered and consumed. Some common applications include:

To see the ACG System in action and speak to a Team member about your specific needs, request a demo today.

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GAIN POPULATION HEALTH INSIGHTS

By considering the differences in illness burden among different patient populations, the ACG System allows you to:
  • Examine variations and trends in disease prevalence
  • Understand health care needs of a population or subpopulation that differs in age, gender, geographical region, ethnicity or other characteristics
  • Explain variations in outcome measures

PHARMACY ANALYSISfinancial analysis

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EVALUATE INTERVENTION PROGRAMS

Once targeted programs are identified and implemented, the ACG System can help determine their success—including patient characteristics associated with successful programs’ outcomes, changes needed, program continuation or termination. These analyses also quantify improvements related to specific interventions, which demonstrates program value to external parties.

MEASURE ROI

 

STREAMLINE CARE MANAGEMENT

With the ACG System you can identify up to 25% more individuals for care management before they become high utilizers. Optimize your case management and disease management programs by targeting individuals, assessing patient risk, and identifying those who would benefit the most.

LEARN HOW

DISEASE MANAGEMENTCASE MANAGEMENT

IMPROVE OUTCOMES WITH CARE COORDINATION

Reduce Health Care Cost and Improve Patient Health Outcomes

Coordination exerts an important impact on both the efficiency and effectiveness of care. Patients most in need of highly coordinated care include those with multiple chronic medical conditions, concurrent care from several health professionals or many medications, and patients undergoing extensive diagnostic workups or transitions from one setting of care to another.

The ACG System Utilization Profile Report includes many concepts to evaluate population health, including concurrent and prospective risk, risk factors, utilization, disease prevalence, pharmacy adherence, and care coordination risk.

COORDINATION MARKERSCARE DENSITY

 

ASSESS PHYSICIAN PERFORMANCE

The ACG System performance analysis takes into account the health of the particular population served by a specific clinician or set of clinicians, addressing important differences in case mix and the often stated concern that “my patients are sicker.” Because a disease-based focus may miss important implications of related co-morbidities,  we provide a holistic view of the patient rather than the management of specific diseases or episodes.

PERFORMANCE ANALYSIS

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The ACG System helps several health plans tackle various issues by understanding their population. Patricia M. Brown, Esq., President, Johns Hopkins Healthcare, highlights this application in a video captured at the ACG System 2016 AcademyHealth Health Services Research (HSR) Award celebration.

ALLOCATE RESOURCES APPROPRIATELY

The ACG System is widely used by health plans and health systems for risk adjustment, setting capitation rates, insurance premiums and for appropriately distributing health care resources within large health systems. The ACG System helps health care providers, payers, and governments worldwide ensure that resources appropriately target populations in greatest need.

RESOURCE ALLOCATIONCAPITATIONUNDERWRITING

GAIN PROMPT INSIGHTS FROM PHARMACY DATA

Using Pharmacy Data

Prescription drug claims are processed at the point of service and prescribing events often occur with more frequency than physician events, providing more timely and frequent information.  Three months of pharmacy claims can often be available immediately at the end of this period whereas medical claims from this same three-month-period may not be available for another three months.

With three months of prescription drug claims, the ACG System can help you:
  • Predict pharmacy costs
  • Identify high risk patients
  • Inform care managers

CATEGORIZE CODESCOMBINING DATAPOTENTIAL GAPACG Rx GAPS

IMPACTING OVER 170 MILLION LIVES WORLDWIDE

The ACG System is the most widely used population-based case mix system in the world. Currently used in close to 20 countries, the System incorporates local cost structures, coding systems, practice behavior, languages and local markers for socio-economic, functionality, living arrangement, or other dimensions. Some international application examples are available by clicking on a specific country.

 

ACCEPTS LOCAL DATA INPUTSADAPTS TO LOCAL CONTEXT INCLUDING LANGUAGES

The ACG System’s Success around the World

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Chad Abrams, Director of U.S. Operations, describes common challenges around the world such as language differences, data quality, turning data into impact, and misconceptions of local population health, and the ACG System’s ability to turn them into successes.

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