BMC Public Health 6:35. Center for Family and Community Medicine, Neurotec Department, Karolinska Institute, Stockholm, Sweden BACKGROUND: The objective was to estimate the proportion of […]
Jt Comm J Qual Improv 19:552-565. Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA Because of the focus on […]
Health Aff 31:306-315. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA The Affordable Care Act calls for the establishment of state-level health insurance […]
J Clin Endocrinol Metab 95:3272-3276. University of Manitoba, Winnipeg, MB, Canada CONTEXT: Abdominal obesity is a major risk factor for diabetes. Dual-energy x-ray absorptiometry (DXA) […]
Geriatr Gerontol Int 12:612-621. Department of Medical Affairs and Planning, National Yang Ming University, Taipei, Taiwan. AIM: That geriatric evaluation and management (GEM) is associated […]
Med Care 42:123-128. Medical Service, Iowa City VA Medical Center, Iowa City, IA, USA BACKGROUND: Valid methods of predicting resource utilization in primary care populations […]
Med Care 42:232-238. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA OBJECTIVE: The objective of this study […]
Health Serv Res 42:629-643. Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey VA Medical Center, […]
BMC Public Health 10:244. Aragon Health Sciences Institute, Zaragoza, Spain BACKGROUND: The computerisation of primary health care (PHC) records offers the opportunity to focus on […]
Vaccine 29:240-246. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada The objective of this study was to evaluate the effectiveness of influenza vaccines in reducing […]
Arch Intern Med 172:484-491. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada BACKGROUND: Estimates of influenza vaccine effectiveness in elderly individuals are largely from observational […]
Value Health 3 Suppl 1:29-38. MEDSTAT Group, Inc., Ann Arbor, MI, USA OBJECTIVES: To estimate relationships between medical care expenditures in 1996 and adherence to […]
Rev Esp Salud Publica 80:55-65. Published in Spanish. Dirección de Planificación y Desarrollo Organizativo, Badalona, Serveis Assistencials, Badalona, Barcelona, Spain BACKGROUND: Most patient classification systems […]
Health Serv Manage Res 21:14-22. Department of Veterans Affairs Healthcare Network Upstate New York, Albany, NY, USA Using descriptive statistics, this paper revealed that the […]
Gac Sanit 23:228-231. Published in Spanish. Dirección de Planificación, Badalona Servicios Asistenciales, S.A., Badalona, Barcelona, España. PURPOSE: To validate the Johns Hopkins ACG case-mix system […]
A register-based study in a Swedish population. BMC Public Health 11:552. Department of Medical and Health Sciences, Family Medicine, Linköping University, Linköping, Sweden BACKGROUND: Depressive […]
BMC Emerg Med 11:13. Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada BACKGROUND: Emergency departments are medical treatment facilities, designed to […]
Obes Surg 22:749-763. Center for Health Care Research and Policy, MetroHealth Medical Center/Case Western Reserve University, Cleveland, OH, USA BACKGROUND: Bariatric surgery is the most […]
Clinicoecon Outcomes Res 4:39-47. Dirección de Planificación, Badalona Serveis Assistencials, Barcelona, Spain BACKGROUND: The purpose of this study was to gather information about analgesic drug […]
PLoS One 8:e66192. Children’s Hospital of Philadelphia, Philadelphia, PA, USA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA OBJECTIVE: To evaluate the validity […]
BMC Fam Pract 14:11. Multiprofessional Education Unit for Family and Community Care (South-east), Madrid, Spain BACKGROUND: Chronic obstructive pulmonary disease (COPD) is frequent and often […]
Osteoporos Int 24:1247-1256. Department of Medicine, University of Manitoba, Winnipeg, MB, Canada We examined the independent contributions of First Nations ethnicity and lower income to […]
Health Aff W4:70-72. Project Hope, Millwood, VA, USA The author’s father was a psychiatrist, a concerned citizen, and a Medicare patient. He died recently after […]
J Health Econ 35C:109-122. University of Bristol, Bristol, UK; University of York, York, UK Models of the determinants of individuals’ primary care costs can be […]
Med Care 52:86-92. Harvard University; Harvard Medical School; Harvard Pilgrim Healthcare Institute, Harvard Medical School, Boston, MA, USA BACKGROUND: By shifting a greater share of […]
Allergy. Allergy and Clinical Immunology Unit, Meir Medical Center, Kfar Saba, Israel; Sackler Faculty of Medicine, Tel Aviv University, Israel. BACKGROUND: The impact of low […]
ABSTRACT Objectives: This exploratory study used outpatient laboratory test results from electronic health records (EHRs) for patient risk assessment and evaluated whether risk markers based on […]
Montreal, QC, Canada: Montreal Health and Social Services Agency. Montreal Health and Social Services Agency, Montreal, QC, Canada La coexistence de plusieurs maladies chroniques est […]
Radiation Oncology 93:S10. University of Toronto, Toronto, ON, Canada; Women’s College Hospital, Toronto, ON, Canada Purpose/Objective(s): While meta-analysis has shown metformin use in diabetic patients […]
2013 Breast Cancer Symposium. Abstract 128. J Clin Oncol 31 (suppl 26; abstr 128). University of Toronto, Toronto, ON, Canada; St. Michael’s Hospital, Toronto, ON, […]
Cuadernos de Gestión 6:19-24. Published in Spanish. Fundació Jordi Gol i Gurina, Barcelona, Spain No abstract
Gesundheits- und Sozialpolitik 1-2:8-15. Published in German. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA Advances in information technology, electronic billing, and diagnostic […]
Reston, VA, USA: AdvanceMed Corp. AdvanceMed Corp., Reston, VA, USA AdvanceMed Corporation, a DynCorp company, is supporting the TRICARE Management Activity (TMA) and its health […]
Working paper: Informed Purchasing Series. Hamilton, NJ, USA: Center for Health Care Strategies. Center for Health Programs Development and Management, University of Maryland, Baltimore County, […]
Minneapolis, MN, USA: Park Nicollet Institute, Minnesota Department of Health, Minnesota Department of Human Services. Park Nicollet Institute and Minnesota Department of Health, Minneapolis, MN, […]
Baltimore, MD, USA: Johns Hopkins University (doctoral dissertation). Johns Hopkins University, Baltimore, MD, USA STATEMENT OF THE PROBLEM: Hypertension is one of the most common […]
JHQ Online :W5-24 – W5-29. McKesson Medical Management Group, Newton, MA. Rising healthcare costs coupled with diminishing financial resources are stimulating changes in the organization […]
Canadian Journal of Diabetes 33:281. Provincial Health Services Authority, Vancouver, BC, Canada AIMS: Lower utilization of medical resources by immigrants are often observed in self-reported […]
Aten Primaria 42:420-430. Published in Spanish. Dirección de Planificación, Badalona Serveis Assistencials S.A., Badalona, Barcelona, Spain OBJECTIVES: Mediterranean populations are traditionally considered to be associated […]
Insurance Markets and Companies: Analyses and Actuarial Computations 2:7-15. University of Minnesota, Minneapolis, MN, USA In this paper, a Medical Productivity Index (MPI) is proposed […]
Institut national d’excellence en santé et en services sociaux (INESSS). Rapport rédigé par Marie-Dominique Beaulieu, Marie‐Pascale Pomey, Brigitte Côté, Claudio Del Grande, Monia Ghorbel, Phuong […]
Winnipeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, Winnipeg, MB, Canada The Manitoba Centre for Health Policy (MCHP) in conjunction […]
Enfermeria Clnica 24:35-43. Published in Spanish. Gerencia del Servicio de Salud de Castilla-La Mancha (SESCAM), Toledo, Spain Castilla-La Mancha Health Service is developing the integration […]
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.
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 […]
Abstract Objectives To describe healthcare use and spending before and on becoming a new (incident) senior high-cost user (HCU) compared with senior non-HCUs; to estimate […]
Abstract Background The ability to identify patients with autosomal dominant polycystic kidney disease (ADPKD) and distinguish them from patients with similar conditions in healthcare administrative […]
Abstract Purpose Breast, cervical, and colorectal cancers are cancers that can be detected early through screening. Despite organized cancer screening programs in Ontario, Canada participation […]
Abstract Multiple indices are available to measure medication adherence behaviors. Medication adherence measures, however, have rarely been extracted from electronic health records (EHRs) for population-level […]
Abstract Importance This study assesses the role of telehealth in the delivery of care at the start of the COVID-19 pandemic. Objectives To document patterns […]
Abstract Objective To evaluate the impact of class III obesity (body mass index >40 kg/m2) on wait times for endometrial cancer surgery in Ontario, as […]
Abstract Aims To evaluate the risk-of-hospitalization (ROH) models developed at Blue Cross Blue Shield of Louisiana (BCBSLA) and compare this approach to the DxCG risk-score […]
Abstract Objective Traditionally, risk-adjustment models do not address the characteristics of minority populations, such as race or socioeconomic status. This study aimed to evaluate the […]
Abstract Summary The risk of subsequent major osteoporotic and hip fracture following an initial fracture was increased in both sexes over 25 years, with modest […]
Abstract Importance Severe obesity is a risk factor for major early complications after total hip arthroplasty (THA). Objective To determine the association between surgeon experience […]
Abstract Objective The purpose of this study was to characterize outpatient physical therapy (OPT) use following tibial fractures and examine the variability of OPT attendance, […]
Abstract Summary Fractures are associated with increased long-term mortality in patients surviving to undergo baseline DXA. Notably, excess mortality risk does not decline with increasing […]
Abstract Background Frailty could affect outcomes of autologous hematopoietic stem cell transplantation (aHSCT). This study sought to examine the effects of frailty on hospital outcomes […]
Abstract Background There is a paucity of the literature on the relationship between frailty and excess mortality due to the COVID-19 pandemic. Methods The entire […]
Abstract Under the current Medicare Advantage (MA) risk-adjustment system, plans are incentivized to report diagnosis codes on enrollees’ medical claims reflecting additional and more severe […]
Abstract Background Senior high cost health care users (HCU) are a priority for many governments. Little research has addressed regional variation of HCU incidence and […]
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 […]