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Documents

Documents

Enhanced Use of Data for Case Management in England

Johns Hopkins Bloomberg School of Public Health The Enhanced Use of Primary Care, Ambulatory Hospital Data to Identify Patients for Case Management Programs in England […]

Customizing the Predictive Model

DST Health Solutions Customizing the Predictive Model Amy Salls

Using the ACG System for population segmentation and casemix adjustment

NHS Central Southern Commissioning Support Unit Using the ACG System for Population Segmentation and Casemix Adjustment Chris Morris Principal Analyst

Monday(C1)-A Model for the Risk of Unplanned Inpatient Readmission-Lemke

A Model for the Risk of Unplanned Inpatient Readmission-Klaus Lemke

Sunday-Workshop: Wrapping Your Hands Around the ACG System Advanced Reporting Options – Steve Sutch

Workshop: Wrapping Your Hands Around the ACG System Advanced Reporting Options – Steve Sutch – ACG International – Product Management Director

Using Case Mix To Improve Equity and the Delivery of Primary Care

Goals of Presentation To introduce concepts surrounding population-based case-mix and “predictive risk” modeling. To show examples of applications worldwide where case-mix has proved information to […]

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The ACG System Development Milestones

Jonathan Weiner, DrPH, Professor, Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, and ACG System co-developer provides an insight into the evolution […]

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Resource Allocation Case Study-Government

Sweden became one of the first international adopters of the Johns Hopkins ACG System in the mid 1990s and has expanded its use to cover […]

Apples and Oranges: Four Definitions of Multiple Chronic Conditions and their Relationship to 30-Day Hospital Readmission

OBJECTIVES: To determine the extent of agreement between four commonly used definitions of multiple chronic conditions (MCCs) and compare each definition’s ability to predict 30-day […]

Are we making a difference in primary care for adults with intellectual and developmental disabilities?

Abstract Objectives. To examine the impact of the dissemination of guidelines to physicians and of a population-level health communication intervention on the percentage of adults […]

Supplement to “Equilibria in Health Exchanges: Adverse Selection versus Reclassification Risk”

This online appendix has three sections.  The first presents details of the choice model estimation algorithm, as well as additional estimates from our primary specification […]

Repeat Emergency Department Visits for Individuals With Intellectual and Developmental Disabilities and Psychiatric Disorders

Abstract Although individuals with intellectual and developmental disabilities (IDD) and psychiatric concerns are more likely than others to visit hospital emergency departments (EDs), the frequency […]

Integrating Social and Behavioral Determinants of Health into Population Health Analytics: A Conceptual Framework and Suggested Road Map

Abstract There is growing recognition that social and behavioral risk factors impact population health outcomes. Interventions that target these risk factors can improve health outcomes. […]

Frailty, Implantable Cardioverter Defibrillators, and Mortality: a Systematic Review

Abstract   Background Evidence for the benefit of implantable cardioverter defibrillators (ICD) in preventing sudden cardiac death (SCD) in older adults is mixed; age alone […]

Impact of care provider network characteristics on patient outcomes: Usage of social network analysis and a multi-scale community detection

Abstract Objective We assess healthcare provider collaboration and the impact on patient outcomes using social network analysis, a multi-scale community detection algorithm, and generalized estimating […]

MS risk in immigrants in the McDonald era: A population-based study in Ontario, Canada

Abstract OBJECTIVE To determine risk factors for multiple sclerosis (MS) in immigrants and to compare MS risk in immigrants and long-term residents in Ontario, Canada. […]

Preoperative frailty predicts adverse short‐term postoperative outcomes in patients treated with radical nephroureterectomy

Abstract Background To investigate the effect of frailty on short‐term postoperative outcomes and total hospital charges (THCs) in patients with non‐metastatic upper urinary tract carcinoma, […]

Who is discharged to intermediate care facilities? An Italian study in the population of Udine

ABSTRACT The objective of this study was to assess complexity of patients discharged from hospital to intermediate care facility in an Italian setting. Multiple anonymous […]

Alive and at home: Five-year outcomes in older adults following emergency general surgery

Abstract BACKGROUND While the short-term risks of emergency general surgery (EGS) admission among older adults have been studied, little is known about long-term functional outcomes […]

04 Advances in Population Health Sharing Insights – GE Healthcare & Sollis

Pat Nichols, GE Sarah Ouanhnon, GE Graham Head, Sollis

05 From Cake-mix to Case-mix – David Shepherd

Dr. David Shepherd GP & HNN Lead Leicester City CCG

06 Working Together to Deliver Population Health – Chris Roche

Chris Roche Information Manager Gloucestershire STPPlease note: There are three buttons below. One will link to the presentation slides. One will link to a separate […]

07 Using Predictive Models to Support Case Finding – David Brown & Peter Glover

Dr. David Brown Peter Glover Farnham Integrated Care Services

08 Risk-Adjusted Resource Allocation in Leicester – Mark Pierce

Mark Pierce Senior Strategy & Implementation Manager Leicester City CCG

Conference Welcome – Amy Salls

ACG Training Conference WelcomeAmy Salls Director, Population Health Strategy DST Health Solutions 

01 Welcome & Introduction – Alan Thompson

Alan Thompson Director of User Support Johns Hopkins HealthCare Solutions

02 Population Health Management – Ming Tang

Ming Tang Director of Data & Analytics Data, Analysis and Insights Service (DAIS) NHS England and NHS Improvement

Welcome & Introduction – Jonathan Weiner & Mark Cochran

Welcome and IntroductionJonathan Weiner Professor and Director, Center for Population Health IT  Mark Cochran Executive Director, Johns Hopkins HealthCare Solutions

03 Complex Case Management Programme – Jim O’Donnell

Dr. Jim O’Donnell Slough Locality Lead, NHS East Berkshire CCG Frimley ICS Clinical Commissioning Lead EBCCG Reducing Variation Workstream Clinical Lead Deputy Chair Slough Wellbeing […]

01 Karen Kinder Welcome Presentation

ACG System Dr. Karen Kinder Executive Director

Session 1: Brad Myers – Version 12 Supplementary Data

Version 12 Supplementary Medical ServicesBrad Myers DST Health Solutions 

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New Medicaid Enrollees with Highest Care Needs

The ACG System can help identify new Medicaid enrollees with high care needs.

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COVID-19: Marathon Health Outreach

By leveraging the Johns Hopkins ACG System, Marathon Health was able to offer outreach and options to individuals identified as a higher risk of contracting or experiencing complications as a result of COVID-19.

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Recalibration of Predictive Models

This short report provides details of the third recalibration of the predictive models within the ACG System for the UK.

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Reducing Disparities in the Delivery of Primary Care

This report details the work of 2020 Starfield award winner Discovery Health to demonstrate, using the Johns Hopkins ACG System, the impact of improving primary care utilization.

01 David Shephard – Casemix Adjustment in Primary Care

Dr. David Shephard GP and Health Need Neighbourhood Chair, Leicester South

Session 2: Don McGaw – Version 12 JHU ED Visit Classification

Version 12 JHU ED Visit ClassificationDon McGaw DST Health Solutions 

Session 1: Mitchell – Assessing Patient Morbidity: Risk Factors

DST Health Solutions Assessing Patient Morbidity: Risk Factors Anna-Marie Mitchell Senior Product Consultant

02 David Colin Thome – Primary Care Home

The Primary Care Home (PCH) David Colin-Thomé Independent Healthcare consultant Visiting Professor Manchester Business School Former General Medical Practitioner and National Clinical Director for Primary […]

Keynote I – Jonathan Weiner – Analytics & Big Data in Support of the Social and Medical Health of Populations

Analytics & Big Data in Support of the Social and Medical Health of Populations: The ACG System Today and TomorrowJonathan P. Weiner, DrPH Professor and […]

Session 2: Myers – Hospitalization Risk

DST Health Solutions Hospitalization Models Brad Myers Predictive Modeling Product Consultant

03 Nick Harding – Challenges Faced By Primary Care

NHS Sandwell and West Birmingham Clinical Commissioning Group The challenges faced by primary care and the need for good quality information Professor Nick Harding OBE FRCGP […]

Session 3: Anna-Marie Mitchell – Version 12 Laboratory Measures

Version 12 Laboratory MeasuresAnna-Marie Mitchell Senior Analytic Product Consultant DST Health Solutions 

Session 4: Amy Salls – Assessing Candidates for Care Coordination

Assessing Candidates for Care CoordinationAmy Salls Director, Population Health Strategy DST Health Solutions 

Session 3: McGaw – Care Coordination

DST Health Solutions Care Coordination and Care Density Donald D. McGaw Jr. Client Relations Consultant

Session 4: Salls – Assessing Candidates for Care Management

DST Health Solutions Assessing Candidates for Care Management Programs Amy Salls Director, Population Health Strategy

Hospitalization Risk Scores: Amy Salls, DST Health Solutions

ACG System DST Health Solutions Hospitalization Models Amy Salls

Session 5: Sokchay Chiv & Kate Hollidge – Catching a Breath Program for COPD

Catching a Breath Program: Implementing and Expanding Clinical ProgramsSokchay Chiv Director, Population Health Strategies Meridian Health PlanKate Hollidge Senior Manager, Population Health Programs Meridian Health […]

05 Lizelle Steenkamp – Segmentation and the Impact of Vitality

Discovery Health Vitality Segmentation and impact of Vitality (Population Health Management) Lizelle Steenkamp

06 James Barrett – The Benefits of an Integrated Dataset When Predicting Future Risk

James Barrett Johns Hopkins HealthCare Solutions Johns Hopkins ACG System

Data Validation: Lisa Kabasakalian, DST Health Solutions

ACG System DST Health Solutions The Johns Hopkins ACG® System Data Validation Lisa Kabasakalian

Session 5: DiLorenzo – An Analysis of Risk Scores of Patients with Less Than Twelve Months of Claims History

MVP Health Care Analysis of Risk Scores of Patients with Incomplete Claims History Tyson DiLorenzo, PhD. Manager, Finance & Actuarial Analytics at MVP

Session 6: Brad Myers – Version 12 Opioid Markers

High Risk Opioid Use MarkersBrad Myers DST Health Solutions 

07 Alan Thompson – Segmentation: Exploring the Relationship Between Frailty and Other High-Risk Groups

Alan Thompson Johns Hopkins HealthCare Solutions Johns Hopkins ACG System

Assessing the Impact of Incomplete Date: Kelsey Rauch, DST Health Solutions

ACG System DST Health Solutions Patient Identification with Incomplete Data Kelsey Rauch

07a Mark Pierce – Applying the ACG System in Whole Population Management

Leicester, Leicestershire and Rutland Integrated Teams Mark Pierce

Session 5: Khomenko – Health Questionnaires and Population Risk Indexing

DataSmart Solutions Health Questionnaires and Population Risk Indexing Bernard Khomenko, CEBS Vice President of Client Services

Session 7: Sokchay Chiv & Kate Hollidge – Opioids Among the Masses

Opioids Among the Masses: Using Advanced Analytics to Drive Clinical ProgramsSokchay Chiv Director, Population Health Strategies Meridian Health PlanKate Hollidge Senior Manager, Population Health Programs […]

Session 8: Philip Bruns – Population Health Management for Non-Clinical Analysts

Population Health Management for Non-Clinical AnalystsPhilip Bruns BenefitFocus 

09 Population Segmentation and Risk Stratification – Kelechi Nnoaham

Kelechi Nnoaham Director of Public Health Cwm Taf Morgannwg University Health Board, Wales

Program Evaluation: Amy Salls, DST Health Solutions

ACG System DST Health Solutions Using The Johns Hopkins ACG® System for Program Evaluation Amy Salls

Session 6: Terrell-Hoxter – The Challenge of Visualizing Diagnostic Conditions in the Population

Lightbeam Health Solutions The Challenge of Visualizing Diagnostic Conditions in the Population Mike Hoxter, Tim Terrell

07b David Cochrane – Applying the ACG System in Whole Population Management

Conrane International Health Solutions (IHS) Whole Population Management- What to do about it David Cochrane

Session 9: Nathan Cohen – Leveraging Data to Improve Outcomes and Delivery of Care

Leveraging Data to Improve Outcomes and Delivery of CareNathan Cohen Philips Population Health Management 

Session 1 – Ines Vigil & Martha Sylvia – Achieving Population Health Surveillance with ACG System Outputs

Achieving Population Health Surveillance with ACG System OutputsInes Vigil MD, MPH, MBA VP, Advanced Analytics Priority Health   Martha Sylvia PhD, MBA, RN President ForestVue Healthcare […]

10 Features in the Next Version of the ACG System – Steve Sutch

Dr. Steve Sutch Product Management Director Johns Hopkins HealthCare Solutions

Session 6: Sylvia – A Pilot of Using the ACG System with Electronic Medical Record Data to Identify Children with Medical Complexities at the Medical University of South Carolina

Medical University of South Carolina (MUSC) Health Using ACGs in the Electronic Medical Record to Identify Children with Medical Complexities Martha Sylvia, Seray Gardner, Corey […]

08 J Pall S Adams – Working Together to Gain Insight

Sollis Working together to gain insight Supporting and enhancing the lives of people in Brighton Jaivir Pall

Session 7: Prada – Using the ACG System in Colombia: What Have We Learned About Our Health System?

Universidad Icesi – Proesa Using the ACG System in Colombia: What have we learned about our health system? Sergio I. Prada, PhD Melissa Perez, M.A.

09 C Morris S Scobie – Population Health Analytics

NHS – South, Central and West Commissioning Support Unit SCW | CSU Population Health Analytics – from supporting clinical commissioning to shaping New Models of […]

Session 10A: Anna-Marie Mitchell – Assessing Mortality: Ontario Mortality Score

Assessing Mortality: Ontario Mortality ScoreAnna-Marie Mitchell Senior Analytic Product Consultant DST Health Solutions 

Session 10B: Tyler Boese – Assessing Mortality: Ontario Mortality Risk Score

Assessing Mortality: Ontario Mortality Risk ScoreTyler Boese Medica

10 David Shepherd – Pin the Tail on the Donkey

Pin the tail on the donkey and other party games David Shepherd

Session 7: Lieberman – Integrating The Johns Hopkins ACG System with Other Proprietary and Non-Proprietary Tools

Mile High Healthcare Analytics Integrating The Johns Hopkins ACG System with Other Proprietary and Non-Proprietary Tools Richard Lieberman

Session 8: Hall – Creating Reporting Benchmarks for Provider ACOs

Minnesota Department of Human Services Creating Reporting Benchmarks for Provider ACOs Jackie Sias, Data Analyst Kristofer Hall, Provider Informatics Lead

Session 11: DST Health Solutions Team – Ask the Experts

Ask the ExpertsDST Health Solutions Team

11 Alan Gwynne – The Magic of Venn Diagrams

Some practical examples of using population profiling and risk stratification within The South Cotswold’s locality Alan Gwynne

12 Alan Thompson – Closing Remarks

ACG Johns Hopkins Healthcare Solutions (JHHCS) Reflections on the Day Alan Thompson  

Session 8: McGaw – Customizing ACG System Output Using Filters and Calculations

DST Health Solutions Customizing ACG Output Using Filters and Calculations Donald D. McGaw Jr. Client Relations Consultant

Session 12: Adele Allison – Value-Based Payment

Anatomy of Value-Based PaymentAdele Allison Director, Provider Innovation Strategies SS&C Health

Session 1 – Pepa Soriano – ACG System as a key factor for a PHM program

ACG System as a key factor for a PHM programPepa Soriano Leader of the Population Management Program at Ribera Salud

Session 13: Amy Salls – Total Cost of Care

Total Cost of Care AnalyticsAmy Salls Senior Director, Analytics SS&C Health

Session 9: Khomenko – Confidence in Predictions to Meet Organizational Needs

DataSmart Solutions Confidence in Predictions to Meet Organizational Needs Analytics Driven Solutions Bernard Khomenko, CEBS Vice President of Client Services

Session 9: Singal – Pharmacy Value-Based Programs

DST Pharmacy Value Based Programs Rahul Singal, MD Chief Medical Officer

Session 14: Arielle Trzcinski – Advanced Analytics Required to Win, Serve, and Retain Customers

Advanced Analytics Required to Win, Serve, and Retain CustomersArielle Trzcinski Senior Analyst Forrester Research

Session 15: Tim Terrell – Storytelling with Exploratory Data

Storytelling with Exploratory DataTim Terrell Director of Analytics Lightbeam Health Solutions