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Using Population Health Analytics to Demonstrate Value and Impact
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Effect of patient cost sharing in South Korea: ACG risk-adjusted differences in health care utilization and expenditures among National Health Insurance and Medical Aid enrollees, 2004-2005

Baltimore, MD, USA: Johns Hopkins University (doctoral dissertation). Johns Hopkins University, Baltimore, MD, USA Korea has experienced a period of rapid economic development and industrialization […]

Provider profiling: implementation issues within Florida MediPass

Gainesville, FL, USA: University of Florida. University of Florida, Gainesville, FL, USA Provider profiling use epidemiological methods to compare physician practice  patterns across various dimensions […]

Using the ACG casemix system in population health management programs at Johns Hopkins

BMC Health Serv Res 9:A16. Johns Hopkins HealthCare, Glen Burnie, MD, USA   Introduction: Johns Hopkins HealthCare contracts with the US Department  of Defense (DOD) […]

Who uses exenatide for glucose control in diabetes mellitus?

A retrospective cohort study of a new therapy? Rockville, MD, USA: Agency for Healthcare Research and Quality. Johns Hopkins University, Baltimore, MD, USA BACKGROUND: Exenatide […]

Direct costs of hip fractures among seniors in Ontario

Toronto, ON, Canada: University of Toronto (masters thesis). University of Toronto, Toronto, ON, Canada Osteoporosis is a major public health problem resulting in substantial hip […]

Electronic patient provider communication in diabetes care

Seattle, WA, USA: University of Washington (doctoral dissertation). University of Washington, Seattle, WA, USA Diabetes is a chronic illness of increasing public health importance affecting […]

Measuring health status for risk adjusting capitation payments

Hamilton, NJ, USA: Center for Health Care Strategies. Center for Health Care Strategies, Hamilton, NJ, USA In this report we describe six health status grouping […]

Asthma drug regimen optimality and health services utilization: a population-based analysis in British Columbia

Vancouver, BC, Canada: University of British Columbia (doctoral dissertation). University of British Columbia, Vancouver, BC, Canada BACKGROUND: Drug therapy is the mainstay medical treatment for […]

Identifying People at Increased Risk of Severe Illness from COVID-19 in the UK

During the current pandemic, NHS stakeholders need to identify their most vulnerable patient populations. This short report shares how insights from the ACG System can […]

Introduction to the ACG System

Johns Hopkins Bloomberg School of Public Health Population Based Casemix- An Introduction to the ACG System Dr Peter F. S. Lee

Tuesday-Re-thinking ACG fundamentals-Low

Clalit Profiling Morbidity Burden in Primary Care: Local Calibration of a Case-Mix Model to Account for the Burden Israeli Primary Care Physicians Face Ran D. […]

Monday-US Health Reform-Gootee

MZI HealthCare A Population Health Model for Physician Reimbursement: A Hybrid Approach Greg Gootee, MBA

Monday-Care Coordination II-Jabaar

Discovery Health A Virtually Integrated Care Delivery Model for Complex, High-Needs Patients Riedwaan Jabaar

LookingBackLookingForward

Johns Hopkins Bloomberg School of Public Health Looking Back, Looking Forward: Johns Hopkins ACG System Improving Health Care Worldwide for 30 Years Professor Jonathan P. […]

2014 Reform Preparation: What Health Plans Need to Know Now!

DST Health Solutions 2014 Reform Preparation: What Health Plans Need to Know Now! Teri Mullaney, Chief Strategy Officer

Monday(C5)-Expanding the clinical toolbox for progressive healthcare intervention —Lizelle Steenkamp

Expanding the clinical toolbox for progressive healthcare intervention —Lizelle Steenkamp, Discovery Health 

Tuesday(P2)-Reaching The EMR / e-Health Tipping Point: Implications for the Future of Health Care and Population Health-Jonathan P. Weiner DrPH

Reaching The EMR / e-Health Tipping Point:  Implications for the Future of Health Care and Population Health  —Jonathan P. Weiner, DrPH  Professor of Health Policy […]

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About the ACG System V11.0 Release

In this video, Chad Abrams, M.A.; Director of U.S. Operations, ACG System; briefly describes the Johns Hopkins ACG System highlighting features included in the software’s version 11 release. Learn more.

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 […]

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

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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 1: Brad Myers – Version 12 Supplementary Data

Version 12 Supplementary Medical ServicesBrad Myers DST Health Solutions 

01 Karen Kinder Welcome Presentation

ACG System Dr. Karen Kinder Executive Director

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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.

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: 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 […]

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 2: Myers – Hospitalization Risk

DST Health Solutions Hospitalization Models Brad Myers Predictive Modeling Product Consultant

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

05 Lizelle Steenkamp – Segmentation and the Impact of Vitality

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

Session 4: Salls – Assessing Candidates for Care Management

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

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 […]

Hospitalization Risk Scores: Amy Salls, DST Health Solutions

ACG System DST Health Solutions Hospitalization Models Amy Salls

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 

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

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 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 5: Khomenko – Health Questionnaires and Population Risk Indexing

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

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

Alan Thompson Johns Hopkins HealthCare Solutions Johns Hopkins ACG System

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 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

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 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

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 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.

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 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

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 12: Adele Allison – Value-Based Payment

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

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 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 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 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

Session 16: Dustin Burt – Turning Health Risk Assessments into ACG System Inputs

Turning Health Risk Assessments into ACG System InputsDustin Burt Data Scientist Buckeye Health Plan 

Session 17: Don McGaw – ACG Panel Size and Risk

Panel Sizing using ACG outputsDon McGaw DST Health Solutions 

Session 1 – Sokchay Chiv – Implementation and Continuation of a Care Coordination Program

Meridian Member Clinical ProfileSokchay Chiv Director Population Health Strategies and Analytics