Documents - Johns Hopkins ACG® System

Cost-minimizing risk adjustment

J Health Econ 21:515-530. Center for Health Quality, Outcomes and Economic Research, Boston University School of Public Health, Bedford, MA, USA Conventional risk adjustment, which […]

Association of frailty and 1-year postoperative mortality following major elective noncardiac surgery: a population-based cohort study

JAMA Surg. University of Ottawa, Ottawa, ON, Canada; Institute for Clinical Evaluative Sciences, Ottawa, ON, Canada; Ottawa Hospital, Ottawa, ON, Canada; Ottawa Hospital Research Institute, […]

Utilization of clinical tools to understand health-care differences of the Discovery Health population

BMC Health Serv Res 10:A18. Discovery Health, Johannesburg, Gauteng, South Africa INTRODUCTION: Various clinical tools exist that categorize health-care data into homogenous cohorts. The tools […]

Patient-mix differences among ambulatory providers and their effects on utilization and payments for Maryland Medicaid users

Med Care 31:1119-1137. Policy and Health Statistics Administration, Maryland Department of Health and Mental Hygiene, Baltimore, MD, USA Characteristics of the usual source of care […]

Clinical features of high-risk older persons identified by predictive modeling

Dis Manag 9:56-62. Johns Hopkins HealthCare, Glen Burnie, MD, USA The objective of this study was to describe the clinical features of older persons identified […]

Validation of ACG Case-mix for equitable resource allocation in Swedish primary health care

BMC Public Health 9:347. Blekinge Centre of Competence, Karlskrona, Sweden BACKGROUND: Adequate resource allocation is an important factor to ensure equity in health care. Previous […]

Review: health care utilization and costs of elderly persons with multiple chronic conditions

Med Care Res Rev 68:387-420. University Medical Center, Hamburg-Eppendorf, Germany This systematic literature review identified and summarized 35 studies that investigated the relationship between multiple […]

How health status affects progress and performance in school: a population-based study

Can J Public Health 99:344-349. Manitoba Centre for Health Policy and Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, MB, Canada […]

Are cervical cancer screening rates different for women with schizophrenia? A Manitoba population-based study

Schizophr Res 113:101-106. Department of Community Health Sciences, University of Manitoba, Manitoba Centre for Health Policy, Winnipeg, MB, Canada CONTEXT: Barriers to cervical cancer screening […]

Clinical categories of patients and encounter rates in primary health care – a three-year study in defined populations

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 […]

Developing and evaluating performance measures for ambulatory care quality: a preliminary report of the DEMPAQ project

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 […]

Adjusting for risk selection in state health insurance exchanges will be critically important and feasible, but not easy

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 […]

Abdominal fat from spine dual-energy x-ray absorptiometry and risk for subsequent diabetes

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) […]

Reducing the burden of morbidity and medical utilization of older patients by outpatient geriatric services: Implications to primary health-care settings

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 […]

Predicting resource utilization in a Veterans Health Administration primary care population: comparison of methods based on diagnoses and medications

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 […]

Predictors of children’s healthcare use: the value of child versus parental perspectives on healthcare needs

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 […]

Comparing self-reported health status and diagnosis-based risk adjustment to predict 1- and 2 to 5-year mortality

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, […]

Does the pharmacy expenditure of patients always correspond with their morbidity burden? Exploring new approaches in the interpretation of pharmacy expenditure

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 […]

Influenza vaccination and all-cause mortality in community-dwelling elderly in Ontario, Canada, a cohort study

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 […]

Estimating influenza vaccine effectiveness in community-dwelling elderly patients using the instrumental variable analysis method

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 […]

Short-run associations between medical care expenditures and adherence to clinical practice guideline-based measures for diabetes

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 […]

Prospects of Adjusted Clinical Groups (ACG’s) in capitated payment risk adjustment

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 […]

Trend and variation of prescription drug cost in the veterans health-care system

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 […]

Validating the Adjusted Clinical Groups [ACG] case-mix system in a Spanish population setting: a multicenter study

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 […]

Co-morbidity and health care utilisation five years prior to diagnosis for depression

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 […]

Modeling factors influencing the demand for emergency department services in Ontario: a comparison of methods

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 […]

Clinical outcomes after bariatric surgery: a five-year matched cohort analysis in seven US states

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 […]

2017 ACG Training Conference Agenda

Conference Welcome – Amy Salls

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

Agenda

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

Agenda and Speaker Biographies

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

Salls – Conference Welcome

New Medicaid Enrollees with Highest Care Needs

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

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.

Recalibration of Predictive Models

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

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 […]

02 Jim O’Donnell & Sangeeta Saran – The Development of Primary Care Based Service for Complex Patients with Multimorbidity

Dr. Jim O’Donnell & Sangeeta Saran Slough CCG

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 […]

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

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

03 Melissa Sherry – The JHHC Approach to Population Health Management in Baltimore

Melissa Sherry Johns Hopkins HealthCare

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 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

04 Paul Birch – Making Data Accessible and Easy to Interpret for Clinicians and Commissioners

Paul Birch Arden & GEM CSU

05 Lizelle Steenkamp – Segmentation and the Impact of Vitality

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

05 Chris Morris – Actuarial Analysis Using Population Health Data Sets

Chris Morris SCW CSU

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 […]

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

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 […]

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

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

08 Mark Pierce – Practical Applications of ACG System Derived Data to Inform Various Aspects of Commissioning

Mark Pierce Leicester City CCG

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 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

10 David Shepherd – Pin the Tail on the Donkey

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

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

Assessing Mortality: Ontario Mortality Risk ScoreTyler Boese Medica

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

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

12 Alan Thompson – Closing Remarks

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

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