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Cardiology workforce: a shortage, not a surplus

Health Aff W4:64-66. Mayo Clinic College of Medicine, Rochester, MN, USA The United States faces a serious shortage of cardiologists as our population ages and […]

Adjusted Clinical Groups use as a measure of the referrals efficiency from primary care to specialized in Spain

Eur J Public Health 17:657-663. Planning Management, Badalona Serveis Assistencials, SA, Badalona, Barcelona, Spain BACKGROUND: To determine the referral rate (RR) per centre, its main […]

Medicaid managed care payment rates in 1998

Health Aff 18:217-227. Urban Institute, Washington, DC, USA This paper reports on a new survey of state Medicaid managed care payment rates. We collected rate […]

Chronic care improvement in primary care: evaluation of an integrated pay-for-performance and practice-based care coordination program among elderly patients with diabetes

Health Serv Res 45:1763-1782. Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Johns Hopkins Healthcare LLC, Glen Burnie, MD, USA OBJECTIVE: […]

Implementation of electronic medical records: effect on the provision of preventive services in a pay-for-performance environment

Can Fam Physician 57:e381-e389. Department of Family and Community Medicine, University of Toronto, ON, Canada OBJECTIVE: To study the effect of electronic medical record (EMR) […]

Estimation of chronic co-morbidity on health costs in elderly patients with neurological disorders

Rev Peru Med Exp Salud Publica 28:564-565. Published in Spanish. Directorate of Planning, Badalona Serveis Assistencials SA, Badalona, Spain Sr. Editor. El envejecimiento progresivo de […]

Medical care costs associated with traumatic brain injury over the full spectrum of disease: a controlled population-based study

J Neurotrauma 29:2038-2049. Mayo Clinic, Rochester, MN, USA Data on traumatic brain injury (TBI) economic outcomes are limited. We used Rochester Epidemiology Project (REP) resources […]

The performance of administrative and self-reported measures for risk adjustment of Veterans Affairs expenditures

Health Serv Res 40:887-904. Health Services Research and Development Northwest Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA. OBJECTIVE: To […]

Socio-economic position and childhood multimorbidity: a study using linkage between the Avon Longitudinal study of parents and children and the general practice research database

Int J Equity Health 12:66. School of Social and Community Medicine, University of Bristol, Bristol, UK INTRODUCTION: In adults, multimorbidity is associated with social position. […]

Use of risk adjustment in setting budgets and measuring performance in primary care II: advantages, disadvantages, and practicalities

BMJ 323:607-610. School of Public Policy, University College London, London, UK Risk adjustment could help to improve decisions about budgets as well as help measure […]

Prevalence of multimorbidity according to the deprivation level among the elderly in the Basque Country

BMC Public Health 13:918. Oberri, Basque Institute for Healthcare Innovation, Sondika, Spain BACKGROUND: Multimorbidity is clearly a major challenge for healthcare systems. However, currently, its […]

Low-socioeconomic-status enrollees in high-deductible plans reduced high-severity emergency care

Health Aff 32:1398-1406. Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA One-third of US workers now have high-deductible health plans, and […]

Undiagnosed hypertension among young adults with regular primary care use

J Hypertens 32:65-74. University of Wisconsin School of Medicine and Public Health, Madison, WI; Veterans Affairs Pittsburgh Healthcare System and School of Pharmacy, University of […]

Age and gender differences in the prevalence and patterns of multimorbidity in the older population

BMC Geriatr 14:75. Department of Health Wellbeing and Family, Government of Aragón, Zaragoza, Spain BACKGROUND: The coexistence of several chronic diseases in one same individual, […]

The impact of influenza vaccination on hospitalizations and mortality among frail older people

J Am Med Dir Assoc 15:256-260. National Yang-Ming University, Taipei, Taiwan OBJECTIVES: The objective of this study was to evaluate the benefits of influenza vaccination […]

Federally qualified health center efficacy study

Montpelier, VT, USA: Vermont Program for Quality in Health Care. Vermont Program for Quality in Health Care, Montpelier, VT, USA OBJECTIVE: The objective of the […]

Homecare after pediatric traumatic brain injury: what do they use and how much does it cost?

Arch Phys Med Rehabil 96:e38. University Health Network, Toronto, ON, Canada Objective(s): To determine, by sex, the predictors, types, and direct cost of publicly funded […]

Trends in abdominal aneurysm surgery, 2002-2014

Toronto, ON, Canada: Institute for Clinical Evaluative Sciences (internal report). Institute for Clinical Evaluative Sciences, Toronto, ON, Canada Methods: We conducted a population-based cohort study […]

Building a predictive model for 30-day inpatient readmission using PROC PHREG

Presented at NESUG 2012. Baltimore, MD, USA: North East SAS User Group. Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins […]

Adverse selection, welfare and the optimal pricing of employer-sponsored health plans

St. Paul, MN, USA: University of Minnesota and NBER. University of Minnesota, St. Paul, MN, USA We assess the welfare impact of adverse selection in […]

Patterns of regional mental illness disorder diagnoses and service use in Manitoba: a population-based study

Winnepeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, MB, Canada Mental illness is a profound problem […]

Ambulatory Care Groups: an evaluation for military health care use

Fort Sam Houston, TX, USA: United States Army Center for Healthcare Education and Studies, publication #HR 94-004. United States Army Center for Healthcare Education and […]

Models for Medicare payment system reform based on group-specific volume performance standards (GVPS)

Waltham, MA, USA: Brandeis University. Brandeis University, Waltham, MA, USA This report discusses potential policy options for Medicare based on Group-Specific Volume Performance Standards (GVPS). […]

Aging in Ontario: an ICES chartbook of health service use by older adults

Toronto, ON, Canada: Institute for Clinical Evaluative Sciences. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada Recent investments by the Ontario Ministry of Health and […]

Impacto economico de las enfermedades y pacientes atendidos en atencion primaria adaptacion de los Grupos Clinicos Adjustados (ACGs) en nuestro medio

Barcelona, Spain: University of Barcelona (doctoral dissertation). Published in Spanish. University of Barcelona, Barcelona, Spain El objetivo general de este trabajo es medir el impacto […]

Outcomes of care for South Carolina Medicaid managed care enrollees, state fiscal year 2007

Final report to the South Carolina Department of Health and Human Services. Columbia, SC, USA: University of South Carolina. University of South Carolina, Columbia, SC, […]

Primary health care reimbursement based on socioeconomics or disease burden

Primärvårdsersättning efter socioekonomi eller sjukdomsbörda. [Primary health care reimbursement based on socioeconomics or disease burden. Registry study from Östergötland shows different results depending on analysis […]

Implementation of electronic medical records and preventive services: a mixed methods study

Toronto, ON, Canada: University of Toronto (masters thesis). University of Toronto, Toronto, ON, Canada The implementation of Electronic Medical Records (EMRs) may lead to improved […]

Primärvården som koordinator för de mest sjuka äldre – implikationer för mål och indikatorer

In: Karlsson AK, Winberg H, ed. På väg mot en värdefull styrning. LHC Report: #1, 2012. Stockholm, Sweden: Stiftelsen Leading Health Care:150-172. Published in Swedish. […]

Demand for health among Canadians: roles of immigration status, country of origin, and year since migration

Toronto, ON, Canada: University of Toronto (doctoral dissertation). University of Toronto, Toronto, ON, Canada This thesis investigates the effects of immigration status, country of origin, […]

Complications following total joint arthroplasty in patients with rheumatoid arthritis

Toronto, ON, Canada: University of Toronto (doctoral dissertation). University of Toronto, Toronto, ON, Canada BACKGROUND: Total joint arthroplasty (TJA) is indicated in persons with end-stage […]

Working for Better Health in Wandsworth -The ACG System’s role in transforming services through innovative care models

Working for Better Health in Wandsworth -The ACG System’s role in transforming services through innovative care models

Leicester City CCG Case Study 1

Use of ACG® System output to support practices in participating in the Unplanned Admissions DES 2014-15

Predictive Models in the ACG® System: Recalibration of Existing Models and Development of New Ones

This short report provides details of the second recalibration of the existing models and the development of new models that was carried out by the […]

Health Care Reform In the US and England

The Johns Hopkins University Health Care Reform In the US and England: Commonalities and potential contribution of case-mix & predictive risk modeling tools Jonathan Weiner, […]

Applying the ACG® System to a Retrospective Electronic Database

Applying the Johns Hopkins ACG Applying the Johns Hopkins ACG Casemix Casemix System to a Retrospective Electronic Database: A 5 to a Retrospective Electronic Database: […]

Patient Identification with Incomplete Data

DST Health Solutions Patient Identification with Incomplete Data Kelsey Rauch

Tuesday(C6)-Refining Patient Risk Assessment with Clinical Lab Results-Lemke

Refining Patient Risk Assessment with Clinical Lab Results-Klaus Lemke

Tuesday(P3)-Moving the Chronic Care Model into the Future-Wagner

Moving the Chronic Care Model into the Future Ed Wagner, MD, MPH, MACP  MacColl Center for Health Care Innovation  Group Health Research Institute 

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The ACG System’s Inception

Donald Steinwachs, PhD, Professor, Health Policy and Management, Johns Hopkins Bloomberg School of Public Health goes through the history of the ACG System, the importance […]

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Care Management Program Case Study-Payer

Clalit Health (an integrated delivery system in Israel) used the ACG System to identify high-risk patients for enrollment in a comprehensive complex care management program for its multimorbid population. This led to a reduction in length of time spent in the hospital, reductions in readmission rates and lower costs.

The Association of Frailty With Outcomes and Resource Use After Emergency General Surgery: A Population-Based Cohort Study

BACKGROUND: Older patients undergoing emergency general surgery (EGS) experience high rates of postoperative morbidity and mortality. Studies focused primarily on elective surgery indicate that frailty […]

Indianapolis Provider’s Use Of Wraparound Services Associated With Reduced Hospitalizations And Emergency Department Visits

ABSTRACT Recent changes to US reimbursement policies are increasingly holding providers financially accountable for patients’ health. Providing nonmedical services in conjunction with primary care—known as […]

Healthcare costs and utilization associated with high-risk prescription opioid use: a retrospective cohort study

Abstract Background Previous studies on high-risk opioid use have only focused on patients diagnosed with an opioid disorder. This study evaluates the impact of various […]

Nonsteroidal anti-inflammatory drug use and risk of acute kidney injury and hyperkalemia in older adults: a population-based study

Abstract   Background Clinical guidelines caution against nonsteroidal anti-inflammatory drug (NSAID) use in older adults. The study objective was to quantify the 30-day risk of […]

Development of Alzheimer disease in old major depressive patients based upon their health status: A retrospective study in Taiwan

Abstract   This study is conducted to investigate the association between major depressive disorder and the subsequent development of Alzheimer disease (AD) in elderly patients […]

Symptom trajectories and predictors of severe symptoms in pancreatic adenocarcinoma at the end-of-life: a population based analysis of 2,538 patients

Abstract Background We evaluated symptom trajectories and predictors of reporting severe symptoms in the last 6 months of life among non-resected pancreatic adenocarcinoma (PAC) decedents. […]

Cardiovascular Consequences of Obstructive Sleep Apnea in Women: A Historical Cohort Study

Abstract Objective Background: Evidence on sex differences in the association between obstructive sleep apnea (OSA) and cardiovascular outcomes is limited and controversial. We conducted a […]

Is Frailty Associated With Worse Outcomes After Head and Neck Surgery? A Narrative Review

Abstract Objective Frailty has emerged as an important determinant of many health outcomes across various surgical specialties. We examined the published literature reporting on frailty […]

The Impact of Team-Based Primary Care on Guideline-Recommended Disease Screening

Abstract Introduction Family Medicine Groups, implemented in Quebec in 2002, are interprofessional primary care teams designed to improve timely access to high-quality primary care. This […]

Identification of Prenatal Opioid Exposure Within Health Administrative Databases

Abstract BACKGROUND: Health administrative data offer a vital source of data on maternal prenatal opioid exposure (POE). The impact of different methods to estimate POE, especially […]

Sepsis-Associated Mortality, Resource Use, and Healthcare Costs: A Propensity-Matched Cohort Study

Abstract Objectives: To examine long-term mortality, resource utilization, and healthcare costs in sepsis patients compared to hospitalized nonsepsis controls. Design: Propensity-matched population-based cohort study using administrative data. […]

Mental Health Services Provision in Primary Care and Emergency Department Settings: Analysis of Blended Fee-for-Service and Blended Capitation Models in Ontario, Canada

Abstract Background Treating mental illnesses in primary care is increasingly emphasized to improve access to mental health services. Although family physicians (FPs) or general practitioners […]

Associations of clinically recognized vs unrecognized vertebral fracture with mortality

Abstract Purpose Our purpose was to contrast mortality associated with clinically undiagnosed prevalent vertebral fracture recognized on densitometric vertebral fracture assessment (VFA) and prior clinically […]

Intensity of End-of-Life Care in a Cohort of Commercially Insured Women With Metastatic Breast Cancer in the United States

ABSTRACT Purpose There is limited evidence on the intensity of end-of-life (EOL) care for women < 65 years old, who account for about 40% of […]

High‐deductible health plans and low‐value imaging in the emergency department

Abstract Objective To examine the effect of an employer‐mandated switch to high‐deductible health plans (HDHP) on emergency department (ED) low‐value imaging. Data Sources Claims data […]

Primary care-based smoking cessation treatment and subsequent healthcare service utilisation: a matched cohort study of smokers using linked administrative healthcare data

ABSTRACT Background No research has assessed the individual-level impact of smoking cessation treatment delivered within a general primary care patient population on multiple forms of […]

Association between chronic bladder catheterisation and bladder cancer incidence and mortality: a population based retrospective cohort study in Ontario, Canada

Abstract Objectives To compare the risk of bladder cancer and bladder cancer mortality among patients with chronic bladder catheterisation (indwelling or intermittent) to patients from […]

Operationalizing Outpatient Palliative Care Referral Criteria in Lung Cancer Patients: A Population-Based Cohort Study Using Health Administrative Data

Abstract Background Early referral of cancer patients for palliative care significantly improves the quality of life. It is not clear which patients can benefit from […]

Association of bilateral salpingo-oophorectomy with all cause and cause specific mortality: population based cohort study

Abstract Objectives To determine if bilateral salpingo-oophorectomy, compared with ovarian conservation, is associated with all cause or cause specific death in women undergoing hysterectomy for […]

COVID-19 Hospitalizations, Intensive Care Unit Stays, Ventilation, and Death Among Patients With Immune-mediated Inflammatory Diseases Compared to Controls

Abstract Objective To investigate coronavirus disease 2019 (COVID-19) hospitalization risk in patients with immune-mediated inflammatory diseases (IMIDs) compared with matched non-IMID comparators from the general […]

The effect of disease co-occurrence measurement on multimorbidity networks: a population-based study

Abstract Background Network analysis, a technique for describing relationships, can provide insights into patterns of co-occurring chronic health conditions. The effect that co-occurrence measurement has […]

Association of State Insulin Out-of-Pocket Caps With Insulin Cost-Sharing and Use Among Commercially Insured Patients With Diabetes: A Pre–Post Study With a Control Group

Abstract Background Twenty-five states have implemented insulin out-of-pocket (OOP) cost caps, but their effectiveness is uncertain. Objective To examine the effect of state insulin OOP […]

Impact of Patient Demographics, Surgeon Volume, and Hospital Type on Distal Radius Fracture Surgery Outcomes: A Population-Based Study

Abstract Purpose This study aimed to evaluate the impact of patient demographics, surgeon volume, and hospital type on composite outcomes, infection, and revision following surgery […]

Postoperative Opioid Prescribing Among Adults with Disabilities After a Medicare Opioid Limit Policy

Abstract Objective: Determine whether a Medicare 7-day limit on initial opioid prescriptions (effective January 1, 2019) was associated with reductions in duration, dosage, and subsequent […]

The effectiveness of WhatsApp messages on the uptake of screening mammography: a randomized controlled trial

Abstract Objectives Breast screening and early detection have positively influenced survival rates for breast cancer. We conducted a randomized-controlled trial involving 7235 eligible members of […]

Systemic therapies for psoriatic disease and serious adverse events in older adults: A population-based cohort study

Systemic therapies for psoriasis and psoriatic arthritis (PsA) have the potential to cause serious adverse events (SAEs), particularly among older adults (Garcia-Doval et al, 2012; Lavan […]

Mammographic screening and time to breast cancer diagnosis among immigrants and long-term residents in Ontario

Abstract Background Biennial breast screening enables timely diagnosis, a critical determinant of survival. However, this benefit depends on navigating complex healthcare systems where immigrant women […]

Prevalence of prescribed opioid claims among persons with non-traumatic spinal cord dysfunction in Ontario, Canada: a population-based retrospective cohort study

Abstract Study Design Cohort study. Objectives To determine the prevalence and to identify predictors of prescription opioid use among persons with non-traumatic spinal cord dysfunction […]

Association of surgical approach with oncologic outcomes in low-risk cervical cancer

Background Recent randomized evidence suggesting that simple hysterectomy is non-inferior to radical hysterectomy in cervical cancer patients with low-risk disease has invigorated questions about the […]

Ultrasound suspicion of fetal large for gestational age: A population-based cohort study using propensity score overlap weighting

Abstract Objective To compare maternal and neonatal outcomes among large-for-gestational-age neonates with and without prenatal ultrasound suspicion of large-for-gestational-age. Study Design We conducted a population-based […]

Can high-cost spending in the community signal admission to hospital? A dynamic modeling study for urgent and elective cardiovascular patients

Abstract Background Much of the research on high-cost patients in healthcare has taken a static approach to studying what is actually a dynamic process. High-cost […]

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Population Health Management: Innovations in Risk Adjustment and Predictive Modeling

Jonathan Weiner, DrPH participated as one of the featured presenters in the 8th Annual Predictive Modeling Web Summit. Watch the below recording of Dr. Weiner’s […]

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Using EHR’s Unstructured Data for Risk Stratification

Presented by: Hadi Kharrazi, MHI, MD, PhD
Asst. Professor, JH School of Public Health; Asst. Professor, JH School of Medicine; Research Director, JHCPHIT

This presentation focuses on the potential role of EHR’s unstructured data in identifying frailty markers and improving the prediction of utilization outcomes.

Attention-deficit/hyperactivity disorder in children: excess costs before and after initial diagnosis and treatment cost differences by ethnicity

Arch Pediatr Adolesc Med 160:1063-1069. Division of Research, Kaiser Permanente Medical Care Program, Northern California Region, Oakland, CA, USA OBJECTIVES: To estimate the excess costs […]

Atypical antipsychotic drugs and the risk for acute kidney injury and other adverse outcomes in older adults: a population-based cohort study

Ann Intern Med 161:242-248. London Health Sciences Centre, London, ON, Canada; St. Michael’s Hospital, Toronto, ON, Canada; Yale University and Veterans Affairs Medical Center, New […]

Conspicuous consumption: characterizing high users of physician services in one Canadian province

J Health Serv Res Policy 8:215-224. http://www.ncbi.nlm.nih.gov/pubmed/14596756. Centre for Health Services and Policy Research, University of British Columbia, Vancouver, BC, Canada OBJECTIVES: To examine medical […]

A population-based study of ethnicity and breast cancer stage at diagnosis in Ontario

Curr Oncol 22:97-104. Women’s College Research Institute, Toronto, ON, Canada; University of Toronto, Toronto, ON, Canada; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada BACKGROUND: […]

READMIT: A clinical risk index to predict 30-day readmission after discharge from acute psychiatric units

J Psychiatr Res 61:205-213. Women’s College Hospital, Toronto, ON, Canada; Women’s College Research Institute, Toronto, ON, Canada; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; […]

Geriatric conditions in patients undergoing defibrillator implantation for prevention of sudden cardiac death: prevalence and impact on mortality

Circ Cardiovasc Qual Outcomes 9:23-30. Johns Hopkins University Baltimore, MD, USA; Yale School of Medicine, New Haven, CT, USA; University of Colorado, Aurora, CO, USA; […]

Association of anxiety and depression with hypertension control: a US multidisciplinary group practice observational study

J Hypertens 33:221-2222. University of Wisconsin School of Medicine and Public Health, Madison, WI, USA; Veterans Affairs Pittsburgh Healthcare System. Pittsburgh, PA, USA; University of […]

Intraarticular hip injection and early revision surgery following total hip arthroplasty: a retrospective cohort study

Arthritis Rheumatol 67:162-168. University of Toronto, Toronto, Ontario, Canada OBJECTIVE: Therapeutic intraarticular injections are used in the management of hip osteoarthritis (OA). Some studies suggest […]

Adjusting for case mix and social class in examining variation in home visits between practices

Fam Pract 21:355-363. Public Health Policy Unit, School of Public Policy, University College London, London, UK OBJECTIVES: The purpose of this study was to investigate […]

Profiling primary care physician resource use: examining the application of case mix adjustment

J Ambul Care Manage 19:60-80. Health Services Research and Development Center, Johns Hopkins School of Public Health, Baltimore, MD, USA Growing emphasis on managed care […]

Towards a more equitable distribution of resources and assessment of quality of care: validation of a comorbidity based case-mix system

Harefuah 149:665-669. Published in Hebrew. Planning & Health Policy Division, Clalit Health Services Head Offices, Israel BACKGROUND: Equitable distribution of healthcare resources and fair assessments […]

Forecasting physician workforce requirements

JAMA 273:111; author reply 113. Dr Weiner1 presents an exacting analysis of the likely effects of health system reform on physician workforce requirements. His market approach […]

Healthcare utilization patterns and risk adjustment under Taiwan’s National Health Insurance system

J Formos Med Assoc 101:52-59. Graduate Institute of Health Care Organization Administration, College of Public Health, National Taiwan University, Taipei, Taiwan BACKGROUND AND PURPOSE: Some […]

The predictors of self-rated health and the relationship between self-rated health and health service needs are similar across socioeconomic groups in Canada

J Clin Epidemiol 63:412-421. Institute for Work and Health, Toronto, ON, Canada OBJECTIVE: To examine if there are systematic differences in the predictors of self-rated […]

The economic impact of a disability prevention program

J Occup Environ Med 52:15-21. Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA We evaluated the effect […]

Predictive modeling of total healthcare costs using pharmacy claims data: a comparison of alternative econometric cost modeling techniques

Med Care 43:1065-1072. Caremark, Hunt Valley, MD, USA OBJECTIVE: We sought to evaluate several statistical modeling approaches in predicting prospective total annual health costs (medical […]

The mortality risk score and the ADG score: two points-based scoring systems for the Johns Hopkins aggregated diagnosis groups to predict mortality in a general adult population cohort in Ontario, Canada

Med Care 49:940-947. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada BACKGROUND: Logistic regression models that incorporated age, sex, and indicator variables for the Johns […]

Association of antiepileptic drugs with nontraumatic fractures: a population-based analysis

Arch Neurol 68:107-112. Department of Clinical Neurosciences, University of Calgary, Foothills Hospital, Calgary, AB, Canada OBJECTIVE: To explore the relationship between antiepileptic drug (AED) use […]

The importance of continuity of care in the likelihood of future hospitalization: is site of care equivalent to a primary clinician?

Am J Public Health 88:1539-1541. Department of Family Medicine, Medical University of South Carolina, Charleston, SC, USA OBJECTIVES: This study examined the effect of continuity […]

Health of Medicare Advantage plan enrollees at 1 year after Hurricane Katrina

Am J Manag Care 15:13-22. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA OBJECTIVE: To assess the effects of Hurricane Katrina on mortality, […]

Chiropractic use by urban and rural residents with insurance coverage

J Rural Health 25:253-258. Department of Health Services, University of Washington, Seattle, WA, USA PURPOSE: To describe the use of chiropractic care by urban and […]