Documents
Documents
Abstract Objective Health systems face multimorbidity as the leading cause of the burden of disease and demand for healthcare services. Although non-communicable diseases are well […]
ABSTRACT BACKGROUND Patient effort to comply with complex medication instructions is known to be related to nonadherence and subsequent medical complications or health care costs. […]
Abstract Aim Length of stay (LOS) after colorectal surgery (CRS) is a significant driver of healthcare utilization and adverse patient outcomes. To date, there is […]
Abstract Background The quality-adjusted life year (QALY) is widely used to measure health outcome that combines the length of life and health-related quality of life […]
Summary Ibrutinib is metabolized by cytochrome P450 3A (CYP3A) and poses challenges with drug interactions. We conducted a population-based cohort study of Ontario residents aged […]
ABSTRACT Aims To examine the association between the widely used social deprivation index, the Child Adjusted Care Need Index, and healthcare centres with a higher […]
ABSTRACT Background Frailty is an established predictor of admission into long-term care (LTC) and mortality in the elderly population. Assessment of frailty among adults with […]
This webinar focuses on a project undertaken in Slough Clinical Commissioning Group where information from the ACG System was used to profile the population of […]
Presented by: David Bodycombe, ScD, MSc
Director ACG System Research
This Webinar describes his study, which created and assessed three measures of high-risk opioid use, presents results supporting the utility of these measures, and describes how the resulting measures are being deployed within the ACG System. Learn More.
Med Care 52:751-756. Centre for Primary Care Research, Royal College of Surgeons in Ireland, Dublin, Ireland BACKGROUND: Risk prediction models have been developed to identify […]
Scand J Prim Health Care 32:232-240. Department of Global Public Health and Primary Care, University of Bergen, Norway OBJECTIVE: To compare the likelihood of being […]
BMC Fam Pract 15:183. Department of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden BACKGROUND: Age, gender and socioeconomic […]
Surgery 157:423-451. Mayo Clinic, Rochester, MN, USA; K Long Health Economics Consulting LLC, St. Paul, MN, USA BACKGROUND: We estimated medical costs attributable to venous […]
J Health Care Poor Underserved 26:519-535. Johns Hopkins University, Baltimore, MD, USA We compared preventive counseling services provided by health centers versus other physician offices. […]
Med Care 54:277-286. University of Ottawa, Ottawa, ON, Canada; Institute of Clinical Evaluative Sciences, Ottawa, ON, Canada; Queen’s University, Kingston, ON, Canada; Monash University, Clayton, […]
J Clin Psychopharmacol 35:667-671. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; University of Toronto, Toronto, ON, Canada; St Michael’s Hospital, Toronto, ON, Canada Small […]
Am Heart J 170:123-132. University Health Network, Toronto, ON, Canada; Mount Sinai Hospital, Toronto, ON, Canada; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; University […]
Scand J Public Health Blekinge Institute of Technology, Karlskrona, Sweden; Lund University, Lund, Sweden; Linnaeus University, Växjö, Sweden BACKGROUND AND AIMS: Pain is common in […]
Cell Mol Biol 47:1209-1215. Hawaii Medical Service Association, Care Management, Honolulu, HI, USA Despite the fact that Asian Americans and Pacific Islanders are the fastest […]
J Gen Intern Med 25:920-925. Group Health Research Institute, Seattle, WA, USA BACKGROUND: Research has documented greater health care costs attributable to intimate partner violence […]
Ann Fam Med 7:396-405. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada PURPOSE: Universal coverage of physician services should serve to reduce socioeconomic disparities in […]
Health Serv Res 30:657-671. Graduate Program in Hospital and Health Administration, University of Iowa, Iowa City, IA, USA. OBJECTIVE: This study investigates the determinants of […]
Med Care 43:1130-1139. Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada OBJECTIVES: Implementation of the International Statistical Classification of Disease and Related […]
Br J Gen Pract 61:e12-e21. Department of Community Medicine, University of Bristol, Bristol, UK BACKGROUND: In developed countries, primary health care increasingly involves the care […]
Popul Health Manag 14:205-210. Research and Development Unit, Johns Hopkins HealthCare LLC, Glen Burnie, MD, USA The objective of this study was to optimize predictive […]
J Clin Psychopharmacol 28:384-391. Department of Psychiatry, University of Manitoba, Winnipeg, MB, Canada BACKGROUND: Selective serotonin reuptake inhibitors (SSRIs), benzodiazepines, and antipsychotics have each been […]
Osteoporos Int 23:957-962. Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada It is not clear whether ankle fractures predict future osteoporotic fractures in women, […]
Arch Fam Med 7:352-357. Department of Family and Community Medicine, Christiana Care Health System, Wilmington, DE, USA OBJECTIVES: To examine the association between provider continuity […]
Health Care Manage Rev 32:22-29. University of Michigan Medical School, Ann Arbor, USA. BACKGROUND: The relationship of distance to care with total health care utilization […]
J Public Health Med 13:189-197. University of Newcastle upon Tyne, School of Health Care Sciences, Medical School, Newcastle, UK Resource management in Ambulatory Care is […]
Aust N Z J Public Health 26:500-507. Faculty of Health Sciences, School of Public Health, La Trobe University, Victoria, Australia OBJECTIVE: Australia is beginning to […]
Med J Malaysia 67:363-368. Ministry of Health, Kangar Health Clinic, Jalan Kolam, Kangar, Perlis, Malaysia Allocation of funding within the Ministry of Health of Malaysia […]
Parkinsonism Relat Disord 18:930-935. Movement Disorder Clinic, 200 Woodlawn Street, Winnipeg, MB, Canada PURPOSE: To investigate factors associated with healthcare utilization and prescription drug use […]
Arch Pediatr Adolesc Med 157:279-285. Department of Health Policy and Management, Health Services Research and Development Center, Bloomberg School of Public Health, Johns Hopkins University, […]
Am J Manag Care 8:413-422. HealthPartners Research Foundation, Minneapolis, MN, USA OBJECTIVE: To learn whether the healthcare costs for patients of various care delivery systems […]
Gac Sanit 11:83-94. Published in Spanish. Unitat d’Investigació Centre del Institut Catalá de la Salut, Barcelona, Spain OBJECTIVES: The ambulatory care groups (ACGs) were developed […]
Aten Primaria 40:447-454. Published in Spanish. Dirección de Planificación y Desarrollo Organizativo. Badalona Serveis Assistencials S.A. Badalona. Barcelona. España OBJECTIVE: To determine the comorbidity, the […]
Front Psychiatry 1:144. Health Services and Population Research Department, Institute of Psychiatry, King’s College London, London, UK OBJECTIVES: To examine longitudinal patterns of complexity, continuity, […]
Pediatrics 128:e1053-e1061. Erratum in: Pediatrics. 2012 Mar;129(3):595. Department of Anesthesiology, College of Medicine, Mayo Clinic, Rochester, MN, USA BACKGROUND: Annually, millions of children are exposed […]
JAMA 285:60-66. Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA CONTEXT: A shortage of data exists on medical care use by persons with […]
Addiction 107:776-780. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada AIMS: To determine the extent to which other opioids are prescribed to patients receiving methadone […]
BMJ Open 2:2012-000941. Directorate of Planning, Badalona Serveis Assistencials SA, Badalona, Barcelona, Spain OBJECTIVES: To describe the adaptive capacity of the Adjusted Clinical Groups (ACG) […]
Mil Med 178:986-993. Healthcare Informatics Division, United States Air Force Medical Support Agency, San Antonio, TX, USA Evidence-based articles have demonstrated an increase in diabetes […]
Diabetes Care 36:2726-2733. University of Washington School of Public Health, Seattle, WA, USA; Harvard School of Public Health, Boston, MA, USA; Group Health Research Institute, […]
Osteoporos Int 24:659-669. Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada SUMMARY: Using a matched cohort design, we estimated the mean direct […]
Am J Sports Med 41:2034-2040. University of Toronto Orthopaedic Sports Medicine, Women’s College Hospital, Toronto, ON, Canada BACKGROUND: Factors contributing to recurrent dislocation, revision stabilization, […]
J Ambul Care Manage. Kaiser Permanente Northwest Center for Health Research, Portland, OR; Oregon Health and Science University, Portland, OR, USA To estimate how the […]
Med Care 39:1170-1181. Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA BACKGROUND: Utilization risk assessment is potentially useful for allocation […]
Ann Intern Med 160:741-749. Weill Cornell Medical College, New York, NY, USA BACKGROUND: The patient-centered medical home (PCMH) model of primary care is being implemented […]
Scand J Pain 5:270-275. Blekinge Institute of Technology, Karlskrona, Sweden; Lund University, Lund, Sweden; Linnaeus University, Växjö, Sweden BACKGROUND AND AIMS: The influence of pain […]
Prepared for Florida Medicaid. Tallahassee, FL, USA: College of Medicine, Florida State University. Florida State University, Tallahassee, FL, USA This report summarizes the final findings […]
Arch Phys Med Rehabil 96:e18. Toronto Rehabilitation Institute, Toronto, ON, Canada Objective(s): To investigate determinants of change in functional outcomes during inpatient rehabilitation (IR) among […]
Eur J Public Health 9:27-35. Unitat d’Investigació Centre del Institut Catalá de la Salut, Barcelona, Spain BACKGROUND: Patient classification systems based on the defining of […]
Taipei, Taiwan: Veterans General Hospital Taipei. Published in Chinese. Department of Medical Affairs and Planning, Taipei Veterans General Hospital, Taipei City, Taiwan, ROC The goal […]
Winnipeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, […]
Final report, grant number 93-G07, Physician Payment Review Commission. Minneapolis, MN, USA: Park Nicollet Medical Foundation. Park Nicollet Medical Foundation, Minneapolis, MN, USA Under health […]
Final report for grant #HS05505, National Center for Health Care Research/Health Care Technology Assessment. Baltimore, MD, USA: Johns Hopkins University. Johns Hopkins University, Baltimore, MD, […]
Child and Youth Data Laboratory. Edmonton, AB, Canada: Centre for Child, Family and Community Research. Site also has videos of presentations of report data. Centre […]
Vancouver, BC, Canada: University of British Columbia (masters thesis). University of British Columbia, Vancouver, BC, Canada The BC Ministry of Health has developed a Population […]
Hamilton, NJ, USA: Center for Health Care Strategies. Center for Health Care Strategies, Hamilton, NJ, USA The Center for Health Care Strategies’ (CHCS) Medicaid Value […]
In: Bateman WB – Abesamis-Mendoza J – Ho-Asjoe H – ed. Praeger handbook of Asian-American health: taking notice and taking action. Santa Barbara CA USA: […]
Am J Pharm Benefits 3:165-171. Hawaii Medical Service Association, Honolulu, HI, USA OBJECTIVES: To investigate the combinations of medications patients were taking, the study examined […]
WebmedCentral ECONOMICS OF MEDICINE 2:WMC001657. Directorate of Planning, Badalona Serveis Assistencials SA, Badalona, Spain BACKGROUND: To determine the adaptation capacitating of categories case-mix adjustment (Adjusted […]
Orlando, FL, USA: AcademyHealth Annual Research Meeting. NORC at the University of Chicago, Bethesda, MD, USA RESEARCH OBJECTIVE: The objectives are: to compare the cost […]
Health Sci 23:173-178. Published in Lithuanian. The aim of the study: to evaluate multimorbidity dynamics, and needs of out-patient health care services in rural and […]
Abstract Background: Case-mix systems and comorbidity indices aggregate clinical information about patients over time and are used to characterize need for health care services. […]
DST Health Solutions Data Validation Sokchay Chiv
Sirona Care & Health The Sirona Model & the ACG System
Persistent High Users Characteristics and Identification-Hsien-Yen Chang PhD
The association between expenditures and quality in type 2 diabetes mellitus care Troels Kristensena, Msc, PhD, Kim Rose-Olsena, Msc, PhD Charlotte Ejersted, MD., PhD Anders […]
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 […]
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 […]
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 […]
Objective: In 2001, the province of Ontario expanded cancer genetic testing eligibility to include all women with high-grade serous ovarian carcinoma (HGSC) of the ovary, […]
BACKGROUND: Primary care clinicians know that case-mix varies between different physician practices and geographical areas. Leicester City Clinical Commissioning Group (CCG) is now able to quantify […]
Abstract Background The rapidly growing population of elderly subjects with multimorbidity is at risk of receiving fragmented and uncoordinated care, and have frequent hospitalizations and […]
Abstract Purpose To examine the association of all-cause and premature mortality with four modifiable lifestyle behaviors and quantify the burden of behavioral-related premature death in Ontario, […]
Abstract Dialysis prior to kidney transplantation may have a detrimental effect on post-transplant Outcomes. However, prior studies have not fully characterized the nature of this […]
Abstract Background Living in unwalkable neighborhoods has been associated with heightened risk for diabetes and hypertension. However, highly walkable environments may have higher concentrations of […]
Abstract Populations that are more than just slightly overdue for breast, cervical and colorectal screening should likely be targeted for policy and practice interventions. We […]
Abstract Importance Prescribing the first biologic treatment for rheumatoid arthritis (RA) is an important decision for patients, their physicians, and payers, with considerable costs and […]
Abstract Objectives To characterise the comorbidities of heart failure (HF) in men and women, to explore their clustering into multimorbidity patterns, and to measure the […]
ABSTRACT Objectives: Analyses of emergency department (ED) use require visit classification algorithms based on administrative data. Our objectives were to present an expanded and revised version […]
Abstract Background Heart failure (HF) has been defined as global disease of pandemic proportions, since it affects around 26 million people worldwide.[1] According to a recent […]
Abstract Objective Early childhood asthma diagnosis is common; however, many children diagnosed before age 5 experience symptom resolution and it remains difficult to identify individuals […]
Abstract Objective To determine whether an anterior approach is associated with lower risk of complications than either a lateral or posterior approach. Design, Setting, and […]
Abstract Objectives Frailty, defined as loss of reserve and vulnerability to changes in health, affects many ovarian cancer patients who are planned to undergo surgery. […]
Abstract Background Health resource utilization (HRU) and associated factors of high cost are not well understood in myeloproliferative neoplasms (MPNs). Methods In this population-based, retrospective […]
Abstract Objective The prevalence of coexisting coronary artery disease (CAD) is high in patients who underwent transcatheter aortic valve implantation (TAVI). Our objective was to […]
Abstract Objective Most risk stratification approaches attempt to predict clinical outcomes rather than value. For a provider organization or health system to have financial success […]
Abstract Background: Clinical practice guidelines recommend routine kidney function and serum potassium testing within 30 days of initiating ACE (angiotensin-converting enzyme) inhibitor or angiotensin II […]
Abstract Background COPD medications reduce exacerbations and improve quality of life. Despite this, some individuals do not receive medications recommended by practice guidelines. Research Question […]
Abstract Background Multimorbidity measures are useful for resource planning, patient selection and prioritization, and factor adjustment in clinical practice, research, and benchmarking. We aimed to […]
