Leveraging the ACG System at the Point of Care

May 4th, 2023
Care Management  |  
Population Health Management & Improvement
Leveraging the ACG System at the Point of Care

Providers often have limited face-to-face time with their patients. This can be due to a variety of factors including policy changes, insurance requirements and paperwork, all of which make providing high-quality care challenging.

The ACG System gives providers at the point of care a unique view of their patient’s needs by allowing front-end integration through actionable fields that flow through to the Electronic Medical Records (EMR) system. This interoperability allows providers to discuss and provide actionable solutions to top health concerns and priorities with their patients in real-time.

Read more to find out how the ACG System can help your providers at the point of care.

What ACG System information is visible to providers in an EMR?

The ACG System takes into consideration a 12-month view of the patient’s medical history, the recommended length for optimal information review. It then consolidates a variety of information such as: health care utilization, age, sex, social need and cost, and translates each data point into an actionable summary of patient health need.

The ACG System has multiple components that are well-suited for providers to view at the point of care. This includes Emergency Department (ED) and inpatient utilizations, social needs and geographic factors that may impact a patient’s health status, medication adherence, care coordination, frailty flags and others.

The ACG System can also detect individual data points which, when viewed individually do not indicate much, but when added with other data points may indicate more complex insights such as:

  • Untreated chronic conditions
  • Likelihood of becoming a persistent high-utilizer
  • Likelihood of an inpatient admission or readmission
  • And more…

Several actionable insights from the System can be made visible to providers through the front-end of the EMR that they may otherwise not be able to predict or uncover. This information is relevant, up-to-date and necessary in determining appropriate medical decisions.

Click here for a printable version of this chart.

These features contribute important metrics to providers as they deliver in-person care. The ACG System offers strong and effective conclusions to support the provider’s decisions on a patient’s current and future medical care.

Ensuring Interoperability with the ACG System

The ACG System is a JAVA-based software system. Once the System is integrated within the organization’s server, the output can flow into the front-end EMR system. This means providers can access information and data to uncover trends and future health risks for a patient. These markers, including frailty, predicted utilization and level of need, allow providers to intervene at the point of care to potentially avoid an acute event in the future. The ACG System is always working in the background to assess patient need and deliver high-quality data to the provider, day or night.

To learn more about how the ACG System can provide actionable insights to providers at the point of care, visit hopkinsacg.org or contact us at acginfo@jh.edu. If you are a current ACG customer, contact your account manager.




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