Linking APCDs to Other Reform Efforts in your State

1. Linking APCDs to Other Reform Efforts in your State Sandeep Wadhwa, MD, MBA, FACPCMO, 3M Health Information Systems 10/15/2010

2. APCDs and Health Care Reform • Care Coordination/Medical Home • Preventable events, readmissions • Payment reform • Focus from price transparency to alternative pricing models • ACOs: (analytics + transparency) APCD + accountability • Risk adjustment is very important – establishing benchmarks • Events not only conditions • Patient Safety/Quality Improvement • Preventable complications • Health Promotion

3. Variation in Care: Admission Rate for Ambulatory Sensitive Conditions (2008) http://www.colorado.gov/cs/Satellite?blobcol=urldata&blobheader=application%2Fpdf&blobkey=id&blobtable=MungoBlobs&blobwhere=1251625896735&ssbinary=true

4. **Note: The “complicated” cesarean sections could be sections with a complication of the delivery, a complication unrelated to the pregnancy or a complication of the baby that increases service utilization. Not all “complications” (including a reason for the cesarean section) would result in the delivery assigned to a “complicated” cesarean section DRG. http://www.colorado.gov/cs/Satellite/HCPF/HCPF/1251574073196

5. Preventable Causes of Death Danaei, The Preventable Causes of Death in the United States …, PLoS Med 6(4), 2009.

6. Contact Information • swadhwa@mmm.com • 801-264-4646