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International Applications of The Johns Hopkins Adjusted Clinical Group (ACG) Case-Mix System

International Applications of The Johns Hopkins Adjusted Clinical Group (ACG) Case-Mix System. Dr. Karen Kinder Siemens Director, ACG International Operations Johns Hopkins University. Goals of Presentation. To share how ACGs are being used outside of North America

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International Applications of The Johns Hopkins Adjusted Clinical Group (ACG) Case-Mix System

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  1. International Applications of The Johns Hopkins Adjusted Clinical Group (ACG) Case-Mix System Dr. Karen Kinder Siemens Director, ACG International Operations Johns Hopkins University

  2. Goals of Presentation • To share how ACGs are being used outside of North America • To highlight common problems as well as common goals

  3. Multiple countries • Germany • Spain • Sweden • England • Lithuania • Taiwan • Malaysia

  4. Robustness • Sweden • Malaysia • Spain • Taiwan Despite differences in health care systems, ACGs are adaptable to portrait the morbidity patterns within a population

  5. Explaining Ambulatory Visit Rates in Spain

  6. ACG Relative Weights for Ambulatory Costs, US v Taiwan, ACGs 0100-1600 (2000) US: National Sample of 3M persons Taiwan: National Sample of 170K persons Administrative Only Psychosocial

  7. ACG Relative Weights for Ambulatory Costs, US v Taiwan, ACGs 1711-3700 (2000) Pregnancy/Delivery US: National Sample of 3M persons Taiwan: National Sample of 170K persons

  8. ACG Relative Weights for Ambulatory Costs, US v Taiwan, ACGs 3800-5240 (2000) Highest Disease Burden Infants US: National Sample of 3M persons Taiwan: National Sample of 170K persons Non-User

  9. Similar Goals • Equitable resource allocation • Explain resource use • Profiling of clinic and providers • Morbidity based capitation • Improved Case management

  10. Common challenges • Language & cultural differences • Differing coding systems and versions • Data Quality

  11. Codification quality:

  12. Lessons Learned • Training is essential • Go slow • Local weights should be developed • Profiling before payment • Communication • Look at entire system • System needs regular recalibration

  13. Conclusions Despite differences - • Different systems • Different applications • Different available data ACGs prove to be a robust and valid tool for assessing the health needs of a population

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