【COPD英文精品课件】The Johns Hopkins Adjusted Clinical Groups (ACG) Case-Mix System_
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• Used the Expanded Diagnosis Clusters (EDCs) Johns Hopkins ACG Case-Mix System (version 7.0) tool
• Estimated “treated” prevalence in Ontario for 2006/07 for 5 of the 11 high-impact and/or high-prevalence chronic diseases, including: Degenerative joint disease (osteoarthritis) Ischemic heart disease (IHD) Cardiac arrhythmia Chronic obstructive pulmonary disease (COPD) Cerebrovascular disease
• Combination—prevalence and impact—has important implications for the planning and allocation of health care resources.
Evidence guiding health care
Background (cont’d):
Information’s Discharge Abstract Database (CIHI-DAD) and Ontario Health Insurance Plan (OHIP) records over a two-year period (April 1, 2005 to March 31, 2007) • Algorithm mapped CIHI-DAD and OHIP to the following EDCs: Degenerative joint disease: MUS03 Ischemic heart disease (excluding acute myocardial
Evidence guiding health care
Methodology:
• Fiscal year 2006/07 • Cohort = Ontarians (derived from the Registered Persons
Database [RPDB]) • EDC algorithm applied to Canadian Institute for Health
infarction): CAR03 Cardiac arrhythmia: CAR09 Emphysema, chronic bronchitis, COPD: RES04 Cerebrovascular disease: NUR05
Evidence guiding health care
Methodology (cont’d):
• Centre for Health Services and Policy Research (CHSPR) at the University of British Columbia identified eleven “high-impact and/or high-prevalence” chronic conditions.
【COPD英文精品课件】The Johns Hopkins Adjusted Clinical Groups (ACG) Case-Mix System
Evidence guiding health care
ቤተ መጻሕፍቲ ባይዱ
Evidence guiding health care
Evidence guiding health care
Background:
• Chronic diseases affect a significant number of Canadians; account for a large proportion of health care service utilization and associated direct and indirect health care costs; are more common with increasing age and lower socioeconomic status; are often associated with modifiable risk factors such as tobacco use, unhealthy diet and lack of physical activity; are subject to delayed onset; and are often considered to be preventable.
• Exclusions: Persons less than 20 years of age (less than 35 years of age for calculation of COPD rates) Out-of-province residents Records with missing/invalid age, sex, and/or LHIN information Individuals who died or whose date of last contact with the health care system was greater than 5 years
• Prevalence rates for other chronic conditions (diabetes, asthma, cancer, congestive heart failure and hypertension) not reported using the ACG System already being measured, or will be measured in the near future, using validated algorithms developed by ICES and Cancer Care Ontario.
• Estimated “treated” prevalence in Ontario for 2006/07 for 5 of the 11 high-impact and/or high-prevalence chronic diseases, including: Degenerative joint disease (osteoarthritis) Ischemic heart disease (IHD) Cardiac arrhythmia Chronic obstructive pulmonary disease (COPD) Cerebrovascular disease
• Combination—prevalence and impact—has important implications for the planning and allocation of health care resources.
Evidence guiding health care
Background (cont’d):
Information’s Discharge Abstract Database (CIHI-DAD) and Ontario Health Insurance Plan (OHIP) records over a two-year period (April 1, 2005 to March 31, 2007) • Algorithm mapped CIHI-DAD and OHIP to the following EDCs: Degenerative joint disease: MUS03 Ischemic heart disease (excluding acute myocardial
Evidence guiding health care
Methodology:
• Fiscal year 2006/07 • Cohort = Ontarians (derived from the Registered Persons
Database [RPDB]) • EDC algorithm applied to Canadian Institute for Health
infarction): CAR03 Cardiac arrhythmia: CAR09 Emphysema, chronic bronchitis, COPD: RES04 Cerebrovascular disease: NUR05
Evidence guiding health care
Methodology (cont’d):
• Centre for Health Services and Policy Research (CHSPR) at the University of British Columbia identified eleven “high-impact and/or high-prevalence” chronic conditions.
【COPD英文精品课件】The Johns Hopkins Adjusted Clinical Groups (ACG) Case-Mix System
Evidence guiding health care
ቤተ መጻሕፍቲ ባይዱ
Evidence guiding health care
Evidence guiding health care
Background:
• Chronic diseases affect a significant number of Canadians; account for a large proportion of health care service utilization and associated direct and indirect health care costs; are more common with increasing age and lower socioeconomic status; are often associated with modifiable risk factors such as tobacco use, unhealthy diet and lack of physical activity; are subject to delayed onset; and are often considered to be preventable.
• Exclusions: Persons less than 20 years of age (less than 35 years of age for calculation of COPD rates) Out-of-province residents Records with missing/invalid age, sex, and/or LHIN information Individuals who died or whose date of last contact with the health care system was greater than 5 years
• Prevalence rates for other chronic conditions (diabetes, asthma, cancer, congestive heart failure and hypertension) not reported using the ACG System already being measured, or will be measured in the near future, using validated algorithms developed by ICES and Cancer Care Ontario.