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Linking APCDs to Other Reform Efforts in your State. Sandeep Wadhwa, MD, MBA, FACP CMO, 3M Health Information Systems. 10/15/2010. APCDs and Health Care Reform. Care Coordination/Medical Home Preventable events, readmissions Payment reform

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Linking APCDs to Other Reform Efforts in your State

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Linking apcds to other reform efforts in your state

Linking APCDs to Other Reform Efforts in your State

Sandeep Wadhwa, MD, MBA, FACPCMO, 3M Health Information Systems

10/15/2010


Apcds and health care reform

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


Variation in care admission rate for ambulatory sensitive conditions 2008

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


Linking apcds to other reform efforts in your state

**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


Preventable causes of death

Preventable Causes of Death

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


Contact information

Contact Information

  • swadhwa@mmm.com

  • 801-264-4646


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