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Linking APCDs to Other Reform Efforts in your State Sandeep Wadhwa, MD, MBA, FACPCMO, 3M Health Information Systems

10/15/2010

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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

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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

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**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

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Preventable Causes of Death

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

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Contact Information

swadhwa@mmm.com 801-264-4646

© 3M 2010. All rights reserved.