The ACG® Predictive Models are cutting edge approachs to better target your case management and disease management activities. The ACG PMs remain grounded in the disease burden perspective unique to the ACG® System, which focuses on commonly occurring patterns of morbidity and an assessment of all types of medical need.
The ACG® System assists in evaluating disease management program effectiveness because it helps control varying levels of co-morbidity among enrolled patients. The ACG System also provides a highly robust disease classification system, EDCs™, that rolls the many unique diagnostic codes into 224 clinical groupings that are more amenable to action. Finally ACGs provide important contextual markers for assessing disease management effectiveness related to coordination of care and medication adherence.
The ACG System can also be used for quality improvement, outcomes management and case management purposes.
Quality improvement and outcomes management often involve focusing on one or more specific diseases and comparing a process measure (e.g., appropriate use of lab tests, prescription of certain medications) or an outcomes measure (e.g., asthma inpatient admissions or emergency room visits) across several providers or health plans. In this context, ACGs control for differences in case-mix or severity of illnesses among the populations being compared.