Since 2006, The ACG® International team has collaborated with Israel’s largest health fund, a non-for-profit government-mandated insurer and healthcare provider (of primary, secondary and tertiary care) which counts 3.8 million enrollees and holds 53% of the market share, to better understand its members’ needs and characteristics.
Another study conducted as part of this research collaboration examined the association between co-morbidity, as measured by the ACG System, and the attainment of quality measures, which are part of this particular health fund’s ongoing quality monitoring and improvement schemes. The study showed that, unlike outcome measures, process measures attainment was associated with morbidity level such that lower morbidity was associated with poorer performance of quality of care. This study showed that the ACG System provides a valuable tool for identifying patient groups for which quality of care could be improved.
Additionally, The value of the ACG System predictive model tools for identifying high-risk users among this health fund’s older patient population was assessed. The Models were successful in recognizing patients with complex care needs, who could potentially benefit from targeted care management interventions, with better accuracy as compared with locally tailored data-mining tools.
Following these successful initiatives, the ACG International team and this same health fund are now looking forward to furthering their collaboration by examining the incorporation of information from this health fund’s extensive database (including a comprehensive chronic disease registry, full EMR coverage in all community clinics, and data on social support and functional status); improving the predictive capabilities of high-risk case identification tools; and testing the use of continuity of care tools.