Association Between Physician Risk Assessment, Hierarchical Condition Categories, and Utilization of Medical Services
| Autor: | Irena Pesis-Katz, John S Clark, Alina Bajorska, Wallace E Johnson, Stephen R Judge, Alisa Stetzer, Robert J. Fortuna, Lauren G. Solan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
education.field_of_study Primary Health Care Leadership and Management business.industry Health Policy Population Public Health Environmental and Occupational Health Risk adjustment Risk Assessment digestive system diseases Physicians Primary Care Medical services Hospitalization Family medicine Risk stratification medicine Humans education Risk assessment Association (psychology) business Emergency Service Hospital |
| Zdroj: | Population health management. 24(2) |
| ISSN: | 1942-7905 |
| Popis: | Hierarchical Condition Categories (HCCs) are a common risk adjustment tool that may support alignment of care management resources with the clinical needs of a population. The authors examined the association between HCC scores and physician-determined clinical risk (CR) scores, annual charges, and utilization of medical care. CR score was defined as the anticipated risk for "ED or a hospital admission" within the following year. For each of the top 50 high-risk patients identified by total HCC score, the patient's primary care physician (PCP) entered a CR score based on their judgement. A total of 128 PCPs entered scores on 6167 patients of all ages across 31 primary care practices in the Finger Lakes Region of New York. Multiple correlation between HCC scores and physician CR scores was 44.0% ( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|