1. 3M Health Information Systems © 3M 2010. All rights reserved. Linking APCDs to Other Reform Efforts in your State Sandeep Wadhwa, MD, MBA, FACP CMO, 3M Health Information Systems 10/15/2010

2. 2 3M Health Information Systems © 3M 2010. All rights reserved. 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

3. 3 3M Health Information Systems 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

4. 4 3M Health Information Systems **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

5. 5 3M Health Information Systems Preventable Causes of Death Danaei, The Preventable Causes of Death in the United States …, PLoS Med 6(4), 2009.

6. 6 3M Health Information Systems Contact Information  swadhwa@mmm.com swadhwa@mmm.com  801-264-4646 © 3M 2010. All rights reserved.