Johns Hopkins adjusted clinical groups system score mean under nhs?

[thyroidsymtoms]

I see this on record Johns Hopkins adjusted clinical groups system score of ACG 5. What does it mean how does it impact me in any way.?

I have started asking for blood tests and my GP has not been happy about it.

Surgery has never been keen to blood tests though this seems to have popped up on record in NHS. I have not had any test. I see this shows my mortality rate, I doubt I am dying now though I was in bad shape for two years then I managed to get a blood test and some diagnosis could be had.

I see it to do with financing does this mean surgery can squeeze more money from NHS without providing any care? Does it mean that go private will cost me more as I was told to go private when I approached NHS specialists last week.

GP has been telling me everything is normal and now I am being branded as high mortality.

[Bertwills]

Hello, your question is a bit confusing for us. The John Hopkins system is an American one which is not familiar to us in the UK. Have you had a diagnosis of any thyroid disease? Do you have any test results to show us.

You don’t say what your medical problems are. There won’t be any difference in the cost of any private consultations you might have. What sort of private consultants have your GPs recommended?

[thyroidsymtoms in reply to Bertwills]

Yes i have been diagnosed of hypothyroidism last yr. My GP said this was done by them that is why it shows on the nhs app to me. It is because I have been using the surgery more often in last yr. He advised it does not impact me and they do it for all patients. I dont think I trust his word one bit. GP has never recommended anything it the hospital who said if I need any advice on hypothyroidism I should consult a private GP.

[Bertwills in reply to thyroidsymtoms]

Can you show us the test result that is on the NHS app? It’ll give us an idea of your level of hypothyroidism. Don’t rush to see a private GP until you’ve had advice from the experts here. They might save you lots of time & money.

Do you have other illnesses? Other test results showing on the app? Share as much as you can.

[Batty1]

Im in the US and go to John Hopkins and Im not familiar with what your’re talking about.

[helvella Administrator]

I found something about the use of the Johns Hopkins ACG® System within the NHS on Hopkins ACG's own website.

This page tends towards the word salad/marketing-speak end of the scale. And, having never previously heard of it, I have not got my head round what it does.

THE JOHNS HOPKINS ACG® SYSTEM

For more than 30 years, the Johns Hopkins ACG® System has been used across the world to support population health management, enhance care and reduce health care related costs. Its logic is based on the premise that clustering of morbidity is a better predictor of the use of health care services than the presence of specific diseases or prior levels of cost or activity.

The ACG System in the NHS

The ACG System has been used extensively within the NHS since 2009. Over 11 million patient records are processed through the ACG System to support the work of:

40+ Clinical Commissioning Groups (CCGs)

7 Sustainability and Transformation Partnerships (STPs)

3 Accountable Care Systems (ACS)

1000+ GP Practices

Uses and benefits of the ACG System in the UK

In the UK, the ACG System is being used to support a wide range of activities, including:

Reducing emergency care costs – three CCGs have now commissioned primary care-based, multi-morbidity clinics which have seen an associated 19% decrease in emergency admissions in the 18 months after the scheme started.

Population health analytics and population profiling to support planning and commissioning activities by CCGs and transformational change by STPs and ACSs

Sophisticated case finding activities by GP Practices and community services to ensure that the right patients are matched to the right care programmes

Casemix adjusted benchmarking and actuarial based analyses to allow for the differences in morbidity burden of patients that exist between different GP practices and localities, when measuring performance to identify good practice and opportunities for improvement

Allocation of resources using a more equitable approach based on differences in casemix and the predicted needs of individuals and population

More information about each of these aspects, case studies and the benefits being achieved can be found by clicking on the below buttons.

FULLY ADAPTED FOR USE IN THE NHS:

The ACG System’s origins are in the Johns Hopkins University Bloomberg School of Public Health but it is now used in nearly 20 counties around the world. The ACG System has been fully adapted and calibrated to work with NHS data and models of care delivery in the following ways:

Integrates data from both primary and secondary care so that analyses and predictions can be done for the whole population, not just the 20% who have a hospital episode

It recognises and can use the main diagnostic and pharmacy code sets used within the NHS including ICD10, SNOMED CT and Read Codes.

The mapping tables related to these code sets are updated every three months as new codes are introduced

There have been two recalibrations of the predictive models, one in 2013 and one in 2016. Another is planned for 2018/19

Development of new predictive models based on emerging priorities and new NHS related policy

hopkinsacg.org/uk/

And I detest web pages which refer to something in the future (2018/19) when we are about five years past the date quoted.

[thyroidsymtoms in reply to helvella]

My GP just kept telling me to ignore this ACG rating and said they do it to all patients. My view is this possible get them more money from NHS by claiming people are dying in their surgery and they no one will come from NHS to verify. On the ACG 5 mean, High mortality rate. I find it odd that when I bedridden for 2 years I was not high mortality though now I have been diagnosed and better then were i was they have tagged me high mortality. First I thought why should i care if they get money but on second thought I dont they will imporve the service on getting the money and or they will have sudden enlightenment of medicine field .some might be enjoying on tax payer money for doing nothing at all. My GP is also not happy when i talk of nice guidelines , he say nice guideline which cannot match expeirence. I told he can find out the state of hypothrodims by looking at TSH result and T4 test are not required. T3 again as per him is not done under NHS when I told him about nice guideline he was not happy. After 3 appointment he told he would not refer to any one or give me T3. ( this after I had told him T3 can only be given by endorcrinlogist under NHS). I hope this does not impact in any way because my I dont they consider any consequence if it benefits them.