PUG – Population Health Management Programs and Targets Template ![]() These updates were reviewed by the HPC’s Care Delivery Transformation Committee at its Februmeeting.Ģ024-2025 Application Requirements and Platform User Guide (PUG) In 20, the core certification criteria remain the same as in the prior application cycle, but the HPC has strengthened and focused the program's health equity component. This approach focuses on the ACO model as a catalyst for learning and improvement, recognizing ACO structures, processes, and approaches conducive to learning and improvement over time. The ACO LEAP standards are designed to allow for a variety of ACO approaches to meeting core principles consistent with the “Learning Health System” framework developed by the National Academy of Medicine (formerly the Institute of Medicine). This first significant update to the certification standards since the ACO Certification program’s inception is known as ACO LEAP, reflecting its emphasis on learning, equity, and patient-centeredness. The HPC updated its ACO Certification standards for certifications effective beginning in 2022. Questions about the ACO Certification program may be sent to ACO Learning, Equity, and Patient-Centeredness (LEAP) 2024-2025 These products can be found in the “Additional Resources” section below. The program serves as a source for a series of briefs, profiles, and webinars that offer transparent, publicly available information about how ACOs are structured and operating today. Certification is effective for a term of two years. As of 2023, the HPC has certified seventeen ACOs that collectively represent more than 3 million attributed commercial, Medicare, and MassHealth patients in the Commonwealth. Since its inception in 2017, the ACO Certification program has served to provide all-payer standards for ACO care delivery and transparent information for the public on ACO structures and operations. The HPC’s ACO Certification program also complements its PCMH Certification program. 6D, §15, the HPC is required to "establish a process for certain registered provider organizations to be certified as accountable care organizations." The purpose of the certification program is to complement existing local and national care transformation and payment reform efforts, encourage value-based care delivery, and promote investments by all payers in high-quality and cost-effective care across the continuum. ![]() CG should continue to be used for renal dosing until further recommendations are available.Pursuant to G.L., c. The rate at which the CG actual body weight and MDRD equations recommended the same dose was 71.1% ( P = 0.001).Ī significant difference exists in the doses derived from the CG and MDRD equations in the primary care setting. The rate at which the CG ideal body weight and MDRD equations recommended the same dose was 59.6% (P = 0.001). The primary outcome was the rate in which the CG and MDRD equations provided the same dosing recommendation. The appropriate dose of patients' study medications, based on their most recent creatinine clearance (CrCl) and estimated glomerular filtration rate (eGFR), was determined. ![]() Patients with stages 3, 4, or 5 chronic kidney disease who had been prescribed one of the renally cleared study medications during a 16-month time period were identified. To compare the Cockcroft-Gault (CG) and Modification of Diet in Renal Disease (MDRD) equations for renal dosing of medications in primary care patients.
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