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The Accountable Care Organization results:population health management and quality improvement programs associated with increased quality of care and decreased utilization and cost of care

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Family Medicine and Community health 2015年第1期3卷 30-38页

作者： Ronald O’Donnell Nishant Shaun Anand Caroline Ganser Nancy Wexler Arizona State University College of Health Solutions500 N.3rd St.PhoenixArizona 85004USA Banner health Network 1441 N.12th St.PhoenixArizona 85006USA Ambulatory Clinical Performance Assessment and Improvement Banner Health1441 N.3rd St.PhoenixArizona 85006USA University of Arizona health Plans Banner Health Network500 N.3rd St.PhoenixArizona 85004USA

Objective:The Accountable Care Organization(ACO)model of health care delivery is based on new payment models for general practice to reward improved quality and decreased cost of ***:Banner health Network(BHN)is one of the original CMS Pioneer ACO programs and implemented a comprehensive disease management program based on the collaborative care *** performance indicators for CMS reflected quality and cost of ***:BHN has demonstrated both improved quality and cost savings in the first two years of the pilot *** disease management program based on the collaborative care model appears to have improved patient health outcomes based on quality improvement *** addition the program has reduced emergency department and hospital utilization,resulting in cost ***:The BHN quality improvement program is the platform for analyzing and improving on the BHN ACO *** model appears to have excellent application to the China health care system that is also focused on prevention and improvement of chronic disease and cost-effectiveness.

关键词： Accountable care organization population health management patient centered medical home disease management quality improvement

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Life’s Essential 8 and risk of non-communicable chronic diseases:Outcome-wide analyses

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Chinese Medical Journal 2024年第13期137卷 1553-1562页

作者： Yuetian Yu Ying Sun Yuefeng Yu Yuying Wang Chi Chen Xiao Tan Yingli Lu Ningjian Wang Institute and Department of Endocrinology and Metabolism Shanghai Ninth People’s HospitalShanghai JiaoTong University School of MedicineShanghai 200011China School of Public health Zhejiang UniversityHangzhou 310058ZhejiangChina Department of Medical Sciences Uppsala UniversityUppsala 75185Sweden

Background:Life’s Simple 7,the former construct of cardiovascular health(CVH)has been used to evaluate adverse non-communicable chronic diseases(NCDs).However,some flaws have been recognized in recent years and Life’s Essential 8 has been *** this study,we aimed to analyze the association between CVH defined by Life’s Essential 8 and risk of 44 common NCDs and further estimate the population attributable fractions(PAFs)of low-moderate CVH scores in the 44 ***:In the UK Biobank,170,726 participants free of 44 common NCDs at baseline were *** Life’s Essential 8 composite measure consists of four health behaviours(diet,physical activity,nicotine exposure,and sleep)and four health factors(body mass index,non-high density lipoprotein cholesterol,blood glucose,and blood pressure),and the maximum CVH score was 100 *** score was categorized into low,moderate,and high *** were followed up for 44 NCDs diagnosis across 10 human system disorders according to the International Classification of Diseases 10th edition(ICD-10)code using linkage to national health records until *** proportional hazard models were used in this *** hazard ratios(HRs)and PAFs of 44 NCDs associated with CVH score were ***:During the median follow-up of 10.85 years,58,889 incident NCD cases were *** linear dose-response associations were found between higher CVH score and lower risk of 25(56.8%)of 44 ***-moderate CVH(<80 points)score accounted for the largest proportion of incident cases in diabetes(PAF:80.3%),followed by gout(59.6%),sleep disorder(55.6%),chronic liver disease(45.9%),chronic kidney disease(40.9%),ischemic heart disease(40.8%),chronic obstructive pulmonary disease(40.0%),endometrium cancer(35.8%),lung cancer(34.0%),and heart failure(34.0%)as the top *** the eight modifiable factors,overweight/obesity explained the largest number of cases of incident NCDs in endocrine,nutritional,and me

关键词： Life’s Essential 8 Cardiovascular risk score Non-communicable chronic disease population health management Cohort analysis healthy lifestyle UK Biobank

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New models for chronic disease management in the United States and China

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Family Medicine and Community health 2014年第4期2卷 13-19页

作者： Ronald R.O’Donnell College of health Solutions Arizona State UniversityPhoenixAZ 85004USA

In the United States(US)the role of the general practitioner in primary care is changing rapidly as the team leader in the new“Patient-centered Medical Home”model of care that is designed to improve the management of chronic ***“Collaborative Care Model”is an integrated model of treating multiple medical and behavioral *** new approaches include a nurse case manager who serves as the key point of contact to provide education,facilitate treatment adherence,and guide the patient to improvements in nutrition and physical activity that cause obesity and chronic disease.A gap analysis was conducted comparing the US and Chinese general practitioner models for providing care to patients with chronic *** results of the analysis were used to make recommendations for adding components of these models that are feasible and effective for Chinese general practitioners in community health centers.

关键词： Integrated behavioral health or integrated behavioral care Primary care behavioral health Patient-centered medical home population health management Disease management Telehealth

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