keyword
MENU ▼
Read by QxMD icon Read
search

ACOS

keyword
https://www.readbyqxmd.com/read/28212967/decision-making-on-medical-innovations-in-a-changing-health-care-environment-insights-from-accountable-care-organizations-and-payers-on-personalized-medicine-and-other-technologies
#1
Julia R Trosman, Christine B Weldon, Michael P Douglas, Patricia A Deverka, John B Watkins, Kathryn A Phillips
BACKGROUND: New payment and care organization approaches, such as those of accountable care organizations (ACOs), are reshaping accountability and shifting risk, as well as decision making, from payers to providers, within the Triple Aim context of health reform. The Triple Aim calls for improving experience of care, improving health of populations, and reducing health care costs. OBJECTIVES: To understand how the transition to the ACO model impacts decision making on adoption and use of innovative technologies in the era of accelerating scientific advancement of personalized medicine and other innovations...
January 2017: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/28209039/-the-value-of-fractionated-exhaled-nitric-oxide-in-the-diagnosis-of-asthma-chronic-obstructive-pulmonary-disease-overlap-syndrome
#2
D D Deng, A Y Zhou, Q C Shuang, P Chen
Objective: To explore the diagnostic value of fractionated exhaled nitric oxide (FeNO) measurement in patients with asthma-chronic obstructive pulmonary disease(COPD) overlap syndrome (ACOS). Methods: Eighty-one patients with ACOS, 76 patients with asthma, 82 patients with COPD and 39 healthy non-smoking subjects were recruited in the study. Naku Lun breath analyzer was used to measure the level of FeNO in the 4 groups. Pulmonary function was also measured. The ROC curve was used to differentiate ACOS from patients with COPD...
February 12, 2017: Chinese Journal of Tuberculosis and Respiratory Diseases
https://www.readbyqxmd.com/read/28208607/induction-of-diverse-bioactive-secondary-metabolites-from-the-mangrove-endophytic-fungus-trichoderma-sp-strain-307-by-co-cultivation-with-acinetobacter-johnsonii-strain-b2
#3
Liuhong Zhang, Shah Iram Niaz, Dilfaraz Khan, Zhen Wang, Yonghong Zhu, Haiyun Zhou, Yongcheng Lin, Jing Li, Lan Liu
Two new sesquiterpenes, microsphaeropsisin B (1) and C (2), and two new de-O-methyllasiodiplodins, (3R, 7R)-7-hydroxy-de-O-methyllasiodiplodin (4) and (3R)-5-oxo-de-O-methyllasiodiplodin (5), together with one new natural product (6) and twelve known compounds (3, 7-17), were isolated from the co-cultivation of mangrove endophytic fungus Trichoderma sp. 307 and aquatic pathogenic bacterium Acinetobacter johnsonii B2. Their structures, including absolute configurations, were elucidated by extensive analysis of spectroscopic data, electronic circular dichroism, Mo₂(AcO)₄-induced circular dichroism, and comparison with reported data...
February 10, 2017: Marine Drugs
https://www.readbyqxmd.com/read/28202052/primary-care-focus-and-utilization-in-the-medicare-shared-savings-program-accountable-care-organizations
#4
Lindsey A Herrel, John Z Ayanian, Scott R Hawken, David C Miller
BACKGROUND: Although Accountable Care Organizations (ACOs) are defined by the provision of primary care services, the relationship between the intensity of primary care and population-level utilization and costs of health care services has not been examined during early implementation of Medicare Shared Savings Program (MSSP) ACOs. Our objective was to evaluate the association between primary care focus and healthcare utilization and spending in the first performance period of the Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs)...
February 15, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28199273/strategic-plan-for-maximizing-shared-savings-in-accountable-care-organizations
#5
Savanna B Williams
One of the major benefits to a provider beginning or joining an accountable care organization (ACO) is the potential for achieving shared savings from the Medicare Shared Savings Program. This essay provides a strategic plan for ACO participants to maximize their shared savings through a physician-led structure and the creation of a high-value referral network. Physician-led ACOs are generally more flexible than those affiliated with a hospital and can implement more effective cost-saving initiatives, focus more intently on lowering the cost of delivering primary care, and achieve higher shared saving rates...
July 2016: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/28199261/perceived-ethics-dilemmas-among-pioneer-accountable-care-organizations
#6
Craig R Westling, Thom Walsh, William A Nelson
This study of Pioneer accountable care organizations (ACOs) suggests that the ACO model is creating moral distress for physicians and business leaders in seven critical ways:Despite an overall sense of optimism associated with the ACO model, our research identified an underlying sense of moral distress at most sites. A clear opportunity exists for ACOs to use a more comprehensive, coordinated approach to proactively resolving ethical dilemmas while continuing the march toward risk-based contracts.
January 2017: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/28198962/myocardial-revascularization-factors-intervening-in-the-reference-and-counter-reference-in-primary-health-care
#7
Kamylla Santos da Cunha, Giovana Dorneles Callegaro Higashi, Alacoque Lorenzini Erdmann, Carolina Kahl, Cintia Koerich, Betina Hörner Schlindwein Meirelles
OBJECTIVE: Understanding the factors that influence the reference and counter-reference process of people indicated/submitted to Myocardial Revascularization surgery in the Primary Health Care scenario. METHOD: A qualitative research anchored in the Grounded Theory, totaling 41 participants subdivided into three groups (patients, health professionals and managers) in the Metropolitan and West Region of Santa Catarina. RESULTS: Two categories elucidate the intervening factors found, contrasting the potentialities and obstacles in (creating) the bond between people affected by cardiovascular diseases and primary health care for the reference process, highlighting weaknesses in the primary health care services provided, with failures in the counter-reference for people submitted to myocardial revascularization surgery...
November 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28195717/luminescence-color-tuning-by-regulating-electrostatic-interaction-in-light-emitting-devices-and-two-photon-excited-information-decryption
#8
Yun Ma, Shujuan Liu, Huiran Yang, Yi Zeng, Pengfei She, Nianyong Zhu, Cheuk-Lam Ho, Qiang Zhao, Wei Huang, Wai-Yeung Wong
It is well-known that the variation of noncovalent interactions of luminophores, such as π-π interaction, metal-to-metal interaction, and hydrogen-bonding interaction, can regulate their emission colors. Electrostatic interaction is also an important noncovalent interaction. However, very few examples of luminescence color tuning induced by electrostatic interaction were reported. Herein, a series of Zn(II)-bis(terpyridine) complexes (Zn-AcO, Zn-BF4, Zn-ClO4, and Zn-PF6) containing different anionic counterions were reported, which exhibit counterion-dependent emission colors from green-yellow to orange-red (549 to 622 nm) in CH2Cl2 solution...
February 14, 2017: Inorganic Chemistry
https://www.readbyqxmd.com/read/28192568/early-performance-in-medicaid-accountable-care-organizations-a-comparison-of-oregon-and-colorado
#9
K John McConnell, Stephanie Renfro, Benjamin K S Chan, Thomas H A Meath, Aaron Mendelson, Deborah Cohen, Jeanette Waxmonsky, Dennis McCarty, Neal Wallace, Richard C Lindrooth
Importance: Several state Medicaid reforms are under way, but the relative performance of different approaches is unclear. Objective: To compare the performance of Oregon's and Colorado's Medicaid Accountable Care Organization (ACO) models. Design, Setting, and Participants: Oregon initiated its Medicaid transformation in 2012, supported by a $1.9 billion investment from the federal government, moving most Medicaid enrollees into 16 Coordinated Care Organizations, which managed care within a global budget...
February 13, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28192556/changes-in-postacute-care-in-the-medicare-shared-savings-program
#10
J Michael McWilliams, Lauren G Gilstrap, David G Stevenson, Michael E Chernew, Haiden A Huskamp, David C Grabowski
Importance: Postacute care is thought to be a major source of wasteful spending. The extent to which accountable care organizations (ACOs) can limit postacute care spending has implications for the importance and design of other payment models that include postacute care. Objective: To assess changes in postacute care spending and use of postacute care associated with provider participation as ACOs in the Medicare Shared Savings Program (MSSP) and the pathways by which they occurred...
February 13, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28188514/new-fluorescent-and-colorimetric-chemosensor-for-detection-of-cyanide-with-high-selectivity-and-sensitivity-in-aqueous-media
#11
Hassan Zali-Boeini, Mohammad Zareh Jonaghani
A fluorescent and colorimetric chemosensor for detection of cyanide ion based on a styryl quinoline derivative has been designed and synthesized. The chemosensor (E)-2-(4-mercaptostyryl)quinolin-8-ol L showed high selectivity for detection of cyanide over other anions such as F¯, Cl¯, Br¯, I¯, NO3¯, SCN¯, N3¯, ClO4¯, H2PO4¯, AcO¯, HCO3¯, SO4(2)¯ and HSO4¯in aqueous solution. The chemosensor L displayed an immediate visible and fluorescence changes from nearly colorless to orange and greenish-blue to brick-red upon addition of cyanide ion respectively...
February 10, 2017: Journal of Fluorescence
https://www.readbyqxmd.com/read/28182547/solving-np-hard-problems-with-physarum-based-ant-colony-system
#12
Yuxin Liu, Chao Gao, Zili Zhang, Yuxiao Lu, Shi Chen, Mingxin Liang, Li Tao
NP-hard problems exist in many real world applications. Ant colony optimization (ACO) algorithms can provide approximate solutions for those NP-hard problems, but the performance of ACO algorithms is significantly reduced due to premature convergence and weak robustness, etc. With these observations in mind, this paper proposes a Physarum-based pheromone matrix optimization strategy in ant colony system (ACS) for solving NP-hard problems such as traveling salesman problem (TSP) and 0/1 knapsack problem (0/1 KP)...
January 2017: IEEE/ACM Transactions on Computational Biology and Bioinformatics
https://www.readbyqxmd.com/read/28171815/thiocyanate-mediated-structural-diversity-in-phenol-based-end-off-compartmental-ligand-complexes-of-group-12-metal-ions-studies-on-their-photophysical-properties-and-phosphatase-like-activity
#13
Jaydeep Adhikary, Prateeti Chakraborty, Sugata Samanta, Ennio Zangrando, Sanjib Ghosh, Debasis Das
The reaction of a pentadentate compartmental ligand LH, namely 4-tert-Butyl-2,6-bis-[(2-pyridin-2-yl-ethylimino)-methyl]-phenol, with group 12 metal ions (Zn(II), Cd(II), Hg(II)) followed by addition of NaSCN afforded one discrete dinuclear complex [Zn2(L)(SCN)3](1), and two polymeric 1D species [Cd2.5(L)(SCN)3(AcO)]n (2) and [Hg2(L)(SCN)3]n (3). All the complexes have been structurally characterized by single crystal X-ray diffraction. The crystal structure of the complexes reveals different coordination modes of thiocyanate anion that affect the different topology detected in the compounds: the anions are μ(1)-NCS and μ(1,1)-NCS connected in complex 1, while μ(1,3)-NCS bridging mode is observed in 2, and μ(1)-SCN and μ(1,3)-NCS in 3...
January 25, 2017: Spectrochimica Acta. Part A, Molecular and Biomolecular Spectroscopy
https://www.readbyqxmd.com/read/28167725/little-evidence-exists-to-support-the-expectation-that-providers-would-consolidate-to-enter-new-payment-models
#14
Hannah T Neprash, Michael E Chernew, J Michael McWilliams
Provider consolidation has been associated with higher health care prices and spending. The prevailing wisdom is that payment reform will accelerate consolidation, especially between physicians and hospitals and among physician groups, as providers position themselves to bear financial risk for the full continuum of patient care. Drawing on data from a number of sources from 2008 onward, we examined the relationship between Medicare's accountable care organization (ACO) programs and provider consolidation. We found that consolidation was under way in the period 2008-10, before the Affordable Care Act (ACA) established the ACO programs...
February 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28160187/a-multilevel-analysis-of-patient-engagement-and-patient-reported-outcomes-in-primary-care-practices-of-accountable-care-organizations
#15
Stephen M Shortell, Bing Ying Poon, Patricia P Ramsay, Hector P Rodriguez, Susan L Ivey, Thomas Huber, Jeremy Rich, Tom Summerfelt
BACKGROUND: The growing movement toward more accountable care delivery and the increasing number of people with chronic illnesses underscores the need for primary care practices to engage patients in their own care. OBJECTIVE: For adult primary care practices seeing patients with diabetes and/or cardiovascular disease, we examined the relationship between selected practice characteristics, patient engagement, and patient-reported outcomes of care. DESIGN: Cross-sectional multilevel observational study of 16 randomly selected practices in two large accountable care organizations (ACOs)...
February 3, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28156459/changing-the-culture-for-psychosocial-care-does-it-need-changing
#16
Patricia A Parker, Daphine Lambert, Sujin Ann-Yi, Alan D Valentine, Frank V Fossella, Eduardo Bruera, Janet L Williams, Lorenzo Cohen
: 70 Background: National organizations recommend routine screening for psychosocial distress in cancer patients. American College of Surgeons (ACoS) Commission on Cancer mandates screening for accreditation with requirements for timing/method/tool for screening; assessment/referral; and documentation. METHODS: MD Anderson routinely screens patients for distress with policies and algorithms for the process. We sought to enhance this standard process by incorporating a dedicated psychosocial liaison in the clinic to ensure screening based on NCCN guidelines, follow-up with patients at the medical visit, and clear documentation and referral per ACoS standards...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152733/trends-in-cancer-care-with-the-affordable-care-act
#17
Robert Clell Miller
: 46 Background: Accountable Care Organizations (ACO), as proposed by the Affordable Care Act, will change the delivery of health care in the United States. ACO serve as a network of providers with primary care providers (PCP) set up as gate-keepers for referrals to specialists. Within the next several years, many trends will emerge and drive progress of change, requiring oncologist to take a lead role to adapt to the evolving landscape of health care. METHODS: Literature search of internet-based and academic sources for oncology and the Affordable Care, with a focus on ACO formation...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28150945/gaba-pathway-rate-limit-citrate-degradation-in-postharvest-citrus-fruit-evidence-from-hb-pumelo-citrus-grandis-%C3%A3-fairchild-citrus-reticulata-hybrid-population
#18
Ling Sheng, Dandan Shen, Wei Yang, Mingfei Zhang, Yunliu Zeng, Juan Xu, Xiuxin Deng, Yunjiang Cheng
Organic acids are a major index of fresh fruit marketing properties. However, the genetic effects on the organic acid level in postharvest citrus fruit still remain unknown. Here, we used the fruits of about 40 lines in a hybrid population (high-acid "HB Pumelo" × low-acid "Fairchild") to analyze the organic acid metabolism of postharvest citrus fruit. A transgressive content of titratable acid (TA) was observed, which was attributed to citrate accumulation. High- and low-acid fruits (No. 130, 168 and No. 080, 181, respectively) were chosen for further study...
February 15, 2017: Journal of Agricultural and Food Chemistry
https://www.readbyqxmd.com/read/28149573/current-situation-of-asthma-copd-overlap-syndrome-acos-in-chinese-patients-older-than-40-years-with-airflow-limitation-rationale-and-design-for-a-multicenter-cross-sectional-trial-study-protocol
#19
Jian Kang, Wanzhen Yao, Baiqiang Cai, Ping Chen, Xia Ling, Hongyan Shang
BACKGROUND: Asthma and chronic obstructive pulmonary disease (COPD) are the frequently occurring chronic airway diseases, and the overlapping syndrome observed in the majority of patients has been recently defined as asthma-COPD overlap syndrome (ACOS) by the Global Initiative for Chronic Obstructive Lung (GOLD, 2014) and Global initiative for Asthma (GINA, 2015). The proportion, features, and clinical practice of ACOS still remain elusive in China. We are conducting this multicenter, cross-sectional, observational study (NCT02600221) to investigate the distributions of chronic obstructive diseases in patients >40 years of age with chronic airflow limitation in China along with determination of the main clinical practice and features of these diseases...
December 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28146643/childhood-lung-function-predicts-adult-copd-and-asthma-copd-overlap-syndrome-acos
#20
Dinh S Bui, John A Burgess, Adrian J Lowe, Jennifer L Perret, Caroline J Lodge, Minh Bui, Stephen Morrison, Bruce R Thompson, Paul S Thomas, Graham G Giles, Judith Garcia-Aymerich, Debbie Jarvis, Michael J Abramson, E Haydn Walters, Melanie C Matheson, Shyamali C Dharmage
RATIONALE: There are limited data on early life risk factors for COPD phenotypes. OBJECTIVE: To investigate the role of childhood lung function in adult spirometrically defined COPD phenotypes. METHOD: Pre-bronchodilator (BD) spirometry was performed for a cohort of 7-year old Tasmanian children. A sub-sample underwent pre-and post-BD spirometry at 45 years. For this analysis, COPD was spirometrically defined as a post-BD FEV1/FVC<lower limit of normal (LLN)...
February 1, 2017: American Journal of Respiratory and Critical Care Medicine
keyword
keyword
26622
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"