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November 15, 2000, Issue No. 17


AHRQ News and Numbers

Today's Headlines:

  1. 1. Centers of excellence RFA
  2. 2. Developmental centers for evaluation and research in patient safety RFA
  3. 3. Medical errors grants awards
  4. 4. National health care quality report
  5. 5. AHRQ awards nine new grants to study health disparities
  6. 6. Article on racial and ethnic differences in children's health care
  7. 7. Web chat on medical errors and patient safety research summit
  8. 8. Domestic violence grant awards
  9. 9. Domestic violence new scholar
  10. 10. Medical errors summit with providers in Chicago on November 30
  11. 11. Report on characteristics of long-term care users
  12. 12. New evidence report on chronic obstructive pulmonary disease
  13. 13. AHRQ to co-sponsor ISTAHC 2001
  14. 14. Articles in Medical Care Research and Review
  15. 15. Guidelines added to the National Guideline Clearinghouse™ (NGC)
  16. 16. Highlights from the most recent edition of our monthly newsletter
  17. 17. Factoid

1.  Centers of Excellence RFA

AHRQ issued a press release on October 26 to announce a Request for Applications (RFA) for our Patient Safety Centers of Excellence. These centers will conduct research on areas relating to patient safety and medical errors. The press release also outlines AHRQ's agenda for medical errors research in FY 2001. Select to access the RFA in the NIH Guide.

2.  Developmental Centers for Evaluation and Research in Patient Safety RFA

AHRQ announced on November 13 our second patient safety Request for Applications (RFA). We are seeking applications from nonprofit organizations, universities, clinics, and federal, state, and local agencies to establish as many as 10 new Developmental Centers for Evaluation and Research in Patient Safety (DCERPS). AHRQ expects to award up to $2 million in exploratory grants. The new DCERPS are expected to include multidisciplinary teams of researchers, direct ties to medical delivery systems through formal data-sharing agreements, and patient safety education programs. Letters of intent are due January 3, 2001; applications are due January 24, 2001. Select to access the RFA in the NIH Guide.

3.  Medical Errors Grant Awards

AHRQ awarded six new projects designed to improve the safety of health care through the identification and prevention of avoidable systems-related medical errors.

4.  National Health Care Quality Report

AHRQ announced on November 3 plans to develop a national report on the quality of health care in the United States. An interagency workgroup will develop the final content and design of the report. The project is being led by AHRQ with collaboration from the National Center for Health Statistics. Other members of the workgroup include:

AHRQ is required under its reauthorization legislation to produce this report by 2003.

5.  AHRQ Awards Nine New Grants to Study Health Disparities

AHRQ announced on November 9 funding for a major new research initiative that will improve knowledge of the factors underlying ethnic and racial inequities in health care, the EXCEED (Excellence Centers to Eliminate Ethnic/Racial Disparities) initiative. Funding for these nine new projects is expected to total $45 million over a 5-year period. The studies will help identify practical tools and strategies to eliminate these disparities. Each project will consist of a group of four to seven studies organized around a central theme. Projects include:

  • Access and quality of care for the vulnerable black population.
  • Racial and ethnic variation in medical interactions.
  • Improving the delivery of effective care to minorities.

These research projects will be funded by AHRQ in partnership with the Office of Research on Minority Health, the National Cancer Institute, and the National Institute of General Medical Sciences at the National Institutes of Health.

6.  Article on Racial and Ethnic Differences in Children's Health Care

AHRQ announced on October 31 that the disadvantages that some Hispanic children experience in their access to health care may be related to their parents' inability to speak English well enough to interact fully with the health care system. The study, "Racial and Ethnic Differences in Children's Access to Care," is an analysis of data from AHRQ's Medical Expenditure Panel Survey (MEPS) and is published in the November issue of the American Journal of Public Health.

7.  Web Chat on Medical Errors and Patient Safety Research Summit

Web MD has posted the transcript of a live chat on medical errors featuring Dr. John Eisenberg and Sue Sheridan, a consumer from Boise, Idaho, who spoke at the Medical Errors and Patient Safety Research Summit held on September 11. The transcript is posted at http://my.webmd.com/content/article/1700.50906.

8.  Domestic Violence Grant Awards

AHRQ announced on November 14 the funding of four new research projects as a result of the Agency's RFA on domestic violence. Project topics are: treatment outcomes for abused women in public clinics, computerized screening for domestic violence victims, comparing and contrasting seven existing domestic violence interventions located in different hospital settings, and outcomes for intimate partner violence.

9.  Domestic Violence New Scholar

AHRQ announced the selection of Jeffery H. Coben, M.D., as the new senior scholar in residence for domestic violence. This is a 1-year program developed in consultation with the Family Violence Prevention Fund.

10.  Medical Errors Summit with Providers in Chicago on November 30

AHRQ and its partners on the Quality Interagency Coordination (QuIC) Task Force will sponsor a meeting for representatives of health care provider organizations on November 30 in Chicago. The purpose of the meeting, which is a followup to the national summit on medical errors and patient safety research held in Washington on September 11, is to seek input on the key research questions that need to be answered to improve patient safety throughout the nation's health care system.

11.  Report on Characteristics of Long-term Care Users

AHRQ issued a press release on November 8 to announce the availability of a new report on the characteristics of long-term care users. This AHRQ study used information from a number of nationally representative data sets to provide an overview of the characteristics of adult long-term care users and to examine changes over time in the profile of elderly long-term care users. Print copies of the report are available from the AHRQ Publications Clearinghouse, 1-800-358-9295.

12.  New Evidence Report on Chronic Obstructive Pulmonary Disease

AHRQ announced on October 30 the availability of a summary of an evidence report by the Duke University Evidence-based Practice Center (EPC) on the management of acute exacerbations of chronic obstructive pulmonary disease. The American College of Physicians-American Society of Internal Medicine and the American College of Chest Physicians developed a clinical practice guideline based on this report, which will be published in CHEST and Annals of Internal Medicine, Winter 2001. Select to access the summary. Print copies of the summary are available from the AHRQ Publications Clearinghouse, 1-800-358-9295. Copies of the full report will be available in early 2001.

13.  AHRQ to Co-Sponsor ISTAHC 2001

The International Society of Technology Assessment in Healthcare (ISTAHC) will hold its 2001 conference June 3-6, in Philadelphia. The meeting will be hosted by ECRI, one of AHRQ's 12 Evidence-based Practice Centers. Examples of topics to be covered include the usefulness of cross-cultural and cross-national assessments; use of new national and international clinical guidelines; and the role of government in advancing/slowing diffusion of new technology.

14.  Articles in Medical Care Research and Review

Three articles from the AHRQ exploring different aspects of racial and ethnic disparities in health care are published in a special theme supplement of the November issue of Medical Care Research and Review. The articles discuss:

  • Health insurance status.
  • Access to and use of health care services.
  • Cultural competency.

Print copies of the articles are available from the AHRQ Publications Clearinghouse, 1-800-358-9295.

15.  Guidelines Added to the National Guideline Clearinghouse™ (NGC)

Select http://www.guidelines.gov to access these guidelines and others.

  • Prevention and treatment of tuberculosis among patients infected with human immunodeficiency virus: Principles of therapy and revised recommendations.
  • Criteria for knee surgery.
  • Criteria for entrapment of a single lumbar nerve root.
  • Guidelines for clinical use of the antinuclear antibody test and tests for specific autoantibodies to nuclear antigens.
  • Guidelines for detection of thyroid dysfunction.
  • Criteria for cervical surgery related to entrapment of a single cervical nerve root.
  • Criteria for ankle/foot.
  • Practice parameters for the assessment and treatment of children, adolescents, and adults with mental retardation and comorbid mental disorders.
  • Practice parameters for the assessment and treatment of children, adolescents, and adults with autism and other pervasive developmental disorders.
  • Practice parameters for the assessment and treatment of children and adolescents who are sexually abusive of others.
  • Osteoporosis prevention, diagnosis, and therapy.
  • Allergic rhinitis: clinical practice guideline.
  • National guideline for the management of chlamydia trachomatis genital tract infection.
  • National guideline for the management of non-gonococcal urethritis.
  • National guideline for the management of gonorrhoea in adults.
  • National guideline for the management of bacterial vaginosis.
  • National guideline for the management of vulvovaginal candidiasis.
  • National guideline for the management of trichomonas vaginalis.
  • National guideline for the management of genital herpes.
  • National guideline for the management of early syphilis.
  • National guideline for the management of late syphilis.
  • National guideline for the management of donovanosis (granuloma inguinale).

16.  Highlights from the Most Recent Edition of our Monthly Newsletter

The new issue of Research Activities is in the mail. The key articles are:

  1. Depending on how it's measured, health plan performance may vary by enrollee ethnicity, education, and income.
  2. Risk of foot amputation may be double for diabetes patients who don't obtain prescribed footwear and medicines.
  3. Followup of low birthweight babies to adolescence reveals many have learning and behavioral problems.

Select http://www.ahrq.gov/research/oct00/ to access the October issue of Research Activities.

17.  Factoid

The average charge for a hospital stay is over $11,000, and the average hospital stay is about 5 days long. Source: Elixhauser A, Yu K, Steiner C, and Bierman AS. Hospitalization in the United States, 1997. Rockville (MD): Agency for Healthcare Research and Quality; 2000. HCUP Fact Book No. 1

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Current as of November 2000

 

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