Special Supplements to AJIC and ICHE Feature AHRQ-Funded HAI Research
Average public-sector (State/local government) health insurance premiums in 2012 were $6,278 for single coverage, $11,642 for employee-plus-one coverage and $16,301 for family coverage, with wide cost variations across geographic areas. (Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey Statistical Brief #435: Premiums and Employee Contributions for Employer-Sponsored Health Insurance: Private versus Public Sector, 2012.)
- Special Supplements to AJIC and ICHE Feature AHRQ-Funded HAI Research.
- Journal Supplement Features AHRQ-Funded Articles on the Science of Public Reporting.
- HHS Releases Annual National Quality Strategy Progress Report.
- Pediatric Learning Health System Prototype Expands Into National Model.
- Evidence Lacking on Treatments for Chronic Urinary Retention in Adults.
- Register Now: October 22 Webinar To Highlight Top Performers on CAHPS Clinician & Group Survey.
- New Features Added to AHRQ Health Care Innovations Exchange Website.
- AHRQ in the Professional Literature.
Results from AHRQ-funded projects to prevent healthcare-associated infections (HAIs) are featured in October special supplements to the American Journal of Infection Control, the journal of the Association for Professionals in Infection Control and Epidemiology, and Infection Control and Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America. Both supplements combined present a total of 34 original articles authored by the researchers who led AHRQ-funded HAI projects primarily from fiscal years 2007 to 2010. AHRQ's James Cleeman, M.D., and James Battles, Ph.D., as well as two colleagues from AHRQ contractors IMPAQ and RAND, served as guest editors and co-authored the introduction to each supplement. The special supplements are part of a three-year synthesis project to review and aggregate the findings and results of this group of HAI projects, present important results for dissemination to the field and report HAI knowledge gaps identified by project teams. As another part of the synthesis, AHRQ previously published "Advances in the Prevention and Control of HAIs," a collection of 19 original articles focused on the methods and implementation approaches used by the HAI investigators.
A new AHRQ-funded journal supplement, titled "Informing the Next Generation of Public Reporting for Consumers," provides information to help policymakers, regional quality collaboratives, national and state organizations, federal government agencies and others improve public reports for consumers. The supplement to the October issue of Medical Care Research and Review includes six articles outlining methods to improve reports that educate consumers and help them assess quality of care and make complex health care decisions. Articles include an overview of current public reporting, recommendations to improve consumer decision making, examples of current adherence to best practices and information on how to engage consumers. The supplement is available online, via email or by phone (800-358-9295). Please request AHRQ publication #OM14-0052.
HHS has released the 2014 Annual Progress Report on the National Strategy for Quality Improvement in Health Care. The National Quality Strategy is an initiative led by AHRQ on behalf of HHS. Highlights from this year's progress report (PDF File, 608 KB) include:
- Priorities in Action: The Priorities in Action series captures the vision and motivation of organizations that have put the Strategy's aims and priorities into practice and attained tangible results.
- Federal and State Quality Improvement Efforts: Federal and state governments are using the National Quality Strategy as a framework for developing their own quality improvement strategies.
- Measurement Updates: In 2014, National Quality Strategy stakeholders responded to the need to coordinate and align currently used measures by pursuing measure harmonization and alignment efforts that include the HHS Measurement Policy Council and private multi-stakeholder initiatives such as "Buying Value."
For more information about the National Quality Strategy, visit the Working for Quality website. To learn more about how your organization can put the strategy's priorities into action, download the National Quality Strategy stakeholder toolkit.
A prototype learning health system for pediatric inflammatory bowel disease (IBD) is expanding into a national learning network that includes pediatric congenital heart disease and obesity, as noted in an AHRQ-funded study and abstract in the July issue of Health Affairs. Learning health systems are health care organizations that integrate research and quality improvement at the patient's point of care. These systems rely on strong stakeholder collaboration, patient data from electronic health records across multiple organizations, and broad sharing of clinical data and best practice information. By maximizing these features, the prototype IBD learning health system, funded by AHRQ, has expanded into a national network, called PEDSnet, which is funded by the Patient-Centered Outcomes Research Institute. PEDSnet currently consists of eight of the nation's largest pediatric health centers, caring for more than two million children each year. The study is titled, "PEDSnet: How A Prototype Pediatric Learning Health System Is Being Expanded Into a National Network."
A new research review from AHRQ found that there is insufficient evidence to draw conclusions on the comparative benefits or harms of treatments for persistent partial retention of urine or chronic urinary retention (CUR) in adults. The review, "Chronic Urinary Retention: Comparative Effectiveness of Treatments and Harms," said the evidence addresses only a subset of possible treatments and just a few of the many possible subgroups of CUR patients based on underlying conditions. The low strength of the available evidence suggests that transurethral resection of the prostate and microwave therapy achieved similar results in the rate at which men were catheter-free at six months after treatment. In addition, the review indicated, no data were found to assess the impact of treating CUR independently of treating benign prostatic enlargement and other lower urinary tract symptoms.
AHRQ is hosting a webinar on October 22 from 1 to 2 p.m. ET to present success stories from medical practices that have scored in the 90th percentile across all core measures from the CAHPS® Clinician & Group Survey. Top-performing medical practices will share how they have improved patient experience in the areas of access to care and information, communication with providers and interactions with office staff.
- Mon L. Yee, M.D., Family Medicine, Meriter DeForest-Windsor Clinic, DeForest, Wisconsin.
- Julie Susi, Manager, Breast Care Specialists of Maine, Portland, Maine.
- Dale Shaller, Managing Director, CAHPS Database; Shaller Consulting Group, Stillwater, Minnesota (Moderator).
The AHRQ Health Care Innovations Exchange web site includes new features such as a section about the Exchange's new initiative to expand scale-up and spread of innovations through three learning communities that aim to improve care. The communities consist of select groups of stakeholders who work collectively to promote adaptation and implementation of innovations featured in the Innovations Exchange. Each learning community will convene participants around a specific common challenge in health care that represents a high-priority topic area identified by AHRQ. The AHRQ Health Care Innovations Exchange is an online repository of information where health professionals and researchers can share and learn about evidence-based practices. It includes searchable innovations and quality tools, along with learning and networking opportunities involving an array of health care settings and populations.
Bouma AB, Tiedje K, Poplau S, et al. Shared decision making in the safety net: where do we go from here? J Am Board Fam Med 2014 Mar-Apr;27(2):292-4. Select to access the abstract on PubMed®.
Guevara JP, Moon J, Hines EM, et al. Continuity of public insurance coverage: a systematic review of the literature. Med Care Res Rev 2014 Apr;71(2):115-37. Epub 2013 Nov 13. Select to access the abstract on PubMed®.
Miller SF, Sanz-Guerrero J, Dodde RE, et al. A pulsatile blood vessel system for a femoral arterial access clinical simulation model. Med Eng Phys 2013 Oct;35(10):1518-24. Epub 2013 May 18. Select to access the abstract on PubMed®.
Druss BG, Ji X, Glick G, et al. Randomized trial of an electronic personal health record for patients with serious mental illnesses. Am J Psychiatry 2014 Mar;171(3):360-8. Select to access the abstract on PubMed®.
Brown NM, Green JC, Desai MM, et al. Need and unmet need for care coordination among children with mental health conditions. Pediatrics 2014 Mar;133(3):e530-e537. Epub 2014 Feb 17. Select to access the abstract on PubMed®.
Scammon DL, Tabler J, Brunisholz K, et al. Organizational culture associated with provider satisfaction. J Am Board Fam Med 2014 Mar-Apr;27(2):219-28. Select to access the abstract on PubMed®.
Reiman MP, Goode AP, Hegedus EJ, et al. Diagnostic accuracy of clinical tests of the hip: a systematic review with meta-analysis. Br J Sports Med 2013 Sep;47(14):893-902. Epub 2012 Jul 7. Select to access the abstract on PubMed®.
Mitchell SE, Gardiner PM, Sadikova E, et al. Patient activation and 30-day post-discharge hospital utilization. J Gen Intern Med 2014 Feb;29(2):349-55. Epub 2013 Oct 4. Select to access the abstract on PubMed®.
Please address comments and questions regarding the AHRQ Electronic Newsletter to Jeff Hardy at Jeff.Hardy@ahrq.gov or (301) 427-1802.
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Page originally created October 2014
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