Narrative by Activity

Budget Estimates for Appropriations Committees, Fiscal Year 2011

This statement summarizes budget information submitted to Congress for fiscal year 2011 by the Agency for Healthcare Research and Quality (AHRQ).

 

Research on Health Costs, Quality and Outcomes (HCQO)

Summary

AHRQ requests $478,899,000 for Research on Health Costs, Quality, and Outcomes (HCQO) at the FY 2011 Request level, an increase of 208,246,000 over the FY 2010 Appropriation level. All funds are provided using PHS Act Evaluation Funds.

Research Priorities

Within the HCQO budget activity, AHRQ supports research related to six research priorities. A summary of each research priority is provided below. For additional details related to these priorities, select Research on Health Costs, Quality, and Outcomes.

  • Patient-Centered Health Research: The FY 2011 Request level provides $286,274,000 for Patient-Centered Health Research ($272,750,000 in HCQO and $13,524,000 in Program Support), an increase of $261,218,000 overall (+$251,750,000 over the FY 2010 Appropriation level for HCQO and an increase of +$9,468,000 within Program Support). Patient-centered health research improves health care quality by providing patients and physicians with state-of-the-science information on which medical treatments work best for a given condition. The FY 2011 Request provides an additional $2,250,000 in Program Support for salaries and benefits associated with an additional 15 FTEs needed to help implement this program.
  • Prevention and Care Management: The FY 2011 Request level for Prevention and Care Management is $15,904,000, the same level of support as the FY 2010 Appropriation level. The purpose of AHRQ's Prevention/Care Management portfolio is to improve the quality, safety, efficiency, and effectiveness of the delivery of evidence-based preventive services and chronic care management in ambulatory care settings. This portfolio seeks to accomplish the mission by: 1. Supporting clinical decision-making for preventive services through the generation of new knowledge, the synthesis of evidence, and the dissemination and implementation of evidence-based recommendations; and, 2. Supporting the evidence base for and implementation of activities to improve primary care and clinical outcomes through: health care redesign; clinical-community linkages; self management support; integration of health information technology; and care coordination.
  • Value Research: The FY 2011 Request level includes $3,730,000 for Value Research, maintaining the FY 2010 Appropriation level. Value research focuses on finding a way to achieve greater value in health care—reducing unnecessary costs and waste while maintaining or improving quality. AHRQ's Value portfolio aims to meet this need by producing the measures, data, tools, evidence, and strategies that health care organizations, systems, insurers, purchasers, and policymakers need to improve the value and affordability of health care. The aim is to create a high-value system, in which providers produce greater value, consumers and payers choose value, and the payment system rewards value.
  • Health Information Technology (Health IT): The FY 2011 Request level for Health IT research is $31,522,000, an increase of $3,877,000 over the FY 2010 Appropriation level. AHRQ's research on health IT is a key element to bring health care into the 21st century by advancing the use of information technology. Established in 2004, the purpose of the Health IT portfolio at AHRQ is to develop and disseminate evidence and evidence-based information tools to inform policy and practice on how health IT can improve the quality of American health care. Through grants and contracts, AHRQ and its partners work to improve the quality of health care by identifying challenges to health IT adoption and use, solutions, and best practices for making health IT work, and developing tools that will help hospitals and clinicians successfully incorporate new IT.
  • Patient Safety Research: The FY 2011 Request level includes $64,622,000 for Patient Safety research, a decrease of $25,963,000 from the FY 2010 Appropriation level. The majority of the decrease is related to the end of a $25,000,000 Medical Malpractice research program. The research grant program was funded using multi-year authority and no additional funds are required in FY 2011. The FY 2011 Request provides $57,622,000 for research related to patient safety threats and medical errors, of which $34,000,000 is for research on health care-associated infections. An additional $7,000,000 will continue to support research related to the Patient Safety and Quality Improvement Act of 2005 and patient safety organizations (PSOs).
  • AHRQ's patient safety research priority is aimed at identifying risks and hazards that lead to medical errors and finding ways to prevent patient injury associated with delivery of health care. AHRQ supports research that provides information on the scope and impact of medical errors, identifies the root causes of threats to patient safety, and examines effective ways to make system-level changes to help prevent errors. Dissemination and translation of these research findings and methods to reduce errors is also critical to improving the safety and quality of health care. To make changes at the system level, there also must be an environment, or culture, within health care settings that encourages health professionals to share information about medical errors and ways to prevent them.

  • Crosscutting Activities Related to Quality, Effectiveness, and Efficiency Research: The FY 2011 Request level provides $90,371,000 for Crosscutting Activities Related to Quality, Effectiveness and Efficiency research, a decrease of $21,418,000 from the FY 2010 Appropriation level. Crosscutting Activities includes a variety of research projects that support all of our research portfolios. These activities include investigator-initiated research, data collection, measurement, dissemination and translation, program evaluation, grant review support, and other crosscutting contracts.

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Medical Expenditure Panel Survey (MEPS)

Summary

The FY 2011 Request level for the MEPS totals $59,300,000 in contracts and IAAs, which reflects an increase of $500,000 above the FY 2010 Appropriated level.

For details, select Medical Expenditure Panel Survey.

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Program Support (PS)

Summary

The FY 2011 Request level for Program Support is $72,713,000, an increase $5,113,000 over the FY 2010 Appropriated level. The FY 2011 Request level provides $2,250,000 to support salary and benefit costs for 15 new FTEs for the Patient-centered Health Research portfolio. A total of $1,600,000 for pay raise costs for AHRQ as a whole, and $500,000 for required increases within AHRQ's budget, including rent increases, travel, printing, and data costs is provided at the FY 2011 Request. The FY 2011 Request also includes $763,000 to support increased costs for the Service and Supply Fund as well as Joint Funding Agreements with other operating divisions within HHS.

For details, select Program Support.

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Current as of February 2010
Internet Citation: Narrative by Activity: Budget Estimates for Appropriations Committees, Fiscal Year 2011. February 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/about/mission/budget/2011/web11b.html