Advice Columns from Dr. Carolyn Clancy

January 6 2009 20090106

Ready to Lose Weight in the New Year? Experts Offer Guidance for Adults and Children

Other Patient & Consumer Resources

• 20 Tips to Help Prevent Medical Errors in Children - Spanish Transcript
• Back-to-School Immunizations
• Children and Asthma
• Health Services Research and Life Sciences Education
• Kid's Tooth Decay and Smoking
• Kid's Tooth Decay and Smoking - Spanish Transcript
• USPSTF Vision Screening in Kids

Clinicians & Providers

• 2011 Expert Panel on Assessing Healthcare Quality Measures for CHIPRA Improved Core Sets
• AHRQ Research on Caring for Children With Asthma
• AHRQ-Supported Research on Child and Adolescent Health: Articles and P
• Annual Report on Health Care for Children and Youth in the United States: Focus on Trends in Hospital Use and Quality
• Annual Report on Health Care for Children and Youth in the United States: Focus on Trends in Hospital Use and Quality
• Annual Report on Health Care for Children and Youth in the United States: Trends in Racial-ethnic, Income, and Insurance Disparities Over Time 2002-2009
• Articles and Publications, 2005
• Articles and Publications, 2006
• Articles and Publications, 2007
• Articles and Publications, 2008
• Articles and Publications, 2009
• Articles and Publications, 2010
• Asthma Care Quality for Children with Minority-serving Providers
• Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
• CHIPRA Measures by CHIPRA Categories
• CHIPRA Pediatric Quality Measures Program
• Cardiovascular Safety of Central Nervous System Stimulants in Children and Adolescents: Population Based Cohort Study
• Child Exposure to Trauma: Comparative Effectiveness of Interventions Addressing Maltreatment
• Child Health Care Quality Toolbox
• Child Health Services Research Speaker Series
• Children's Health
• Children's Health Insurance Program Reauthorization Act (CHIPRA) Archive
• Choosing Quality Measures
• Chronic Care for Low-Income Children with Asthma
• Clostridium difficile Infection in Hospitalized Children in the United States
• Develop Your Own?
• Diabetes Education for Children
• Does SCHIP Benefit All Low-Income Children?
• Emerging Measures
• First Meeting of the Subcommittee on Quality Measures for Children in Medicaid and CHIP
• Highlights of AHRQ Children's Health Care Quality Findings
• Identifying Child Health Priorities for Comparative Effectiveness Research from the IOM's Report
• Initial Core Set of Children's Healthcare Quality Measures
• Lessons Learned from the Process Used to Identify an Initial Core Quality Measure Set for Children's Health Care in Medicaid and CHIP
• Model Children's EHR Format: Frequently Asked Questions
• National Advisory Council Subcommittee on Quality Measures for Children's Healthcare in Medicaid and the Children's Health Insurance Program (CHIP)
• Pediatric Anthrax
• Pediatric Quality Measures Program (PQMP) Centers of Excellence Grant Awards
• Quality Indicators at a Glance Matrix
• Quality Measures for Children's Healthcare in Medicaid and Children's Health Insurance Program
• Research and Policy Efforts Related to CHIRI™
• Resource Burden at Children's Hospitals Experiencing Surge Volumes During the Spring H1N1 Influenza Pandemic
• Resource Guide to AHRQ Child and Youth Health and Health Care Services Data
• Resources
• SNAC-recommended Initial Core Set, September 18, 2009
• Second Meeting of the Subcommittee on Quality Measures for Children's Healthcare in Medicaid and Children's Health Insurance Program
• Short Stature in Infants & Children
• The Medical Home, Preventive Care Screenings, and Counseling for Children: Evidence from the Medical Expenditure Panel Survey
• The Role of the Geographic Information Systems Infrastructure in Childhood Obesity Prevention: Perspective from the Robert Wood Johnson Foundation
• To Report or To Not Report: Examination of the Initial Primary Care Management of Suspicious Childhood Injuries
• Tools for Research: Consumer Assessment of Health Plans (CAHPS®)
• Tools for Research: Healthcare Cost and Utilization Project (HCUP)
• Tools for Research: Medical Expenditure Panel Survey (MEPS)
• Uncertain Health Insurance Coverage and Unmet Children's Health Care Needs
• Understanding Quality Measurement
• Uses of Quality Measurement
• Using Established Initiatives to Reduce Disparities in Pediatric Asthm
• Why Child Health Measures?

Hospital & Health System Resources

• AHRQ Research on Caring for Children With Asthma
• Child Health Extramural Research by State and Country
• Children's Health
• Chronic Care for Low-Income Children with Asthma
• The Role of the Geographic Information Systems Infrastructure in Childhood Obesity Prevention: Perspective from the Robert Wood Johnson Foundation
• Using Established Initiatives to Reduce Disparities in Pediatric Asthm

Policymaker Resources

• Cardiovascular Safety of Central Nervous System Stimulants in Children and Adolescents: Population Based Cohort Study
• Child Exposure to Trauma: Comparative Effectiveness of Interventions Addressing Maltreatment
• Child Health Extramural Research by State and Country
• Children's Health
• Children's Health Insurance Program
• Clostridium difficile Infection in Hospitalized Children in the United States
• Conference on Advancing Quality Improvement Science for Children’s Health Care Research: May 3
• Evaluation of AHRQ's Children's Health Activities
• Improving Access and Quality
• Selected Research on Children's Health Insurance
• Strategic Plan: Children as a Priority Population
• The Role of the Geographic Information Systems Infrastructure in Childhood Obesity Prevention: Perspective from the Robert Wood Johnson Foundation

Fact Sheets

September 1 2012 20120901

Child Health Research: Identifying Quality Problems and Improving Care

August 1 2012 20120801

Children's Health Insurance Program

May 1 2012 20120501

Fiscal Year 2011

March 1 2012 20120301

Pediatric Quality Measures Program (PQMP) Centers of Excellence Grant Awards

June 1 2010 20100601

Articles and Publications, 2005

June 1 2010 20100601

Articles and Publications, 2006

June 1 2010 20100601

Articles and Publications, 2007

June 1 2010 20100601

Articles and Publications, 2008

June 1 2010 20100601

Articles and Publications, 2009

June 1 2010 20100601

Articles and Publications, 2010

April 1 2009 20090401

Fiscal Year 2007

February 1 2009 20090201

Fiscal Year 2008

April 1 2008 20080401

Resource Guide to AHRQ Child and Youth Health and Health Care Services Data

February 1 2007 20070201

Highlights of AHRQ Children's Health Care Quality Findings

January 1 2007 20070101

Fiscal Year 2006

December 1 2005 20051201

Fiscal Year 2005

August 1 2005 20050801

Using Established Initiatives to Reduce Disparities in Pediatric Asthm

June 1 2005 20050601

Chronic Care for Low-Income Children with Asthma

January 1 2005 20050101

Fiscal Year 2004

June 1 2004 20040601

Child Health Care Quality Toolbox

February 1 2004 20040201

Fiscal Year 2003

July 1 2003 20030701

Improving Access and Quality

March 1 2003 20030301

Fiscal Year 2002

January 1 2002 20020101

Research on Child and Adolescent Health: New Starts

March 1 2001 20010301

Research on Child and Adolescent Health: New Starts

December 1 2000 20001201

Child Health Services Research Speaker Series

September 1 2000 20000901

Children and Asthma

May 1 2000 20000501

Fiscal Year 1998

February 1 2000 20000201

AHRQ Research on Caring for Children With Asthma

February 1 2000 20000201

Fiscal Year 1996

February 1 2000 20000201

Fiscal Year 1997

February 1 2000 20000201

Fiscal Year 1999

Full Research Reports

February 1 2012 20120201

Model Children's EHR Format: Frequently Asked Questions

September 18 2009 20090918

SNAC-recommended Initial Core Set, September 18, 2009

October 1 2006 20061001

Evaluation of AHRQ's Children's Health Activities

Other Research & Data

• AHRQ-Supported Research on Child and Adolescent Health: Articles and P
• Annual Report on Health Care for Children and Youth in the United States: Focus on Trends in Hospital Use and Quality
• Annual Report on Health Care for Children and Youth in the United States: Focus on Trends in Hospital Use and Quality
• Annual Report on Health Care for Children and Youth in the United States: Trends in Racial-ethnic, Income, and Insurance Disparities Over Time 2002-2009
• Cardiovascular Safety of Central Nervous System Stimulants in Children and Adolescents: Population Based Cohort Study
• Child Health Extramural Research by State and Country
• Children's Health
• Clostridium difficile Infection in Hospitalized Children in the United States
• Conference on Advancing Quality Improvement Science for Children’s Health Care Research: May 3
• Diabetes Education for Children
• First Meeting of the Subcommittee on Quality Measures for Children in Medicaid and CHIP
• Kaiser Permanente of Northern California
• The Medical Home, Preventive Care Screenings, and Counseling for Children: Evidence from the Medical Expenditure Panel Survey
• The Role of the Geographic Information Systems Infrastructure in Childhood Obesity Prevention: Perspective from the Robert Wood Johnson Foundation
• To Report or To Not Report: Examination of the Initial Primary Care Management of Suspicious Childhood Injuries

Press Releases

February 6 2013 20130206

New Children's Electronic Health Record Format Announced

October 24 2011 20111024

Report Finds Parent Training Effective for Treating Young Children With ADHD

en español

News & Numbers

May 25 2011 20110525

School-Age Children Treated Most Often for Sports-Related Concussions

Advice Columns from Dr. Carolyn Clancy

January 6 2009 20090106

Ready to Lose Weight in the New Year? Experts Offer Guidance for Adults and Children

Other News & Events

• 'Piece-rate' performance incentives for physicians improve childhood immunization rates
• 2009 HCUP Kids' Inpatient Database (KID) now available
• A large proportion of hospitalized children receive numerous medications during their hospitalization
• A small number of drugs are used most commonly during pediatric hospitalizations
• A standard enzyme assay may help screen for rickets in breast-fed infants not given vitamin D supplements
• A usual source of care may be more important than insurance on children's receipt of preventive health counseling
• AHRQ awards $4.5 million to create clinical preventive services research centers
• AHRQ report shows that parent training is effective for treating young children with ADHD
• AHRQ solicits measures of children's health care quality for CHIPRA 2013
• AHRQ updates 2001 evidence report on treating acute otitis media
• Adolescents with higher socioeconomic status at greater risk for substance abuse during early adulthood
• Adverse drug event surveillance tailored to hospitalized children
• Annual Report on Health Care for Children and Youth in the United States: Trends in Racial-ethnic, Income, and Insurance Disparities Over Time 2002-2009
• Annual screening for malignancy among children with spina bifida with cystoplasty unlikely to be cost effective
• Antibiotics are modestly more effective than no treatment for middle ear infections in children
• Antipsychotic medications linked to occurrence of diabetes in children
• Antipsychotic use doubles for very young children, while mental health visits are few
• Black children are more likely to be hospitalized for a ruptured appendix than white children
• Bronchitis and asthma most commonly treated conditions among children
• Care setting affects likelihood that children with persistent asthma will receive inhaled steroids
• Certain antibiotics increase the risk of treatment failure in children with MRSA-related skin and soft-tissue infections
• Certain factors can help prepare families to bring infants home from neonatal intensive care units
• Children are commonly exposed to ionizing radiation from medical diagnostic imaging procedures
• Children of working mothers face more health problems
• Children whose parents lack a usual source of care are more likely to have unmet medical needs
• Children with ADHD from larger families more likely to use stimulants
• Children with a medical home more likely to receive health screenings and advice
• Children with cerebral palsy who undergo gait assessment before surgery are less likely to need additional surgery later
• Children with health insurance are less likely to receive needed services if their parents are uninsured
• Children with juvenile idiopathic arthritis are at high risk of hospital stays that involve bacterial infections
• Children with special health care needs with disabilities have greater unmet health care needs than those without disabilities
• Children's Health
• Children's Health Insurance Program
• Children's hospitals are pressed to capacity by response to pandemic outbreaks
• Children's underenrollment in State health insurance programs may be due in part to parents' confusion about coverage
• Children's unmet health needs similar for low- and middle-income families with either public or private insurance
• Children's use of asthma controller drugs doubles
• Clinician and patient resources now available on ADHD treatment options
• Clinicians cautioned about use of antihypertensive in children receiviing kidney transplants who take tacrolimus
• Computer system compares well with clinicians in assessing, but not treating children with asthma
• Consolidating blood draws may help reduce blood loss in critically ill children
• Despite recommendations against it, early discharge of late-preterm newborns remains common
• Doctor's comments during a child's physical exam can affect whether parents push for antibiotics
• Drug expenses for children with asthma more than doubled in 10 years
• Evidence lacking on best approaches to treat autism in teens and young adults
• Factors that Mediate Racial/ethnic Disparities in U.S. Fetal Death Rates
• Friends' behavior and parental values influence rates of unprotected vaginal intercourse among teens
• Genetic risk for obesity in children boosts risk for obesity in adulthood
• Going smooth can help relieve weekday crowding at children's hospitals
• Good communication with the doctor treating their child for cancer improves parental satisfaction with their role in decisions
• Health insurance is necessary but not sufficient for children's access to care
• Heart block in children following heart surgery increases length of hospital stay and total costs
• Hospitalizations for children with influenza and skin infections increased in the last decade
• Hospitalizations for kids with inflammatory bowel disease are frequent and costly
• Human rhinovirus linked to bronchiolitis and upper respiratory infections among healthy term infants
• Impact of self-esteem and academic achievement on substance use and sexual initiation differs among boys and girls
• Important information about CHIPRA core set of recommended health care quality measures released
• Increased child hospitalizations are associated with the mother's mental state and confidence in parenting
• Iron and zinc co-supplementation seems to be most helpful for children in developing countries
• Kidney stone rates in children may be on the rise
• Kidney-sparing surgery for children with renal tumors has equivalent in-hospital results to kidney removal surgery
• Label changes, manufacturer's warning letter did not reduce use of propofol for conscious sedation in children
• Low- and middle-income children with public and private insurance have similar rates of unmet health care needs
• Many black parents believe soft bedding will keep their infants safe from sudden infant death syndrome
• Many hospitalized children receive numerous medications, raising potential safety concerns
• Medical home for children and youth improves delivery of preventive services without raising expenditures
• Mental demands of pediatric hospital pharmacy staff have varying effects on likelihood of medication errors and adverse events
• Midwest hospitals lead in newborn male circumcision rates
• Minority pediatricians are more likely to care for minority children
• More Research on Child Maltreatment Urgently Needed, AHRQ Report Says
• More research is needed on outcomes after maternal-fetal surgery
• More than 20,000 emergency room visits for air and paintball gun injuries in 2008
• Most children receiving palliative care live for more than a year after beginning such treatment
• Most spending on children's health care in Medicaid and CHIP goes for children with chronic health problems
• Mothers' medical appointments may be a link to getting daughters vaccinated for human papillomavirus
• Moving adolescents with sickle cell disease from pediatric to adult care hampered by lack of knowledgeable adult hematologists
• Nearly 9 percent of children experience agitation during sedation for nonsurgical procedures
• Nearly one-fourth of parents of children with special health care needs have cut back on or quit work to care for them
• Neighborhood surroundings may affect whether children are overweight
• Neighborhoods, abuse, and anxiety contribute to low birth weights
• New Patient-Centered Medical Home Brief and White Paper Now Available
• New Spanish-language Guides Help Consumers with Treatments for Common Illnesses
• New Web Videonovela Series Helps Spanish-Speaking Patients Compare Treatments for Diabetes
• No link found between stimulant treatment of youth with ADHD and cardiovascular problems
• Nuclear kidney scans in children with urinary tract infections increase costs and radiation exposure
• Obesity among South Carolina children differs by age, gender, and race
• Only one-third of adolescents are screened for emotional health during routine physicals
• Oregon and Vermont show fewest hospitalizations for children with asthma
• Outpatient advice on pediatric medication safety is inadequate
• Parental reports more accurate than electronic health records in documenting child diet and exercise counseling
• Parents and primary care physicians are satisfied with children's use of nonurgent emergency department services
• Parents continue to weigh vaccine benefits with adverse effects when deciding to vaccinate their children
• Parents find telemedicine care of children in school and childcare to be helpful and convenient
• Parents using electronic kiosk provide more accurate clinical information than emergency room providers
• Pediatric care providers identify desired characteristics for computerized flu vaccination alerts
• Pediatric emergency department visits surged during the 2009 H1N1 flu pandemic, but few children were hospitalized
• Pediatric nurses express differing perspectives on palliative care
• Pediatric visits for ADHD have risen and the condition is increasingly being managed by psychiatrists
• Physicians' implicit racial attitudes influence prescribing of opioids for black children
• Pilot study finds a low level of medication errors for look-alike, sound-alike drugs prescribed for children
• Poverty, race, and gender are all factors in the epidemic of severely obese children
• Prescription of antidepressants for children and adolescents by office-based physicians is typically done off-label
• Primary care doctors often don't know that a child sought care for asthma in the emergency department
• Public insurance linked to longer perception of disease burden among children with asthma
• Quality improvement collaborative improves outcomes in children with inflammatory bowel disease
• Recent trends in hospital use by children and youths are a mixed bag—lower for teen pregnancies, much higher for skin infections
• Recommendations on rounding pediatric doses may improve e-prescribing while reducing risk of adverse drug events
• Report Finds Parent Training Effective for Treating Young Children with ADHD
• Report finds DMARDs effective in treating juvenile arthritis
• Research Briefs
• Respiratory syncytial virus is more serious than the flu in young children
• Rotavirus was culprit in one-fourth of children's diarrhea-related emergency department visits prior to vaccine
• School-age children treated most often for sports-related concussions
• Study fails to find link between guideline-based emergency treatment for pediatric asthma and patient outcomes
• Study questions usefulness of hospital readmission rates as marker of care quality for pediatric sickle cell disease
• Surgery and imaging rates for children's kidney stones are stable, but vary greatly from hospital to hospital
• Surgery for ureter congenital abnormality results in efficacy and long-term durability
• Task force recommends screening children and adolescents for obesity
• Teenage body size does not predict heart failure in older adults
• Telephone coaching improves quality of life for parents of children with asthma
• The increase in pediatric stimulant use since 1996 mostly linked to treatment of ADHD in adolescents
• The quality of children's asthma care is affected by emergency department crowding
• The stability of a usual source of care is important to the care of low-income children
• Two different tools help measure tracheal intubation adverse events and performance in pediatric intensive care units
• U.S. Preventive Services Task Force updates vision screening recommendation for young children
• Using a terbutaline pump to prevent preterm birth may be beneficial, but evidence suggests caution
• When primary care providers apply fluoride varnish, young Medicaid-insured children have fewer cavities
• Youth with HIV/AIDS and conduct disorder are less likely to use or adhere to antiretroviral therapy
• Youths initially diagnosed with ADHD receive an array of medications