October 22, 2010
AHRQ News and Numbers
Hospital charges for the most expensive patient stays at U.S. hospitals in 2008 averaged about $18,000 per day. These patients were most likely to be in the hospital for treatment of septicemia, or blood infection, hardening of the arteries, and heart attacks. [Source: Agency for Healthcare Research and Quality, HCUP Statistical Brief # 97: Most Expensive Hospitalizations, 2008 )PDF File, Plugin Software Help).]
- New health IT Common Format for adverse event reporting
- Clinical Heterogeneity Methods report is now available
- Registration open for Conference on Methodological Challenges in Comparative Effectiveness Research
- New Health IT Fact Sheet on State and Regional Demonstration Projects Available
- New threat scenarios added to Emergency Surge Modeling Tool
- English and Spanish-language health videos are available
- Web conference on eliminating healthcare-associated infections
- AHRQ in the professional literature
1. New Health IT Common Format for Adverse Event Reporting
AHRQ has released a new Common Format designed to help health care providers collect information about adverse events related to health information technology and devices. This Common Format entitled, Device or Medical/Surgical Supply including HIT Device, is currently available as a beta version for public review and comment. The format will be revised based on feedback and released with AHRQ's Common Formats, Version 1.2 in August 2011. To view AHRQ's full set of Common Formats (Version 1.1) along with technical specifications, and accompanying user information, visit the AHRQ's PSO Web site.
Select to read the October 22 Federal Register notice.
2. Clinical Heterogeneity Methods Report Is Now Available
AHRQ's Effective Health Care Program released a new report, Comparative Effectiveness Review Methods: Clinical Heterogeneity prepared by AHRQ's RTI International—University of North Carolina Evidence-based Practice Center. The report explores best practices for addressing clinical heterogeneity in systematic reviews and comparative effectiveness reviews. Patients, clinicians, policymakers, and others assert that systematic reviews typically focus on broad populations and, as a result, often lack information relevant to individual patients or patient subgroups. The report concluded that clear evidence-based guidance on addressing clinical heterogeneity in systematic reviews and comparative effectiveness reviews is not available currently but would be valuable to AHRQ's Evidence-based Practice Centers and to others conducting systematic reviews internationally. Select to access the report (PDF file, Plugin Software Help).
3. Registration Open for Conference on Methodological Challenges in Comparative Effectiveness Research
AHRQ and the National Institutes of Health are cosponsoring a conference on "Methodological Challenges in Comparative Effectiveness Research" to be held on December 2 - 3 on the main NIH campus in Bethesda, MD. The conference will make use of case studies that pose difficult questions about what kinds of research, methods, and analyses should be used to address limitations in current evidence for interventions and tests being examined by decisionmaking bodies. The cases will address a variety of important comparative effectiveness research questions facing U.S. researchers, care providers, health systems, and patients. Topics include:
- Comparative effectiveness of surgical and radiotherapy treatments for prostate cancer: Best methods for studying multilevel heterogeneous effects.
- Comparative effectiveness of medical and surgical treatments for stable ischemic heart disease within subgroups of patients and in the face of rapidly evolving treatments.
- Comparative effectiveness and costs of imaging strategies for diagnosing and monitoring patients with cancer.
- Evaluation of two high profile comparative drug safety cases: Aprotinin and Rosiglitazone.
- Challenges of designing a "Learning Healthcare Systems" for Comparative Effectiveness Research in "Learning Healthcare Systems."
In addition to the case-based discussions noted above, consumers, economists, methodologists, policymakers, and statisticians will present two additional sessions:
- Methods for Addressing Confounding in Observational Studies
- Value of Information Techniques for Setting Research Priorities
Select for more information and to register.
4. New Health IT Fact Sheet on State and Regional Demonstration Projects Available
A new AHRQ factsheet, "Health Information Technology: State and Regional Demonstration Projects," highlights the work of six states in improving health information exchange at a state or regional level. Select to access the fact sheet.
5. New Threat Scenarios Added to Emergency Surge Modeling Tool
The Hospital Surge Model now allows users to estimate the resources needed to respond to emergencies involving improvised explosive devices, pneumonic plague and foodborne botulism. The Web-based interactive model now includes a total of 13 scenarios on biological incidents and attacks ranging from pandemic influenza to a nuclear explosion. Hospital and emergency planners can use the Hospital Surge Model to develop specific strategies to treat an influx of patients affected by these specific incidents. It will estimate, by day, the severity of injury and the number and flow of casualties needing medical attention for specific scenarios selected by users. Select to access the tool.
6. English and Spanish-language Health Videos Are Available
AHRQ has a series of 60-second educational health videos in Spanish for consumers, based on the monthly Web column series, Consejos de salud. Two videos are now available online:
They also are available in English.
7. Accelerating Healthcare-Associated Infection Elimination: Health System, Hospital, and Government Leadership Collaboration
A webinar on October 28, 2010, from 1:00-3:00 ET, will address the opportunities for dramatically reducing healthcare-associated infections through collaboration and leadership of health system, hospitals, and government organizations. Speakers include leaders from the U.S. Department of Health and Human Services and hospital leaders of the Texas Medical Institute of Technology "Greenlight Program" which develops leadership decision-support investment models that address clinical, operational, and financial performance.
8. AHRQ in the Professional Literature
We are providing the following hyperlinks to journal abstracts through PubMed® for your convenience. Unfortunately, some of you may not be able to access the abstracts because of firewalls or specific settings on your individual computer systems. If you are having problems, you should ask your technical support staff for possible remedies.
Fee C, Metlay JP, Camargo CA Jr, et al. ED antibiotic use for acute respiratory illnesses since pneumonia performance measure inception. Am J Emerg Med 2010 Jan; 28(1):23-31. Select to access the abstract on PubMed.®
de Cordova PB, Lucero RJ, Hyun S, et al. Using the Nursing Interventions Classification as a potential measure of nurse workload. J Nurs Care Qual 2010 Jan-Mar;25(1):39-45. Select to access the abstract on PubMed.®
Taylor JA, Geyer LJ, Feldman KW. Use of supplemental vitamin D among infants breastfed for prolonged periods. Pediatrics 2010 Jan; 125(1):105-11. Select to access the abstract on PubMed.®
Hellinger FJ, Encinosa WE. The cost and incidence of prescribing errors among privately insured HIV patients. Pharmacoeconomics 2010; 28(1):23-34. Select to access the abstract on PubMed.®
Wolf MS, Davis TC, Bass PF, et al. Improving prescription drug warnings to promote patient comprehension. Arch Intern Med 2010 Jan 11; 170(1):50-6. Select to access the abstract on PubMed.®
Please address comments and questions regarding the AHRQ Electronic Newsletter to Nancy Comfort at Nancy.Comfort@ahrq.hhs.gov or (301) 427-1866.
Update your subscriptions, modify your password or E-mail address, or stop subscriptions at any time on your Subscriber Preferences Page. You will need to use your E-mail address to log in.
If you have any questions or problems with the subscription service, E-mail: firstname.lastname@example.org. For other inquiries, Contact Us.
If you have questions about AHRQ's activities, please try to find the answers by checking our Home Page, where we have established links to various topical areas. Also check the News & Information section and Frequently Asked Questions. You may also Browse the Web Site. These features are designed to assist you in obtaining the information you are seeking.
This service is provided to you at no charge by the Agency for Healthcare Research and Quality AHRQ).
Current as of October 2010
AHRQ Electronic Newsletter, October 22, 2010, Issue #298. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/enews/enews298.htm