AHRQ Offers Guidance on How to Design Physician Performance Feedback Report

Electronic Newsletter, Issue 376
AHRQ's Electronic Newsletter summarizes Agency research and programmatic activities.
April 15, 2013

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Today's Headlines

  1. AHRQ Offers Guidance on How to Design Physician Performance Feedback Reports.
  2. AHRQ's Health Care Innovations Exchange Highlights HIV Screening and Care.
  3. Summaries of AHRQ's “Closing the Quality Gap” Evidence Report Series Available.
  4. Effectiveness of Postpartum Depression Screening Requires Further Consensus.
  5. Call for Abstracts for Journal Supplement on Health Outcomes Methods in Rare Diseases.
  6. Report Examines Mortality Rates for Bioprosthetic Versus Mechanical Valve Patients.
  7. AHRQ in the professional literature.

 1. AHRQ Offers Guidance on How to Design Physician Performance Feedback Reports

A new AHRQ resource offers guidance to help community quality collaboratives, medical groups, health plans, and other sponsors of private physician feedback reports effectively design, disseminate, and use them. The guidance includes using performance measures that are actionable by physicians, providing meaningful comparative benchmarks, enabling the assessment of performance trends within the report, and embedding private reporting within a quality improvement infrastructure. Select to access Private "Performance Feedback" Reporting for Physicians: Guidance for Community Quality Collaboratives.

 2. AHRQ's Health Care Innovations Exchange Highlights HIV Screening and Care

The April 10 issue of AHRQ's Health Care Innovations Exchange features programs that promote and streamline access to HIV screening and to anal cancer screening for HIV-positive patients. One of the featured profiles describes State legislation that has led to more HIV testing and linking of HIV-positive patients to follow-up care. New York became the first state to require that hospitals and primary care providers offer an HIV test to all patients between the ages of 13 and 64. The law also streamlines the consent process, including allowing oral consent for rapid HIV testing. If the test is positive, providers must arrange an appointment for follow-up care, with the patient's permission. The law also includes special provisions that make it easier to test in cases of potential occupational exposure and that clarify restrictions on information sharing. An evaluation of the law's impact found that it increased testing significantly throughout the state. The proportion of HIV-positive patients linked to follow-up care remained stable. Select to access more innovation profiles and tools related to HIV screening and care for HIV-positive patients on the Innovations Exchange Web site, which contains more than 775 searchable innovations and 1,525 Quality Tools.

 3. Summaries of AHRQ's "Closing the Quality Gap" Evidence Report Series Available

An AHRQ resource to help health care providers learn more about the evidence supporting eight quality improvement strategies is now available. "Closing the Quality Gap Series. Through the Quality Kaleidoscope: Reflections on the Science and Practice of Improving Health Care Quality" offers executive summaries of reports on topics including bundled payment programs, patient-centered medical home, quality improvement strategies to address health disparities, medication adherence interventions, public reporting, prevention of healthcare–associated infections, quality improvement measurement for people with disabilities, and health care and palliative care for patients with advanced and serious illness. Select to access the report. A print copy of the report is available by sending an Email ahrqpubs@ahrq.gov or calling 1-800-358-9295.

 4. Effectiveness of Postpartum Depression Screening Requires Further Consensus

Patients who receive screening for postpartum depression show some improved outcomes compared with patients who receive no screening, according to a new review from AHRQ's Effective Health Care Program, but the overall effect of the improvement on long-term maternal and child outcomes is unclear. The potential effectiveness of screening appears to be related to the availability of systems to ensure adequate follow-up of women with positive results. Maternal postpartum depression has been associated with an increased risk of infant mortality, adverse effects on some measures of infant development, and increased health care resource utilization. Because the balance of benefits and harms is highly dependent on these characteristics, broad consensus on these characteristics is needed. Select to access the research review, Efficacy and Safety of Screening for Postpartum Depression.

 5. Call for Abstracts for Journal Supplement on Health Outcomes Methods in Rare Diseases

AHRQ's Effective Health Care Program is sponsoring a special journal supplement on research methods for evaluating health outcomes in patients with rare diseases. Authors are invited to submit abstracts for manuscripts that describe original research or systematic reviews on methodologies for studying patient-centered health outcomes. Abstracts are due by May 31. Submissions must be original and show how the approach applies to one or more problems in the design, analysis, or conduct of rare diseases research. However, manuscripts may derive from studies examining either rare or common diseases. Authors with abstracts that are highly rated by an expert panel will be invited to submit a manuscript for peer-review and potential publication in a 2014 supplement to the Journal of General Internal Medicine. Select to access detailed information about topic areas and the abstract submission process.

 6. Report Examines Mortality Rates for Bioprosthetic Versus Mechanical Valve Patients

Patients and their providers can use new information to help with decision-making related to bioprosthetic and mechanical valve replacement from a research study published in Circulation on March 28. Conducted by AHRQ's DEcIDE Network, the study found that long-term mortality rates were similar for bioprosthetic versus mechanical valve replacement among patients who needed aortic valve replacement. However, the safety and effectiveness of prosthetic heart valves are highly dependent on patient age and underlying comorbidities, and the choice of an appropriate prosthesis remains complex. Select to access the study, Long-Term Safety and Effectiveness of Mechanical versus Biologic Aortic Valve Prostheses in Older Patients: Results from the Society of Thoracic Surgeons (STS) Adult Cardiac Surgery National Database.

 7. AHRQ in the Professional Literature

Hill SC, Zuvekas SH, Zodet MW. Validity of reported Medicare Part D enrollment in the Medical Expenditure Panel Survey. Med Care Res Rev 2012 Dec; 69(6):737-50. Select to access the abstract on PubMed®.

Schroy PC 3rd, Emmons KM, Peters E, et al. Aid-assisted decision making and colorectal cancer screening: a randomized controlled trial. Am J Prev Med 2012 Dec; 43(6):573-83. Select to access the abstract on PubMed®.

Sullivan SD, Carlson JJ, Hansen RN. Comparative effectiveness research in the United States: a progress report. J Med Econ 2012 Dec 11. Select to access the abstract on PubMed®.

Dattalo M, Giovannetti ER, Scharfstein D, et al. Who participates in chronic disease self-management (CDSM) programs? Differences between participants and nonparticipants in a population of multimorbid older adults. Med Care 2012 Dec; 50(12):1071-5. Select to access the abstract on PubMed®.

Zoëga H, Valdimarsdóttir UA, Hernández-Díaz S. Age, academic performance, and stimulant prescribing for ADHD: a nationwide cohort study. Pediatrics 2012 Dec; 130(6):1012-18. Select to access the abstract on PubMed®.

Wisk LE, Witt WP. Predictors of delayed or forgone needed health care for families with children. Pediatrics 2012 Dec; 130(6):1027-37. Select to access the abstract on PubMed®.

Ray KN, Lorch SA. Hospitalization of rural and urban infants during the first year of life. Pediatrics 2012 Dec; 130(6):1084-93. Select to access the abstract on PubMed®.

Backes AC, Kuo GM. The association between functional health literacy and patient-reported recall of medications at outpatient pharmacies. Res Social Adm Pharm 2012 Jul; 8(4):349-54. Select to access the abstract on PubMed®.

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Page last reviewed April 2013
Internet Citation: AHRQ Offers Guidance on How to Design Physician Performance Feedback Report. April 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/376.html