AHRQ’s New Evidence-Based Guide Helps Implement Health Assessments in Primary Care Settings
The total number of potentially preventable hospital admissions for adults and children decreased by 6.2 percent and nearly 40 percent, respectively, between 2005 and 2010. The corresponding total hospital costs for adult and pediatric conditions decreased 2 percent and 32 percent, respectively. (Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project Statistical Brief #151: Trends in Potentially Preventable Hospital Admissions among Adults and Children, 2005-2010.
- AHRQ's New Evidence-Based Guide Helps Implement Health Assessments in Primary Care Settings.
- New Video and Information From AHRQ's Multiple Chronic Conditions Research Network.
- December 3 Webinar To Cover Integrating Mixed Methods in Health Services and Delivery System Research.
- AHRQ Research Explores Impact of Self-Management Support.
- AHRQ's Innovations Exchange Focuses on Identifying At-Risk Patients in the ED.
- AHRQ in the professional literature.
AHRQ has announced an evidence-based guide designed to help primary care doctors, nurses and other staff select, adopt and implement health assessments. The Affordable Care Act authorized annual wellness visits for Medicare beneficiaries and specifies that a health risk assessment be included as part of those visits. The Health Assessments in Primary Care: A How-to Guide for Clinicians and Staff combines the best evidence for successful implementation of the assessments in the primary care setting, with tools to help clinicians decide which health assessments to use, integrate them into their daily workflow and maintain the process. The Guide can be used by practices that maintain electronic health records and those that continue to use paper charts.
A new video and infographic by AHRQ focus on one woman's experiences managing multiple chronic conditions (MCC) and present key information about why research and care for people who have more than one chronic condition is important. Treatment for people living with MCC accounts for an estimated 66 percent of the nation's health care costs. As the population ages, the number of patients with MCC continues to grow. The video, Multiple Chronic Conditions: A Day in the Life, is a short animated video that follows Mae, a woman living with multiple chronic conditions, as she visits one health care provider after another, struggling to keep track of the various instructions, treatments and prescriptions she receives. The infographic (PDF File, 12.495 MB) presents key information about why research and care for people with multiple chronic conditions is important.
Register now for a webinar scheduled from 1:00 to 2:00 p.m. ET on December 3 about how mixed-methods research offers powerful tools for investigating complex processes and systems in health care services and delivery. The webinar, which focuses on work by AHRQ on delivery systems and patient-centered medical homes, will also announce and provide information on a new AHRQ-sponsored special issue on this topic in Health Services Research.
- Benjamin Crabtree, Professor and Research Director, Department of Family Medicine, Rutgers Robert Wood Johnson Medical School.
- Debra Scammon, Emma Eccles Jones Professor of Marketing in the David Eccles School of Business, and Adjunct Professor, School of Medicine, Department of Family and Preventive Medicine, University of Utah.
- Andrada Tomoaia-Cotisel, Research Associate, Department of Family and Preventive Medicine, University of Utah.
Moderator: Michael I. Harrison, Ph.D., Senior Social Scientist, AHRQ.
Select to register.
AHRQ has awarded a two-year, $500,000 grant to the Oregon Rural Practice-based Research Network to implement self-management support tools with patients and health care practices. Self-management support assists patients and providers by promoting and delivering education to increase patients' skills to cope with the burden of chronic illness. The study will assess the impact of self-management support tools on patients and their health care teams, and aims to identify factors associated with successful implementation of self-management programs in primary care. Select to access AHRQ's library of self-management support resources. Select to access more information about Practice Based Research Networks.
The latest issue of AHRQ's Health Care Innovations Exchange features three innovation profiles describing programs that promoted screening of patients in the emergency department (ED) to identify individuals at risk for specific conditions. One of the featured profiles, the Suicide Assessment and Follow-Up Engagement: Veteran Emergency Treatment (SAFE VET) initiative, allows emergency department-based staff to develop customized safety plans for veterans along with structured follow-up telephone interventions to assess patients' risks of suicide after discharge. Interviews with 100 patients found generally high levels of satisfaction with program services. Virtually all patients remembered having a safety plan, and roughly two-thirds reported using it, with most relying primarily on the internal coping strategies outlined in the plan. Select to access more innovation profiles and tools related to ED interventions on the Health Care Innovations Exchange.
Patterson MD, Geis GL, Falcone RA, et al. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Qual Saf. 2013 Jun;22(6):468-77. Epub 2012 Dec 20. Select to access the abstract on PubMed®.
Olfson M, Marcus SC. Decline in placebo-controlled trial results suggests new directions for comparative effectiveness research. Health Aff. 2013 Jun;32(6):1116-25. Select to access the abstract on PubMed®.
Baer HJ, Schneider LI, Colditz GA, et al. Use of a web-based risk appraisal tool for assessing family history and lifestyle factors in primary care. J Gen Intern Med. 2013 Jun;28(6):817-24. Epub 2013 Jan 31. Select to access the abstract on PubMed®.
Litvin CB, Ornstein SM, Wessell AM, et al. Use of an electronic health record clinical decision support tool to improve antibiotic prescribing for acute respiratory infections: the ABX-TRIP study. J Gen Intern Med. 2013 Jun;28(6):810-16. Epub 2012 Nov 2. Select to access the abstract on PubMed®.
Press MJ, Scanlon DP, Ryan AM, et al. Limits of readmission rates in measuring hospital quality suggest the need for added metrics. Health Aff, 2013 Jun;32(6):1083-91. Select to access the abstract on PubMed®.
Dimick J, Ruhter J, Sarrazin MV, et al. Black patients more likely than whites to undergo surgery at low-quality hospitals in segregated regions. Health Aff. 2013 Jun;32(6):1046-53. Select to access the abstract on PubMed®.
Shoemaker SJ, Staub-DeLong L, Wasserman M, et al. Factors affecting adoption and implementation of AHRQ health literacy tools in pharmacies. Res Social Adm Pharm. 2013 Sep-Oct;9(5):553-63. Epub 2013 Jun 10. Select to access the abstract on PubMed®.
Burke JF, Skolarus LE, Callaghan BC, Kerber KA. Choosing wisely: highest-cost trends in outpatient neurology. Ann Neurol 2013 May; 73(5):679-83. Select to access the abstract on PubMed®.
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