Research Finds AHRQ On-Time Program Reduces Pressure Ulcers

Electronic Newsletter, Issue 408

AHRQ's Electronic Newsletter summarizes Agency research and programmatic activities.

January 14, 2014


AHRQ Stats

More than two-thirds of senior Americans with Medicare coverage purchased cardiovascular drugs such as calcium channel blockers and diuretics in 2010. (Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey Statistical Brief #411: Expenditures for the Top Five Therapeutic Classes of Outpatient Prescription Drugs, Medicare Beneficiaries, Age 65 and Older, U.S. Civilian Noninstitutionalized Population, 2010).

Today's Headlines

  1. Research Finds AHRQ On-Time Program Reduces Pressure Ulcers.
  2. Tips Available for Health Care Organizations Trying to Improve Response Rates to AHRQ Surveys on Patient Safety Culture.
  3. Executive Summary of Deliberative Methods Demonstration Now Available.
  4. Register Now: January 15 Webinar on Implementing Health Assessments in Primary Care.
  5. Children’s Electronic Health Record Format Moved to USHIK.
  6. AHRQ in the professional literature.

1. Research Finds AHRQ On-Time Program Reduces Pressure Ulcers

New research found that nursing homes that implemented the AHRQ On-Time Quality Improvement for Long Term Care (On-Time) Program, a clinical decision support intervention, saw a significant reduction in pressure ulcers. An abstract of findings from “Evaluation of AHRQ’s On-Time Pressure Ulcer Prevention Program: A Facilitator-Assisted Clinical Decision Support Intervention for Nursing Homes” appeared in the December 26, 2013, online issue of Medical Care. On-Time’s components—including IT-enabled identification of high-risk residents, reports that profile residents with recent changes in risk, strategies to integrate reports into care planning, and guided facilitation to support adoption of tools and strategies—show an incidence rate ratio of .409, which implies a 59 percent reduction in the incidence of pressure ulcers per 100 residents per month when implemented. Assuming 2.6 pressure ulcers avoided per month, this implies approximately $20,880 per month in cost savings in nursing homes with 100 residents, according to the authors.

2. Tips Available for Health Care Organizations Trying to Improve Response Rates to AHRQ Surveys on Patient Safety Culture

An 8-minute audio podcast features tips and tools to help health care organizations increase survey response rates on the AHRQ Surveys on Patient Safety Culture. Survey users Rebecca Caschette, R.N., M.S., former administrator of safety and quality at Memorial Healthcare System in Hollywood, FL, and Joe Hughes, M.H.A., director of quality care management at Riverside Walter Reed Hospital in Gloucester, VA, share how they substantially improve response rates in their organizations. An accompanying tip sheet summarizes suggestions for improving response rates.

3. Executive Summary of Deliberative Methods Demonstration Now Available

Initial findings from AHRQ’s Community Forum Deliberative Methods Demonstration are now available in an executive summary posted on the Agency’s Effective Health Care Program Web site. The primary goals of the demonstration were to inform AHRQ research programs on public views regarding the use of evidence in health care decisionmaking and to guide future work in deliberative methods by formally evaluating its effectiveness and identifying feasible choices among approaches to public deliberation. Fielded in 2012, the Community Forum Deliberative Methods Demonstration convened 76 groups—with more than 1,000 participants—in four locations across the country. The groups reflected the diversity of local populations in terms of racial, ethnic, and sociodemographic background. Participants were randomly assigned to four different types of deliberative methods or a reading-materials-only control. The deliberative methods included an exclusively online method and in-person approaches that varied in length and intensity.

4. Register Now: January 15 Webinar on Implementing Health Assessments in Primary Care

AHRQ is hosting a free Webinar on Wednesday, January 15, from 12:30 to 2:00 p.m. ET on the Agency’s new guide to implementing health assessments in primary care. Richard Ricciardi, Ph.D., of AHRQ, and Douglas Fernald, M.A., of the Department of Family Medicine at the University of Colorado School of Medicine, will discuss the evidence-based guide for primary care doctors, nurse practitioners, and physician assistants on how to successfully select, adopt, and implement health assessments in primary care settings. The guide is titled “Health Assessments in Primary Care, A How-to Guide for Clinicians and Staff.”

Select to register.

5. Children’s Electronic Health Record Format Moved to USHIK

AHRQ’s Children’s Electronic Health Record (EHR) Format has been moved to the United States Health Information Knowledgebase (USHIK). The transition to USHIK helps align the Children’s EHR Format with related knowledgebase information on topics such as meaningful use, health IT standards and related clinical quality measures, as well as a friendlier user interface. The Children’s EHR Format, developed by AHRQ and the Centers for Medicare Medicaid Services with input from the American Academy of Pediatrics, is a set of child-specific requirements and other requirements of special importance for children that an EHR should meet to perform optimally for the particular health care needs of children. It can be accessed from navigation buttons on the USHIK home page.

6. AHRQ in the Professional Literature

Gadzinski AJ, Dimick JB, Ye Z, et al. Utilization and outcomes of inpatient surgical care at critical access hospitals in the United States. JAMA Surg. 2013 Jul;148(7):589-96. Select to access the abstract on PubMed®.

Gawron AJ, Veerappan A, McCarthy ST, et al. Impact of an incomplete colonoscopy referral program on recommendations after incomplete colonoscopy. Dig Dis Sci. 2013 Jul;58(7):1849-55. Epub 2013 Mar 2. Select to access the abstract on PubMed®.

Kuo YF, Loresto FL Jr, Rounds LR, et al. States with the least restrictive regulations experienced the largest increase in patients seen by nurse practitioners. Health Aff. 2013 Jul;32(7):1236-43. Select to access the abstract on PubMed®.

Cook BL, Zuvekas SH, Carson N, et al. Assessing racial/ethnic disparities in treatment across episodes of mental health care. Health Serv Res. 2013 Jul 16. Epub ahead of print. Select to access the abstract on PubMed®.

Lyles CR, López A, Pasick R, et al. "5 mins of uncomfyness is better than dealing with cancer 4 a lifetime": an exploratory qualitative analysis of cervical and breast cancer screening dialogue on Twitter. J Cancer Educ. 2013 Mar;28(1):127-33. Select to access the abstract on PubMed®.

Mullen MT, Judd S, Howard VJ, et al. Disparities in evaluation at certified primary stroke centers: reasons for geographic and racial differences in stroke. Stroke. 2013 Jul;44(7):1930-5. Epub 2013 May 2. Select to access the abstract on PubMed®.

Bailey JE, Pope RA, Elliott EC, et al. Health information exchange reduces repeated diagnostic imaging for back pain. Ann Emerg Med. 2013 Jul;62(1):16-24. Epub 2013 Mar 7. Select to access the abstract on PubMed®.

Myers SR, Branas CC, French BC, et al. Safety in numbers: are major cities the safest places in the United States? Ann Emerg Med. 2013 Oct;62(4):408-18e.3. Epub 2013 Jul 23. Select to access the abstract on PubMed®.


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Page last reviewed January 2014
Internet Citation: Research Finds AHRQ On-Time Program Reduces Pressure Ulcers: Electronic Newsletter, Issue 408. January 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/408.html