New AHRQ Projects Will Use PCOR To Support Primary Care Practices
In 2011, 60 percent of hospital stays were billed to Medicare and Medicaid—up from 52 percent in 1997. Between 1997 and 2011, the share of stays billed to private insurance fell from 39 percent to 32 percent. (Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project Statistical Brief #166: Overview of Hospital Stays in the United States, 2011.)
- New AHRQ Projects Will Use PCOR To Support Primary Care Practices.
- Register Now: AHRQ TeamSTEPPS® National Conference in June in Minneapolis.
- New AHRQ Review Supports Multicomponent Smoking Cessation Interventions for Pregnant or Postpartum Women.
- AHRQ's Health Care Innovations Exchange Focuses on Addressing Opioid Misuse.
- AHRQ in the professional literature.
AHRQ has issued two funding opportunity announcements (FOAs) aimed at increasing the use of patient-centered outcomes research (PCOR) in primary care practices. The grant described in the first FOA will fund up to eight regional cooperatives to help primary care practices build capacity for the implementation of PCOR findings in clinical care. Initial efforts will support the use of PCOR findings to improve heart health. The companion FOA solicits a robust external evaluation of the same initiative designed to discover if and how practice support can best be used to disseminate and implement PCOR findings in primary care practice. AHRQ expects that funding will be available in early 2015. Applicants must specifically work with primary care practices using a comprehensive approach that uses evidence-based quality improvement strategies, such as practice facilitation, designed to improve the capacity of primary care practices to incorporate new PCOR evidence into care delivery. Grantees must also propose to rigorously evaluate their initiatives and agree to contribute to an overarching evaluation. AHRQ will invest up to $120 million over three years in supporting up to eight grantees, a landmark investment for the agency. A technical assistance and information conference call is scheduled for April 24. Letters of intent are due May 23, and applications are due July 3.This initiative was planned and developed in close coordination with agencies across the U.S. Department of Health and Human Services and is funded through the PCOR Trust Fund. AHRQ's Prevention and Chronic Care Program provides additional information on how to improve primary care.
Join AHRQ on June 11-12 in Minneapolis, Minn., for the annual TeamSTEPPS National Conference. The mission of the conference is to bring techniques, tools and new thinking to help health care professionals implement TeamSTEPPS. Preconference educational sessions begin June 10. The conference includes keynote presentations, concurrent presentation panels, networking opportunities and a poster session. Registration is free, but space is limited.
Registration is now open.
A new AHRQ research review found that across all interventions to promote smoking cessation, including advice and counseling, self-help materials, nicotine replacement therapy, antidepressants, drug cessation aids and incentives, there are not enough data to assess their effectiveness. The review, "Smoking Cessation Interventions in Pregnancy and Postpartum Care," indicated that more data also are needed to assess the effectiveness of relapse prevention for pregnant and postpartum women. Approaches that combine multiple components appear to have the best likelihood of success. According to the study, selecting which components to include is more complex and should be based on the particular considerations of a clinical setting, including patient characteristics and resource allocation. However, financial incentives demonstrated the greatest effect among components studied.
The March 12 issue of AHRQ's Health Care Innovations Exchange features three profiles about programs aimed at reducing opioid misuse and its associated health and safety consequences. One of the featured profiles describes a protocol used by emergency department (ED) and urgent care clinicians in Maine to reduce opioid prescriptions for patients suspected of abusing controlled substances. The protocol recommends that physicians make a comprehensive effort to verify the patient's recent medication history, decline (except in rare cases) to refill prescriptions for controlled substances that patients claim were lost or stolen, and avoid prescribing controlled substances to patients with a history of taking such medications for pain management. The protocol has significantly reduced the proportion of ED patients complaining of dental pain (a common complaint used by those who abuse controlled substances) who are prescribed opioids, which in turn has led to fewer such patients presenting to the ED. The Health Care Innovations Exchange includes additional profiles and tools related to opioid prescribing and misuse.
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Lyles CR, Grothaus L, Reid RJ, et al. Communication about diabetes risk factors during between-visit encounters. Am J Manag Care. 2012 Dec;18(12):807-15 Select to access the abstract on PubMed®.
DeVoe JE. Being uninsured is bad for your health: can medical homes play a role in treating the uninsurance ailment? Ann Fam Med. 2013 Sep-Oct;11(5):473-6. Select to access the abstract on PubMed®.
Kesselheim AS, Wang B, Avorn J. Defining "innovativeness" in drug development: a systematic review. Clin Pharmacol Ther. 2013 Sep;94(3):336-48. Epub 2013 May 30. Select to access the abstract on PubMed®.
Palmsten K, Huybrechts KF, Michels KB, et al. Antidepressant use and risk for preeclampsia. Epidemiology. 2013 Sep;24(5):682-91. Select to access the abstract on PubMed®.
McGinn TG, McCullagh L, Kannry J, et al. Efficacy of an evidence-based clinical decision support in primary care practices: a randomized clinical trial. JAMA Intern Med. 2013 Sep 23;173(17):1584-91. Select to access the abstract on PubMed®.
Brooks Carthon JM, Jarrín O, Sloane D, et al. Variations in postoperative complications according to race, ethnicity, and sex in older adults. J Am Geriatr Soc. 2013 Sep;61(9):1499-1507. Epub 2013 Sep 5. Select to access the abstract on PubMed®.
Cristea AI, Carroll AE, Davis SD, et al. Outcomes of children with severe bronchopulmonary dysplasia who were ventilator dependent at home. Pediatrics. 2013 Sep;132(3):e727-e734. Epub 2013 Aug 5. Select to access the abstract on PubMed®.
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