Additional Resources from AHRQ’s Multiple Chronic Conditions (MCC) Research Network
Medical Care Special Journal Supplement
Research of a number of AHRQ Multiple Chronic Conditions (MCC) Research Network investigators is highlighted in a special supplement on multiple chronic conditions in the journal Medical Care. In addition to the twelve original papers, the Medical Care special supplement includes: a foreword by Anand Parekh, MD, MPH, Deputy Assistant Secretary for Health and David Meyers, MD, Director of the Center for Primary Care, Prevention, and Clinical Partnerships at AHRQ; an editorial by Mary Tinetti, MD, Yale University School of Medicine, and Jayasree Basu, PhD, MBA, AHRQ; and three overview papers, including a conceptual model of multiple chronic condition care, a description of the overall research contributions of the AHRQ MCC Research Network, and a commentary on methods for MCC research. This special supplement is available for free online.
Video Presentations of Papers from Medical Care Special Supplement
Three investigators presented papers from the March 2014 Medical Care special supplement at an AHRQ webinar in February 2014:
- Joe C. Cantor, ScD. The fragmentation of hospital use among a cohort of high utilizers: implications for emerging care coordination strategies for patients with MCC.
- C. Annette Dubard, M.D., M.Ph. Use of medical homes by patients with comorbid physical and mental illness.
- Nilay Shah, PhD. Out of context: clinical practice guidelines and patients with multiple chronic conditions.
All three videos are available at: http://journals.lww.com/lww-medicalcare/pages/videogallery.aspx
Conceptual Model of the Role of Complexity in the Care of Patients with MCC
The AHRQ MCC Research Network developed a conceptual model defining complexity as the gap between an individual’s needs and the capacity of health services to support those needs. The model takes contextual factors into account, and reframes relevant processes and outcomes to include not only clinical care quality and experience, but also patient health, well-being and quality of life. The conceptual model and its development are described in detail in a paper in the Medical Care supplement.
The Multiple Chronic Conditions Chartbook (PDF) [ - 10.62 MB] uses AHRQ’s 2010 Medical Expenditure Panel Survey (MEPS) data to examine the prevalence and impact of MCC. The Chartbook includes the following sections: Prevalence and Scope of MCC, Healthcare Utilization and Costs, Impact on Patients and Families, and Recent Trends: Comparing 2006 and 2010 Data, as well as detailed information about the methodology used to create the Chartbook. The tables and graphs from the Chartbook are also available in PowerPoint format, so that they can be easily added to documents and presentations.
These very short presentations were recorded during in-person meetings of the AHRQ Multiple Chronic Conditions Research Network. The presentations were given by the Research Network investigators to describe one compelling aspect of their work, and in one case by a meeting presenter (Michael Parchman) to summarize the meeting discussion. The format for these presentations was inspired by the 60-Second Lecture Series at University of Pennsylvania.
A list of all publications (through August 31, 2013) from the grants in the AHRQ Multiple Chronic Conditions Research Network is available. In addition, a selected list of seminal MCC articles between 2002 and 2013 has been compiled and is available.
AHRQ Conference Presentation
Members of the AHRQ MCC Research Network recorded three brief presentations at the 2011 AHRQ Annual Conference during a session hosted by AHRQ's Prevention and Chronic Care Program. For more information on these videos, go to http://www.ahrq.gov/news/events/conference/2011/video/index.html.