Updated Diagnosis Codes Suggest Opioid-Related Hospitalization Rates Higher Than Previously Estimated

Issue 585
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
October 3, 2017

AHRQ Stats: Differences in Insurance Payments for Child Visits to Physicians

In 2015, payments for child visits to a physician’s office averaged $88 higher when covered by private insurance compared with visits covered by Medicaid. (Source: AHRQ, Medical Expenditure Panel Survey Statistical Brief #504: Differences in Payments for Child Visits to Office-Based Physicians: Private versus Medicaid Insurance, 2010 to 2015.)

Today's Headlines:

Updated Diagnosis Codes Suggest Opioid-Related Hospitalization Rates Higher Than Previously Estimated

A new AHRQ analysis based on updated International Classification of Diseases (ICD) codes suggests that opioid-related hospitalization rates during 2015-16 were substantially higher than previously estimated. The U.S. health system transitioned from ICD-9 to ICD-10 codes on Oct. 1, 2015, a shift that increased the overall number of possible diagnosis codes from about 14,000 to 68,000. That transition included 14 new codes for “opioid use, unspecified” that captured an additional 7,500 opioid-related hospitalizations, according to the AHRQ study, published in the journal Medical Care. Authors of the study concluded that the new ICD-10 coding system may lead to better estimates of the burden of opioid problems in the hospital sector, as well as better tracking of the potential impact of federal, state and local policies aimed at addressing the epidemic. Access the abstract.

New AHRQ Grantee Profile Highlights Work of Susan Huang, M.D.

AHRQ’s latest grantee profile examines how agency funding has helped Susan Huang, M.D., advance the field of infection prevention. Dr. Huang, professor of medicine in the Division of Infectious Diseases and Medical Director, Epidemiology and Infection Prevention, at the University of California Irvine School of Medicine, has helped identify how healthcare-associated infections are transmitted and discovered new approaches to prevent them. Check out her profile and those of other AHRQ grantees who have made significant contributions to health services research.

Highlights From AHRQ’s Patient Safety Network

AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:

Review additional new publications in PSNet’s current issue or access recent cases and commentaries in AHRQ’s WebM&M (Morbidity and Mortality Rounds on the Web).

New Survey Finds 21 Percent of Americans Report Personal Experience With Medical Errors

The vast majority of Americans are having positive experiences with the health care system, but 21 percent of adults report having personally experienced a medical error, according to a new national survey released by the Institute for Healthcare Improvement/National Patient Safety Foundation (IHI/NPSF)  Lucian Leape Institute and NORC at the University of Chicago. The survey further found that, when errors do occur, they often have a lasting impact on patients’ physical health, emotional health, financial well-being or family relationships. The nationwide survey of more than 2,500 adults was conducted from May 12 to June 26. Access more information about the survey and reports.

Oct. 12 Webinar Will Highlight Successes of CAHPS® Surveys

Register now for a webinar on Oct. 12 from 12:30 to 2 p.m. ET to learn about the latest tools and research findings from AHRQ’s Consumer Assessment of Healthcare Providers and Systems (CAHPS®) surveys. CAHPS surveys, which ask consumers and patients to evaluate their health care experiences, are used by consumers, health plans, purchasers of health care and others to evaluate and compare providers and to improve the quality of health care services. Webinar speakers will highlight recent CAHPS program advances and review research findings on the value of CAHPS data. Webinar attendees may ask questions about using CAHPS to advance the assessment of patient experience of care.

AHRQ Views Blog Post: Widening the Circle of Support for Learning Health Systems

In a new AHRQ Views blog post, Director Gopal Khanna, M.B.A., highlights the agency’s recent summit on learning health systems and their potential for continuous improvement through the systematic collection, adoption and application of evidence. Read the blog post to learn more about the thought-provoking themes that emerged, how AHRQ is committed to continuing the conversation about learning health systems and how the agency’s tools and resources can help health systems achieve success.

AHRQ Seeks Grant Applications for Diagnostic Safety Research

Two funding opportunities from AHRQ are intended to support research projects on understanding and improving diagnostic safety in ambulatory care. The announcement for R01 grants solicits project proposals to gain a better understanding of the complexity and incidence of diagnostic failures. The announcement for R18 grants seeks projects to evaluate strategies and interventions for reducing diagnostic failures and patient harms. The funding opportunities align with the agency’s ongoing efforts to improve diagnostic safety. Access a recent AHRQ Views blog post on the topic.

AHRQ in the Professional Literature

The impact of home care nurses' numeracy and graph literacy on comprehension of visual display information: implications for dashboard design. Dowding D, Merrill JA, Onorato N, et al. J Am Med Inform Assoc 2017 Apr 27. [Epub ahead of print.] Access the abstract on PubMed®.

Identifying barriers to delivering the awakening and breathing coordination, delirium, and early exercise/mobility bundle to minimize adverse outcomes for mechanically ventilated patients: a systematic review. Costa DK, White MR, Ginier E, et al. Chest 2017 Aug;152(2):304-11. Epub 2017 Apr 21. Access the abstract on PubMed®.

The association of postoperative glycemic control and lower extremity procedure outcomes. Vogel TR, Smith JB, Kruse RL. J Vasc Surg 2017 Oct;66(4):1123-32. Epub 2017 Apr 19. Access the abstract on PubMed®.

Understanding views on everyday use of personal health information: insights from community dwelling older adults. Hartzler AL, Osterhage K, Demiris G, et al. Inform Health Soc Care 2017 Apr 11:1-14. [Epub ahead of print.] Access the abstract on PubMed®.

Incorporating patients' social determinants of health into hypertension and depression care: a pilot randomized controlled trial. McClintock HF, Bogner HR. Community Ment Health J 2017 Aug;53(6):703-10. Epub 2017 Apr 4. Access the abstract on PubMed®.

Stakeholders apply the GRADE evidence-to-decision framework to facilitate coverage decisions. Dahm P, Oxman AD, Djulbegovic B, et al. J Clin Epidemiol 2017 Jun;86:129-39. Epub 2017 Apr 1. Access the abstract on PubMed®.

Treatment and prevention of depression and anxiety in youth: test of cross-over effects. Garber J, Brunwasser SM, Zerr AA, et al. Depress Anxiety 2016 Oct;33(10):939-59. Access the abstract on PubMed®.

Measuring the cost of the patient-centered medical home: a cost-accounting approach. Lieberthal RD, Payton C, Sarfaty M, et al. J Ambul Care Manage 2017 Oct/Dec;40(4):327-38. Access the abstract on PubMed®.

Contact Information

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Page last reviewed October 2017
Page originally created October 2017
Internet Citation: Updated Diagnosis Codes Suggest Opioid-Related Hospitalization Rates Higher Than Previously Estimated. Content last reviewed October 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletter/e-newsletter/585.html