AHRQ, CMS Award $13 Million to Test, Implement New Children's Quality Measures
October 4, 2016
AHRQ Stats: Insurance Gains Among Young Adults
As of mid-2015, young adults ages 18 to 29 were the most likely to gain health insurance coverage due to the Affordable Care Act. The uninsured rate for this group declined from 31 percent to 15 percent. (Source: Agency for Healthcare Research and Quality, 2015 National Healthcare Quality and Disparities Report and 5th Anniversary Update on the National Quality Strategy.)
- AHRQ, CMS Award $13 Million to Test, Implement New Children's Quality Measures.
- AHRQ Summit Shines Spotlight on Improving Diagnostic Safety.
- New AHRQ Studies Examine Insurance Enrollment Gains.
- New AHRQ Views Blog Posts.
- New Research and Evidence From AHRQ.
- Featured Case Study: Harvard and Stanford Researchers Used AHRQ Data To Analyze Utilization, Costs in Primary Care
AHRQ and the Centers for Medicare & Medicaid Services announced awards totaling $13.4 million in funding over four years to six Pediatric Quality Measures Program (PQMP) grantees focused on implementing new measures developed by the PQMP Centers of Excellence. The grantees will focus on assessing the feasibility and usability of the new measures within the Medicaid and Children's Health Insurance Programs (CHIP) patient populations at the state, health plan and provider levels to support performance monitoring and quality improvement. “The ultimate goal for this research is to improve children's health through better health care, at lower costs, at both the federal and state level,” said AHRQ Director Andy Bindman, M.D. Quality measures are used to evaluate or quantify specific health care processes, outcomes, patient perceptions or other factors related to health care delivery. Access our press release to learn more.
Nearly 200 in-person attendees, along with an additional 400 via webcast, participated in AHRQ's Sept. 28 Research Summit on Improving Diagnosis in Health Care. The summit featured leaders in the emerging field, including Victor Dzau, M.D., president of the National Academy of Medicine (NAM); Mark L. Graber, M.D., president of the Society to Improve Diagnosis in Medicine; and pioneering researcher Gordon D. Schiff, M.D., of Brigham and Women's Center for Patient Safety Research and Practice. Participants in the full-day event discussed last year's NAM report on diagnostic safety and potential solutions to address organizational factors and health information technology challenges, and they began to establish a research agenda. Among themes highlighted during the conference sessions: addressing the challenge of developing and testing measures of diagnostic safety, harnessing the potential of health information technology to identify errors and measure diagnostic performance and increasing momentum to elevate the field into the mainstream of the patient safety movement. Access the conference Web site for information about the conference, including the agenda, speaker biographies and, coming soon, slide presentations.
Two AHRQ studies published in the October issue of Health Affairs provide new insights into transitions in insurance coverage between 2013 and 2014:
- About 72 percent of non-elderly adults who enrolled in a Marketplace plan in 2014 were uninsured at some point between January 2013 and the month before they enrolled. The analysis also showed that, among people who had been continuously uninsured in 2013, those who lived in states that expanded Medicaid were more than three times as likely to obtain Medicaid coverage in 2014 as those in non-expansion states. These findings emerged from newly available national data about insurance changes for non-elderly adults from January 2013 through December 2014. Access the abstract for the study, “Gaining Coverage in 2014: New Estimates of Transitions to Marketplace and Medicaid Coverage.”
- People who gained insurance coverage in 2014 after being uninsured the previous year were far more likely than those who remained uninsured to gain a usual source of care and access to preventive health services. Among those newly insured, 27 percent of those with Marketplace coverage and 18 percent of those with Medicaid gained a usual source of care compared with 11 percent of those who remained uninsured. These data indicate that people who gained insurance in 2014 experienced greater improvements in their access to care than those who remained uninsured. Access the abstract for the study, “Access To Care Improved For Those Who Gained Medicaid Or Marketplace Coverage In 2014.”
The new AHRQ studies help to quantify shifts in insurance coverage following passage of the Affordable Care Act. Both studies were based on data from AHRQ's Medical Expenditure Panel Survey (MEPS) – Household Component. MEPS is a nationally representative survey that collects information on Americans' health insurance, health care use and spending, access to care and other characteristics. Access previous MEPS statistical briefs on these topics.
- Comparing Health Systems: AHRQ's Signature Effort To Improve Patient Care
- Working To Prevent and Eliminate MRSA Infections
- Data Linkage Strategies To Advance Youth Suicide Prevention
- Outcome Measures Framework: Literature Review Findings and Implications
Featured Case Study: Harvard and Stanford Researchers Used AHRQ Data To Analyze Utilization, Costs in Primary Care
Researchers at Harvard Medical School and Stanford University used data from AHRQ's Medical Expenditure Panel Survey to develop an instrument that gauges how workforce and financing changes may affect utilization, revenue and expenses in primary care practices. Access the case study.
AHRQ in the Professional Literature
Health care use and spending for Medicaid enrollees in federally qualified health centers versus other primary care settings. Nocon RS, Lee SM, Sharma R, et al. Am J Public Health 2016 Sep 15:e1-e9. [Epub ahead of print.] Access the abstract in PubMed®.
Interprofessional team interactions about complex care in the ICU: pilot development of an observational rating tool. Costa DK, Dammeyer J, White M, et al. BMC Res Notes 2016 Aug 18;9:408. Access the abstract in PubMed®.
A patient-centered prescription drug label to promote appropriate medication use and adherence. Wolf MS, Davis TC, Curtis LM, et al. J Gen Intern Med 2016 Aug 19. [Epub ahead of print.] Access the abstract in PubMed®.
Changes in utilization and health among low-income adults after Medicaid expansion or expanded private insurance. Sommers BD, Blendon RJ, Orav EJ, et al. JAMA Intern Med 2016 Oct 1;176(10):1501-1509. Access the abstract in PubMed®.
Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements in visit summary design. Federman AD, Sanchez-Munoz A, Jandorf L, et al. J Am Med Inform Assoc 2016 Aug 7. [Epub ahead of print.] Access the abstract in PubMed®.
Agitation, delirium, and cognitive outcomes in intracerebral hemorrhage. Rosenthal LJ, Francis BA, Beaumont JL, et al. Psychosomatics 2016 Aug 5. [Epub ahead of print.] Access the abstract in PubMed®.
Perceived health competence predicts health behavior and health-related quality of life in patients with cardiovascular disease. Bachmann JM, Goggins KM, Nwosu SK, et al. Patient Educ Couns 2016 Jul 15. [Epub ahead of print.] Access the abstract in PubMed®.
User-centered design of multi-gene sequencing panel reports for clinicians. Cutting E, Banchero M, Beitelshees AL, at al. J Biomed Inform 2016 Jul 13. [Epub ahead of print.] Access the abstract in PubMed®.