Under the ACA, Insurance Coverage for Young Adults Grew Most Among Hispanics and Blacks
July 18, 2017
AHRQ Stats: Hospital Stays Decline for Coronary Atherosclerosis
Hospital stays for coronary atherosclerosis decreased from more than 1 million in 2005 to fewer than 400,000 in 2014, a decline of more than 60 percent. (AHRQ, Healthcare Cost and Utilization Project Statistical Brief #225: Trends in Hospital Inpatient Stays in the United States, 2005-2014.)
- Under the ACA, Insurance Coverage for Young Adults Grew Most Among Hispanics and Blacks.
- New AHRQ Series Provides Guidance for Conducting Systematic Reviews on Complex Interventions .
- Highlights From AHRQ’s Patient Safety Network.
- Register for October 8-10 Diagnostic Error in Medicine Conference in Boston.
- July 25 Deadline Approaching for Submitting Abstracts to Dissemination and Implementation Conference.
- New Research and Evidence From AHRQ.
- Featured Case Study: Tennessee Hospital Uses AHRQ Tool To Boost Patient Safety.
- AHRQ in the Professional Literature.
Health insurance coverage for Hispanics and blacks between the ages of 19 and 25 increased by more than 14 percent as provisions in the Affordable Care Act (ACA) took effect between 2010 and 2014, an AHRQ study found. Young adults traditionally have the highest rates of uninsurance among all age groups and many, especially racial/ethnic minorities, are less able to afford large out-of-pocket medical expenses. AHRQ researchers measured the effect of ACA insurance expansions, including the requirement that insurers offer coverage to young adults up to age 26 under their parents’ plan, the expansion of Medicaid coverage in participating states and the creation of state and federal insurance marketplaces. More than 120,000 responses from young adults to the National Health Interview Survey showed that after the 2014 expansion, coverage increased by 11 percent for Hispanics, by 10.1 percent for blacks and 5.6 percent among whites. The study appeared in Medical Care Research and Review. Access the abstract.
Seven AHRQ-supported articles published in the Journal of Clinical Epidemiology provide practical tools and guidance to address the unique challenges of developing systematic reviews of complex health care interventions. Complex interventions address challenges such as changing behavior to prevent diabetes, cardiovascular disease and obesity; tackling the medical, social and health care factors contributing to health outcomes including opioid addiction; and improving health care quality and safety. Interpreting and applying the results of research about complex interventions may be challenging, according to study authors. The new AHRQ-funded articles follow a 2015 AHRQ meeting that assembled 57 experts and built on the agency’s previous work related to research methods. Post-meeting work groups organized by AHRQ’s Evidence-based Practice Center Program developed articles based on key meeting themes. The articles are intended to help researchers design and conduct systematic reviews to better answer important clinical, policy and research questions; improve the usefulness of reviews; and better inform health care decision-making and improve outcomes. Access more information about the articles.
AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:
- Incidence and predictors of opioid prescription at discharge after traumatic injury.
- Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries.
- Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings.
Register today for the Diagnostic Error in Medicine 10th International Conference taking place October 8-10 in Boston. AHRQ has supported the Society to Improve Diagnosis in Medicine in its quest to improve diagnostic safety and has an open funding opportunity announcement for research that focuses on diagnostic safety. The Diagnostic Error in Medicine conference focuses on the state of the science on diagnostic safety and strategies to improve diagnosis in health care. Don Berwick, M.D., president emeritus and senior fellow at the Institute for Healthcare Improvement, will present a keynote address. Special sessions will discuss diagnostic safety issues related to data and measurement, health information technology and organizational factors.
July 25 Deadline Approaching for Submitting Abstracts to Dissemination and Implementation Conference
Abstracts are being accepted for the 10th Annual Conference on the Science of Dissemination and Implementation. The conference, to be held December 4-6 in Arlington, Virginia, will be cohosted by the National Institutes for Health and AcademyHealth. Additional sponsors include AHRQ, the Patient-Centered Outcomes Research Institute, the Robert Wood Johnson Foundation and the U.S. Department of Veterans Affairs. The event is designed to bridge the gap between evidence, practice and policy in health care. This year's conference, titled "A Decade of Progress and the Path Forward," is aimed at consolidating support for a research agenda that considers applying scientific discoveries to diverse contexts and populations, the power of partnerships, the value of engagement, and the complex fit between evidence-based interventions and the diversity of community and clinical settings.
After using principles from AHRQ’s Comprehensive Unit-based Safety Program (CUSP) to reduce pressure ulcers, NorthCrest Medical Center in Springfield, Tennessee, used CUSP to tackle 24 additional safety problems ranging from catheter-associated urinary tract infections to medication errors. The hospital has also adapted CUSP practices for strategies to reduce patient falls and readmissions. Access the Impact Case Study.
Perceived discrimination in health care and mental health/substance abuse treatment among blacks, Latinos, and whites. Mays VM, Jones AL, Delany-Brumsey A, et al. Med Care 2017 Feb;55(2):173-81. Access the abstract on PubMed®.
High touch and high tech (HT2) proposal: transforming patient engagement throughout the continuum of care by engaging patients with portal technology at the bedside. McAlearney AS, Sieck CJ, Hefner JL, et al. JMIR Res Protoc 2016 Nov 29;5(4):e221. Access the abstract on PubMed®.
Aspirin use for the primary prevention of cardiovascular disease and colorectal cancer. McNellis RJ, Beswick-Escanlar V. Am Fam Physician 2016 Oct 15;94(8):661-2. Access the abstract on PubMed®.
The impact of critically ill children on paediatric ED medication timeliness. Michelson KA, Bachur RG, Levy JA. Emerg Med J 2017 Jan;34(1):8-12. Epub 2016 Sep 28. Access the abstract on PubMed®.
Marijuana use as a sex-drug is associated with HIV risk among black MSM and their network. Morgan E, Skaathun B, Michaels S, et al. AIDS Behav 2016 Mar;20(3):600-7. Access the abstract on PubMed®.
National characteristics of emergency medical services in frontier and remote areas. Mueller LR, Donnelly JP, Jacobson KE, et al. Prehosp Emerg Care 2016;20(2):191-9. Epub 2016 Jan 25. Access the abstract on PubMed®.
The role of opioid analgesics in geriatric pain management. Naples JG, Gellad WF, Hanlon JT. Clin Geriatr Med. 2016 Nov;32(4):725-35. Epub 2016 Aug 9. Access the abstract on PubMed®.
Non-tricyclic and non-selective serotonin reuptake inhibitor antidepressants and recurrent falls in frail older women. Naples JG, Kotlarczyk MP, Perera S, et al. Am J Geriatr Psychiatry 2016 Dec;24(12):1221-7. Epub 2016 Aug 17. Access the abstract on PubMed®.