New AHRQ Views Blog Post—Today’s Nurses: Poised To Fill Needs in Primary Care
AHRQ Stats: Declining In-Hospital Hip Fractures
The average hospital rate of in-hospital hip fractures due to falls decreased 74 percent from 2011 to 2014. (Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #237: Patient Safety and Adverse Events, 2011 and 2014.)
- New AHRQ Views Blog Post—Today’s Nurses: Poised To Fill Needs in Primary Care.
- Generic Alternatives May Not Reduce Specialty Drug Prices for Rare Conditions.
- Highlights From AHRQ’s Patient Safety Network.
- Register for TeamSTEPPS Online for Office-Based Care.
- Featured Studies on the Nation's Health Systems.
- Updated Electronic Clinical Quality Measures Now Available.
- AHRQ in the Professional Literature.
In recognition of National Nurses Week, AHRQ Senior Nursing Advisor Ric Ricciardi, Ph.D., N.P., describes registered nurses (RNs) as being well positioned to take their place in providing the same level of care as alongside nurse practitioners (NPs) and physician assistants (PAs) at the front lines of care delivery in primary care settings. As health care delivery changes, the demand for primary care cannot be met solely by physicians, NPs and PAs. RNs are prepared to lead the development of integrated, person-centric care plans, while also serving as health educators and health advocates. Access the blog post.
Generic medications developed as alternatives to specialty drugs may not significantly increase market competition and reduce prescription prices, according to a new study co-authored by a participant in an AHRQ-funded research training program. The project reviewed over 15 years of pricing data on imatinib (brand name Gleevec), a drug used to treat leukemia patients. A month of imatinib cost $4,000 when it was introduced in 2001, and that price climbed to $10,000 when a generic alternative went on the market in 2016. By September 2017, prices for generic imatinib were just 10 percent below brand-name imatinib even though generics made up 74 percent of all imatinib filled prescriptions. Barriers to price competition from generic specialty drugs may include few generics entering the market, lower than anticipated price differences, prescribing patterns that favored brand-name drugs and a smaller than expected use of generic drugs by patients. Access the abstract to the study, published in Health Affairs.
AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:
- Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial.
- Electronic health record reviews to measure diagnostic uncertainty in primary care.
- Medical Office Survey on Patient Safety Culture: 2018 User Database Report.
Register for a free TeamSTEPPS® training course on enhancing communication and teamwork skills among office-based professionals to improve patient safety and quality. Participants may begin pre-course work now and will earn no-cost continuing education credits for each activity completed. TeamSTEPPS is among the creditable quality improvement activities for providers participating in the Merit Based Incentive Payment System (MIPS). TeamSTEPPS for Office-Based Care offers techniques, tools and strategies to help health care professionals develop and optimize team knowledge and performance in a medical office setting.
AHRQ's Comparative Health System Performance Initiative funds studies about how health care delivery systems promote evidence-based practices and patient-centered outcomes research in delivering care. Publications include:
- Association between Medicare accountable care organization implementation and spending among clinically vulnerable beneficiaries.
- Medicare accountable care organizations of diverse structures achieve comparable quality and cost performance.
- Quality of care improves for patients with diabetes in Medicare shared savings accountable care organizations: organizational characteristics associated with performance.
Access the initiative's Compendium of U.S. Health Systems, 2016, the first publicly available database that gives researchers, policymakers and health care administrators a snapshot of the nation's health systems.
The Centers for Medicare & Medicaid Services (CMS) has posted 2019 updates to the Electronic Clinical Quality Measures (eCQMs), which clinicians use to extract data from electronic health records or health information technology systems to measure the quality of health care. CMS updates the specifications annually to align with current clinical guidelines and code systems. Access the eCQI Resource Center to learn more.
The design, usability, and feasibility of a family-focused diabetes self-care support mHealth intervention for diverse, low-income adults with type 2 diabetes. Mayberry LS, Berg CA, Harper KJ, et al. J Diabetes Res 2016;2016:7586385. Epub 2016 Nov 7. Access the abstract on PubMed®.
Identifying increased risk of readmission and in-hospital mortality using hospital administrative data: the AHRQ Elixhauser Comorbidity Index. Moore BJ, White S, Washington R, et al. Med Care 2017 Jul;55(7):698-705. Access the abstract on PubMed®.
Patient-reported limitations to surgical buy-in: a qualitative study of patients facing high-risk surgery. Nabozny MJ, Kruser JM, Steffens NM, et al. Ann Surg 2017 Jan;265(1):97-102. Access the abstract on PubMed®.
Structured clinical documentation in the electronic medical record to improve quality and to support practice-based research in epilepsy. Narayanan J, Dobrin S, Choi J, et al. Epilepsia 2017 Jan;58(1):68-76. Epub 2016 Nov 19. Access the abstract on PubMed®.
Depressed adolescents' positive and negative use of social media. Radovic A, Gmelin T, Stein BD, et al. J Adolesc 2017 Feb;55:5-15. Epub 2016 Dec 18. Access the abstract on PubMed®.
A consensus-driven agenda for emergency medicine firearm injury prevention research. Ranney ML, Fletcher J, Alter H, et al. Ann Emerg Med 2017 Feb;69(2):227-40. Epub 2016 Dec 18. Access the abstract on PubMed®.
Association between metformin use and cancer stage at diagnosis among elderly Medicare beneficiaries with preexisting type 2 diabetes mellitus and incident prostate cancer. Raval AD, Mattes MD, Madhavan S, et al. J Diabetes Res 2016;2016:2656814. Epub 2016 Jul 31. Access the abstract on PubMed®.
For selected services, blacks and Hispanics more likely to receive low-value care than whites. Schpero WL, Morden NE, Sequist TD, et al. Health Aff (Millwood) 2017 Jun 1;36(6):1065-9. Access the abstract on PubMed®.
For comments or questions about AHRQ News Now, contact Bruce Seeman at Bruce.Seeman@ahrq.hhs.gov or 301-427-1998.
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Page originally created May 2018