AHRQ Contributes to Identifying Eight Functions Needed for High-Performing Primary Care

Issue 624
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
July 24, 2018

AHRQ Stats: Access to Care Among Metro and Non-Metro Residents

In 2015-16, people under age 65 who lived in metropolitan areas were more likely than non-metro residents to lack a usual source of medical care (25 vs. 19 percent). Metro residents were no more likely, however, to have an unmet need for care. (Source: AHRQ, Medical Expenditure Panel Survey Statistical Brief #512: Insurance and Access to Care in Urban and Rural Areas, 2014-2015.)

Today's Headlines:

AHRQ Contributes to Identifying Eight Functions Needed for High-Performing Primary Care

A new article by a team that included AHRQ researchers identified eight functions that, when performed by primary care practices, lead to meeting the “quadruple aim” of better care, healthier patients, lower costs and happier staffs. The functions are: (1) managing populations or panels, (2) planning care, (3) providing self-management support counseling or coaching, (4) managing medications, (5) providing integrated behavioral health care, (6) connecting patients with community services and resources, (7) managing referrals and (8) providing care management services for sicker patients. The authors of the article, published in Journal of Ambulatory Care Management, visited 30 sites from the Robert Wood Johnson Foundation's "The Primary Care Team: Learning from Effective Ambulatory Care Practices" (LEAP) Project, which studied innovative staffing arrangements at high-performing primary care practices. The authors also analyzed eight AHRQ New Models of Primary Care Workforce and Financing case studies that illustrate comprehensive, high-quality primary care. Access the abstract

Report Identifies Strategies That Increase Breastfeeding Rates

A new AHRQ evidence review shows the incidence and duration of breastfeeding are increased by hospital programs such as the Baby-Friendly Hospital Initiative, clinician training combined with postpartum home visits, and peer support offered through the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). The report also shows breastfeeding is associated with reduced maternal risk of breast and ovarian cancer, hypertension and type 2 diabetes. Researchers reviewed nearly 140 published studies on breastfeeding interventions and health outcomes. More research is needed on the effectiveness of workplace, school-based and other community-based interventions, authors concluded. The report was supported by HHS’s Office on Women’s Health and the Centers for Disease Control and Prevention.

New AHRQ Views Blog Post: A Tip of the Cap to Researchers’ Outstanding Use of AHRQ Data

Herb Wong, Ph.D., director of the Division of Markets and Systems Research in AHRQ's Center for Delivery, Organization, and Markets, highlights the recipients of this year’s Healthcare Cost and Utilization Project (HCUP) Outstanding Article of the Year awards. Each year, AHRQ and AcademyHealth recognize researchers whose peer-reviewed journal articles make the best use of data from HCUP, one of AHRQ's primary data sources. To date, more than 6,000 peer-reviewed articles have cited AHRQ’s HCUP data. Access the blog post, which cites outstanding articles in the clinical and policy fields.

Register Now: Aug. 22 Webinar on EvidenceNow Initiative To Highlight New Tools for Getting Evidence Into Practice

A webinar on Aug. 22 from 2 to 3:15 p.m. ET will highlight AHRQ’s new online repository of resources to help primary care practices implement the best available clinical evidence to improve heart health. Insights on how the resources have improved care will be provided by practice facilitators from AHRQ’s Evidence Now project, a multistate initiative developed to improve heart health in 1,500 small and medium primary care practices.

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).

Funding Applications Due Sept. 25 and Oct. 5 for Research Projects on Healthcare-Associated Infections and Antibiotic Resistance

AHRQ is seeking innovative research proposals for preventing healthcare-associated infections (HAI) and combating antibiotic-resistant bacteria (CARB). Funding applications are due by Sept. 25 for demonstration and dissemination projects (R18). Applications are due by Oct. 5 for large research projects (R01). HAI projects in both grant categories should demonstrate new ways to detect, prevent and reduce HAIs. CARB projects should address ways to promote appropriate antibiotic use, reduce the transmission of resistant bacteria or prevent HAIs. To learn more, access the "Research Funding Available" section at the top of AHRQ's Healthcare-Associated Infections Program page

AHRQ in the Professional Literature

Preparing youth with cancer for amputation: a systematic review. Loucas CA, Brand SR, Bedoya SZ, et al. J Psychosoc Oncol 2017 Jul-Aug;35(4):483-93. Epub 2017 Mar 20. Access the abstract on PubMed®.

Effectiveness of two distinct web-based education tools for bedside nurses on medication administration practice for venous thromboembolism prevention: a randomized clinical trial. Lau BD, Shaffer DL, Hobson DB, et al. PLoS One 2017 Aug 16;12(8):e0181664. Access the abstract on PubMed®.

Magnesium, hemostasis, and outcomes in patients with intracerebral hemorrhage. Liotta EM, Prabhakaran S, Sangha RS, et al. Neurology 2017 Aug 22;89(8):813-19. Epub 2017 Jul 26. Access the abstract on PubMed®. 

Improving medication adherence and health outcomes in older adults: an evidence-based review of randomized controlled trials. Marcum ZA, Hanlon JT, Murray MD. Drugs Aging 2017 Mar;34(3):191-201. Access the abstract on PubMed®.

Safe storage of opioid pain relievers among adults living in households with children. McDonald EM, Kennedy-Hendricks A, McGinty EE, et al. Pediatrics 2017 Mar;139(3). Epub 2017 Feb 20. Access the abstract on PubMed®.

Bursting the information bubble: identifying opportunities for pediatric patient-centered technology. Miller AD, Pollack AH, Pratt W. AMIA Annu Symp Proc 2017 Feb 10;2016:894-903. Access the abstract on PubMed®.

Do gender and race make a difference in acute coronary syndrome pretest probabilities in the emergency department? Musey PI, Jr., Kline JA. Acad Emerg Med 2017 Feb;24(2):142-51. Epub 2017 Jan 30. Access the abstract on PubMed®.

Norms and stigma regarding pregnancy decisions during an unintended pregnancy: development and predictors of scales among young women in the U.S. South. Rice WS, Turan B, Stringer KL, et al. PLoS One 2017 Mar 22;12(3):e0174210. Access the abstract on PubMed®.

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Page last reviewed July 2018
Page originally created July 2018
Internet Citation: AHRQ Contributes to Identifying Eight Functions Needed for High-Performing Primary Care. Content last reviewed July 2018. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/news/newsletters/e-newsletter/624.html
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