Contest Challenges Technologists To Develop App for Collecting Patient-Reported Outcomes
AHRQ Stats: Hospital Stays for Physical and Mental Health/Substance Use Conditions
The percentage of adult hospitalizations involving both physical health and mental health/substance use conditions increased from 38 percent in 2010 to 45 percent by 2014. (Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #240: Co-occurrence of Physical Health Conditions and Mental Health and Substance Use Conditions Among Adult Inpatient Stays, 2010 Versus 2014.)
- Contest Challenges Technologists To Develop App for Collecting Patient-Reported Outcomes.
- AHRQ Releases New Opioid Management Toolkit for Primary Care Providers.
- AHRQ Grantee Profile Highlights Efforts of Thomas Gallagher, M.D., To Help Clinicians Communicate Errors to Patients.
- Effective Interventions Available To Treat Urinary Incontinence in Women.
- Sept. 13 Webinar Will Highlight Health Information Technology’s Potential To Improve Medication Use.
- Highlights From AHRQ’s Patient Safety Network.
- AHRQ in the Professional Literature.
A competition AHRQ launched this week invites technologists to compete for cash prizes for the development of an app capable of collecting standardized patient-reported outcomes (PRO) data in a range of settings, including primary and specialty care practices. The total prize pool for the three-phase AHRQ Step Up App Challenge is $250,000. PRO data report the status of a patient’s health condition and come directly from the patient, without interpretation of the patient’s response by a clinician or other medical expert. However, these data have not been collected and used routinely in practice in part because there is no standardized way to collect and integrate the information into health information technology systems. The winning app will be tested in nine practice settings affiliated with MedStar Health in Washington, D.C., Maryland and Virginia. In partnership with AHRQ, HHS' Office of the Assistant Secretary for Planning and Evaluation is providing financial support from the Patient-Centered Outcomes Trust Fund. The HHS Office of the National Coordinator for Health Information Technology is leading stakeholder efforts to develop the technical specifications for the challenge. For more information, access the AHRQ Step Up App Challenge Web page, AHRQ’s press release or a new AHRQ Views blog post by Director Gopal Khanna, M.B.A.
AHRQ has released a new toolkit to support a structured, team-based approach to improving the management of patients who take opioids to ease chronic pain. The majority of patients taking opioids for chronic pain are managed by primary care providers and their staff. The Six Building Blocks toolkit supports improvement in six areas: leadership and consensus; policies, patient agreements and workflows; tracking and monitoring patient care; planned, patient-centered visits; caring for complex patients; and measuring success. The Web site was developed as part of a collaboration among AHRQ, the Washington State Department of Health and the Centers for Disease Control and Prevention.
AHRQ Grantee Profile Highlights Efforts of Thomas Gallagher, M.D., To Help Clinicians Communicate Errors to Patients
AHRQ’s latest grantee profile examines how agency funding has helped researcher Thomas Gallagher, M.D., general internist and professor in the Department of Medicine at the University of Washington in Seattle, develop disclosure standards and training to help clinicians inform patients about medical errors or problems in their care and then learn from those mistakes. Access his profile and those of other AHRQ grantees who have made major advances in health services research.
A new AHRQ evidence review conducted in partnership with the Patient-Centered Outcomes Research Institute found that behavioral therapy is better than medication for treating stress and urgency urinary incontinence (UI). Both treatment approaches are better than not treating the problem. The review found evidence to support a range of treatments, including behavioral therapies and behavioral therapy combined with hormones and alpha agonists (for stress UI) and anticholinergics (for urgency UI). The report found that serious adverse effects are rare with medications, but common side effects include dry mouth, nausea, insomnia and fatigue.
Registration is open for an AHRQ webinar on Sept. 13 from 1 to 2:30 p.m. ET on the potential of health information technology design to improve medication monitoring, adherence and medication therapy management for patients with complex conditions. Presenters will discuss a text messaging system for patients with chronic conditions, the effects of a smart pillbox intervention on patient medication adherence after hospital discharge, and recommendations for clinical decision support used by community pharmacists delivering medication therapy management. Eligible providers can earn up to 1.5 continuing education/continuing medical education credit hours for participating in the webinar.
AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:
- Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers.
- Outpatient opioid prescriptions for children and opioid-related adverse events.
- A road map for advancing the practice of respect in health care: the results of an interdisciplinary modified Delphi consensus study.
Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. Olson APJ, Graber ML, Singh H. J Gen Intern Med 2018 Jul;33(7):1187-91. Epub 2018 Jan 29. Access the abstract on PubMed®.
Age at exposure to surgery and anesthesia in children and association with mental disorder diagnosis. Ing C, Sun M, Olfson M, et al. Anesth Analg 2017 Dec;125(6):1988-98. Access the abstract on PubMed®.
Provider perceptions of the organization's cultural competence climate and their skills and behaviors targeting patient-centered care for socially at-risk populations. Purnell TS, Marshall JK, Olorundare I, et al. J Health Care Poor Underserved 2018;29(1):481-96. Access the abstract on PubMed®.
Improving the accuracy of a clinical decision support system for cervical cancer screening and surveillance. Ravikumar KE, MacLaughlin KL, Scheitel MR, et al. Appl Clin Inform 2018 Jan;9(1):62-71. Epub 2018 Jan 24. Access the abstract on PubMed®.
Characterization of actions taken during the delivery of medication therapy management: a time-and-motion approach. Chang AC, Lincoln J, Lantaff WM, et al. J Am Pharm Assoc (2003) 2018 Jan-Feb;58(1):61-6.e7. Epub 2017 Nov 9. Access the abstract on PubMed®.
A team-based online game improves blood glucose control in veterans with type 2 diabetes: a randomized controlled trial. Kerfoot BP, Gagnon DR, McMahon GT, et al. Diabetes Care 2017 Sep;40(9):1218-25. Epub 2017 Aug 8. Access the abstract on PubMed®.
Applying decision science to the prioritization of healthcare-associated infection initiatives. Tsai TH, Gerst MD, Engineer C, et al. J Patient Saf 2017 Aug 30. [Epub ahead of print.] Access the abstract on PubMed®.
Patient- and caregiver-reported assessment tools for palliative care: summary of the 2017 Agency for Healthcare Research and Quality technical brief. Aslakson RA, Dy SM, Wilson RF, et al. J Pain Symptom Manage 2017 Dec;54(6):961-72.e16. Epub 2017 Aug 15. 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 August 2018