AHRQ Advances Efforts To Battle Opioid Epidemic
April 9, 2019
AHRQ Stats: Health System Participation in Accountable Care Organizations
About 44 percent of hospitals that belonged to health systems in 2016 participated in accountable care organization (ACO) contracts. Meanwhile, only 13 percent of nonsystem hospitals participated in ACOs. (Source: AHRQ, Compendium of U.S. Health Systems—Health System Participation in Accountable Care Organizations (ACOs), 2016 [PDF, 242 KB]).
- AHRQ Advances Efforts To Battle Opioid Epidemic.
- AHRQ Views Blog: Compendium Updates Show Health Systems’ Growing Participation in Accountable Care Organizations.
- Highlights From AHRQ’s Patient Safety Network.
- Featured Case Study: Florida Health Center Uses TeamSTEPPS To Improve Diabetes Outcomes.
- AHRQ Study Identifies Conditions Leading to Quality Improvement for Primary Care.
- AHRQ in the Professional Literature.
Two new AHRQ initiatives signal the agency’s ongoing support for the Department of Health and Human Services 5-Point Strategy To Combat the Opioid Crisis:
- A new document designed to help reduce inappropriate opioid use and abuse—A Stakeholder-Driven Action Plan for Improving Pain Management, Opioid Use, and Opioid Use Disorder Treatment Through Patient-Centered Clinical Decision Support—has been developed by the AHRQ-supported Patient-Centered Clinical Decision Support Learning Network. Released March 28, the report is part of AHRQ’s efforts to advance clinical decision support. It includes five detailed patient scenarios demonstrating ways that clinical decision support can lead to better outcomes.
- Comments are being solicited until April 25 on the draft Treatment for Acute Pain: An Evidence Map. The resource will provide an overview of current guidelines and systematic reviews on pharmacologic and nonpharmacologic treatments for acute pain, including opioids. It will cover treatment for acute pain conditions including postoperative pain, dental pain, neck pain, back pain, renal colic, acute migraine and sickle cell crisis.
AHRQ Views Blog: Compendium Updates Show Health Systems’ Growing Participation in Accountable Care Organizations
Enhancements to AHRQ’s Compendium of U.S. Health Systems now allow researchers, policymakers and others to learn which systems are augmenting patient services by offering health insurance plans or participating in Accountable Care Organizations or Medicare bundled payment programs. Compendium updates are highlighted in a new blog post by AHRQ’s Dan Miller, M.S., a social sciences researcher, and Mike Furukawa, Ph.D., a senior economist and director of the agency’s Comparative Health System Performance Initiative. The initiative’s compendium, launched in 2017, offers insights into the increasing consolidation among the nation’s 626 healthcare systems. Updates are aimed at helping to explore how consolidation may be affecting quality and cost. AHRQ has developed four data highlight publications that summarize the new data and identify trends about alternative payment plans and insurance products. Access the blog post. To receive all blog posts, submit your email address and select “AHRQ Views Blog.”
AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:
- Changes in practice among physicians with malpractice claims.
- Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates.
- How to Talk About Patient Safety.
A University of Florida health center used AHRQ’s TeamSTEPPS® training program to enhance medical staff teamwork and help patients self-manage their care. At the university’s nurse-led Archer Family Health Care practice, 53 percent of patients with diabetes reduced their blood sugar levels while 33 percent reduced the severity of their depression. Access the Impact Case Study.
Support from executive leaders, staff participation in decision-making, and previous experience with quality improvement initiatives all helped lead to higher performance among primary care clinics that participated in quality improvement programs, according to a new AHRQ study published in Quality Management in Health Care. Additional factors that provided a receptive context for work process improvements included workplace stress, burnout and dissatisfaction with the current operations in clinics. Researchers examined clinics that employed Lean management, a process and quality improvement program that aims to eliminate waste, optimize workflows and engage workers in continuous quality improvement. Using surveys of 1,300 primary care clinicians and staff engaged in Lean-influenced redesign of clinic workflows, researchers examined conditions affecting clinics’ ability to enhance care efficiency and productivity and to increase patient satisfaction. Access the abstract.
Patient perceptions of barriers to self-management of breast cancer-related lymphedema. Ostby PL, Armer JM, Smith K, et al. West J Nurs Res 2018 Dec;40(12):1800-17. Epub 2017 Nov 30. Access the abstract on PubMed®.
Mental skills training effectively minimizes operative performance deterioration under stressful conditions: results of a randomized controlled study. Anton NE, Beane J, Yurco AM, et al. Am J Surg 2018 Feb;215(2):214-21. Epub 2017 Nov 8. Access the abstract on PubMed®.
Trends in health care utilization for asthma exacerbations among diverse populations with asthma in the United States. Stone C, Gebretsadik T, Lee RL, et al. J Allergy Clin Immunol Pract 2018 Jan-Feb;6(1):295-7.e5. Epub 2017 Sep 19. Access the abstract on PubMed®.
Listen before you leap: Sri Lankan health professionals' perspectives on m-health. Han KJ, Subramanian R, Cameron GT. Health Informatics J 2017 Aug 1:1460458217725903. [Epub ahead of print.] Access the abstract on PubMed®.
Anxiety and posttraumatic stress disorder among Medicare beneficiaries after traumatic brain injury. Albrecht JS, Peters ME, Smith GS, et al. J Head Trauma Rehabil 2017 May/Jun;32(3):178-184. Access the abstract on PubMed®.
Using mHealth app to support treatment decision-making for knee arthritis: patient perspective. Zheng H, Tulu B, Choi W, et al. EGEMS (Wash DC). 2017 Apr 20;5(2):7. Access the abstract on PubMed®.
Integrating social determinants of health into primary care clinical and informational workflow during care transitions. Hewner S, Casucci S, Sullivan S, et al. EGEMS (Wash DC). 2017 Jul 4;5(2):2. Access the abstract on PubMed®.
The association between geographic density of infectious disease physicians and limb preservation in patients with diabetic foot ulcers. Brennan MB, Allen GO, Ferguson PD, et al. Open Forum Infect Dis 2017 Feb 20;4(1):ofx015. eCollection 2017 Winter. Access the abstract on PubMed®.