Tobacco Users in Medicaid Expansion States More Likely To Get Help To Quit
July 9, 2019
AHRQ Stats: Common Mental and Substance Use Disorders
In 2016, one in five hospitalizations for mental and substance use disorders was for alcohol disorders and schizophrenia. (Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #249: Inpatient Stays Involving Mental and Substance Use Disorders, 2016.)
- Tobacco Users in Medicaid Expansion States More Likely To Get Help To Quit.
- Baylor Scott & White Health Is Featured in Case Study Series on Learning Health Systems.
- AHRQ Seeks Nominations to its National Advisory Council.
- Registration Open for Webinars To Highlight AHRQ Program on Increasing Antibiotic Stewardship in Ambulatory Care.
- Highlights From AHRQ’s Patient Safety Network.
- AHRQ in the Professional Literature.
Tobacco users in states that expanded Medicaid had a one-third higher chance of quitting tobacco and a one-half greater chance of getting the medication they needed compared with tobacco users in states that didn’t expand Medicaid, according to an AHRQ-funded study. Using electronic health record data from more than 300 community health centers (CHCs) in 10 states that expanded Medicaid in January 2014 and six states that did not, researchers found patients in expansion states were 35 percent more likely to quit, had a 53 percent greater chance of having a tobacco cessation medication ordered, and had 34 percent higher odds of having six or more follow-up CHC visits compared with patients in nonexpansion states. Increased access to insurance through the Medicaid expansion likely led to higher tobacco quit rates among patients who get their care through CHCs, according to the article. Access an abstract of the article, published in Nicotine & Tobacco Research.
Baylor Scott & White Health (PDF, 246.5 KB) is featured in AHRQ’s series of four real-world case studies that look at different aspects of learning health systems. Headquartered in Dallas, Baylor Scott & White Health has 48 hospitals and is the largest nonprofit healthcare system in Texas and one of the largest in the United States. An emphasis on preventive care has helped the system hold medical and pharmacy spending flat for the past five years. “A learning health system is one that can acquire data from day-to-day clinical operations to generate new insights that are then applied toward care improvement efforts,” says Andrew Masica, M.D., vice president and chief clinical effectiveness officer. AHRQ developed these case studies to help health system executives better understand what it takes to create a learning health system and highlight the value of making investments in transformation. Learn more about AHRQ’s support of learning health systems.
Nominations are being accepted to AHRQ's National Advisory Council, a 21-member volunteer panel that meets three times a year to advise the agency's director and the HHS secretary on matters related to AHRQ's mission. Nominees may include experts in healthcare quality and improvement, clinical practice, health insurance, healthcare administration, economics, informatics, healthcare law, public policy or the private sector. The agency also welcomes nominees from small healthcare systems as well as state and local human services organizations. The nomination deadline is Aug. 11.
Registration Open for Webinars To Highlight AHRQ Program on Increasing Antibiotic Stewardship in Ambulatory Care
Sign up now for one of 12 free one-hour webinars that will outline how ambulatory care clinics can participate in a yearlong national program to increase antibiotic stewardship. The first webinar is July 11, and the program begins in December. The AHRQ Safety Program for Improving Antibiotic Use will provide expert coaching, online education and improvement tools, patient education materials and antibiotic use guidelines to help clinics prevent harms associated with the use of antibiotics, such as Clostridioides difficile infections. Participants may earn continuing education credits. The AHRQ-funded program is led by Johns Hopkins Medicine and NORC at the University of Chicago.
AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:
- Exposure to incivility hinders clinical performance in a simulated operative crisis.
- Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis.
- An opportunity to engage obstetrics and gynecology patients through shared visit notes.
Multi-stakeholder informed guidelines for direct admission of children to hospital. Leyenaar JK, Shevenell M, Rizzo PA, et al. J Pediatr 2018 Jul;198:273-8.e7. Epub 2018 Apr 25. Access the abstract on PubMed®.
Has inpatient hospital treatment before and after age 65 changed as the difference between private and Medicare payment rates has widened? Selden TM, Karaca Z, Decker S. Int J Health Econ Manag 2018 Dec;18(4):409-23. Epub 2018 Apr 25. Access the abstract on PubMed®.
The catch to confidentiality: the use of electronic health records in adolescent health care. Stablein T, Loud KJ, DiCapua C, et al. J Adolesc Health 2018 May;62(5):577-82. Access the abstract on PubMed®.
Failure-to-rescue after acute myocardial infarction. Silber JH, Arriaga AF, Niknam BA, et al. Med Care 2018 May;56(5):416-23. Access the abstract on PubMed®.
A taxonomy and cultural analysis of intra-hospital patient transfers. Rosenberg A, Campbell Britton M, Feder S, et al. Res Nurs Health 2018 May 2. [Epub ahead of print.] Access the abstract on PubMed®.
Opportunities to improve informed consent with AHRQ training modules. Shoemaker SJ, Brach C, Edwards A, et al. Jt Comm J Qual Patient Saf 2018 Jun;44(6):343-52. Epub 2018 May 3. Access the abstract on PubMed®.
Racial/ethnic disparities in readmissions in US hospitals: the role of insurance coverage. Basu J, Hanchate A, Bierman A. Inquiry 2018 Jan-Dec;55:46958018774180. Access the abstract on PubMed®.
Finding meaning in medication reconciliation using electronic health records: qualitative analysis in safety net primary and specialty care. Matta GY, Khoong EC, Lyles CR, et al. JMIR Med Inform 2018 May 7;6(2):e10167. Access the abstract on PubMed®.