AHRQ Releases New Resources for Providing Medication-Assisted Treatment for Opioid Use Disorder
October 1, 2019
AHRQ Stats: Pediatric Hospital Costs for Childbirth
In 2016, pediatric hospitalization costs averaged about $8,900 for a complicated birth and $1,200 for an uncomplicated birth. Meanwhile, the cost of a pediatric hospital stay (excluding births) averaged $13,400. (Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #250: Costs of Pediatric Hospital Stays, 2016.)
- AHRQ Releases New Resources for Providing Medication-Assisted Treatment for Opioid Use Disorder.
- Doctors Often Feel Compelled To Follow Up on Incidental Test Results.
- New AHRQ Grantee Profile Highlights How Work of Jerry H. Gurwitz, M.D., Protects Safety of Older Adults .
- Highlights From AHRQ’s Patient Safety Network.
- Preventing and Managing Multimorbidity by Integrating Behavioral Health and Primary Care.
- Featured Studies on the Nation's Health Systems.
- AHRQ in the Professional Literature.
AHRQ’s Medication-Assisted Treatment for Opioid Use Disorder (MAT for OUD) Playbook serves as a comprehensive guide for implementing MAT in primary care and other ambulatory care settings. The online, interactive playbook contains the latest guidance, tools and resources to address MAT implementation. Released with the playbook is AHRQ’s Medication-Assisted Treatment Tools and Resources Collection, a searchable resource organized by topic to address a broad spectrum of patient and community needs. Materials in the collection were identified through systematic searches of published and gray literature, as well as searches for specific tools to implement MAT.
More than half of physicians follow up on test results for unrelated “incidental” issues found while testing for a patient’s original condition, according to an AHRQ-funded study in the Journal of General Internal Medicine. Of 364 respondents to a Web-based survey, about 59 percent reported following up on incidental findings because it “seemed clinically important.” Among other respondents, the most common reason for pursuing additional tests or treatment was practice/community norms, followed by concern about a lawsuit, another doctor’s advice and patient requests. Researchers also found that doctors trained in the United States or those less worried about cost were more likely to order further tests and treatment. The authors suggested that understanding doctors’ motivations would help reduce the harm caused by unnecessary testing and treatment. Access the abstract.
New AHRQ Grantee Profile Highlights How Work of Jerry H. Gurwitz, M.D., Protects Safety of Older Adults
Our latest grantee profile examines how AHRQ-funded research by Jerry H. Gurwitz, M.D., professor of medicine at the University of Massachusetts, Worcester, has improved healthcare safety and quality for older adults. Dr. Gurwitz has focused on reducing adverse events in a range of settings, including hospitals, nursing homes and patients’ homes. Check out his profile as well as others that illustrate how AHRQ grantees have made major advances in health services research.
AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:
- A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers.
- Association of registered nurse and nursing support staffing with inpatient hospital mortality.
- Debunking the myth that the majority of medical errors are attributed to communication.
In a commentary published in Health Psychology, Dr. Arlene Bierman, director of AHRQ’s Center for Evidence and Practice Improvement, identifies opportunities to improve health outcomes for the growing number of people at risk for or who have multiple chronic conditions. Multimorbidity, often used synonymously with multiple chronic conditions, refers to people with more than one chronic physical condition, more than one mental health diagnosis or both. It may also include additional factors: disease severity, functional impairments and disabilities, syndromes such as frailty and social factors such as homelessness. The commentary discusses why integrating behavioral health and primary care is essential for improving care for this population and the potential of research to achieve effective strategies for delivering integrated, patient-centered care. Access the abstract.
AHRQ's Comparative Health System Performance Initiative funds studies about how healthcare delivery systems promote evidence-based practices and patient-centered outcomes research in delivering care. Publications include:
- Producing comparable cost and quality results from all-payer claims databases.
- Understanding U.S. health systems: using mixed methods to unpack organizational complexity.
- How do accountable care organizations deliver preventive care services? A mixed-methods study.
Access the initiative's Compendium of U.S. Health Systems, 2016, the first publicly available database that gives researchers, policymakers and healthcare administrators a snapshot of the nation's health systems.
Automated extraction of diagnostic criteria from electronic health records for autism spectrum disorders: development, evaluation, and application. Leroy G, Gu Y, Pettygrove S, et al. J Med Internet Res 2018 Nov 7;20(11):e10497. Access the abstract on PubMed®.
Epidemiology and risk factors for recurrent Staphylococcus aureus colonization following active surveillance and decolonization in the NICU. Akinboyo IC, Voskertchian A, Gorfu G, et al. Infect Control Hosp Epidemiol 2018 Nov;39(11):1334-9. Epub 2018 Sep 18. Access the abstract on PubMed®.
Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. Powers EM, Shiffman RN, Melnick ER, et al. J Am Med Inform Assoc 2018 Nov 1;25(11):1556-66. Access the abstract on PubMed®.
Evidence to Decision framework provides a structured "roadmap" for making GRADE guidelines recommendations. Li SA, Alexander PE, Reljic T, et al. J Clin Epidemiol 2018 Dec;104:103-12. Epub 2018 Sep 22. Access the abstract on PubMed®.
Performance evaluation of propensity score methods for estimating average treatment effects with multi-level treatments. Nian H, Yu C, Ding J, et al. J Appl Stat 2019;46(5):853-73. Epub 2018 Sep 23. Access the abstract on PubMed®.
Optimal maternal and neonatal outcomes and associated hospital characteristics. Campbell KH, Illuzzi JL, Lee HC, et al. Birth 2019 Jun;46(2):289-99. Epub 2018 Sep 24. Access the abstract on PubMed®.
Hospital variation in utilization and success of trial of labor after a prior cesarean. Xu X, Lee HC, Lin H, et al. Am J Obstet Gynecol 2019 Jan;220(1):98.e1-14. Epub 2018 Sep 29. Access the abstract on PubMed®.
Virtual educational outreach intervention in primary care based on the principles of academic detailing. Baldwin LM, Fischer MA, Powell J, et al. J Contin Educ Health Prof 2018 Fall;38(4):269-75. Access the abstract on PubMed®.