ACTION II Task Orders

This table summarizes projects funded through ACTION II from 2011 to 2014.
Start Year Contractor Task Order Total Award Amount Project Type Primary Aim/Output Purpose/Goal
2011 RAND A Prototype Consumer Reporting System for Patient Safety Events $2,416,682 R,D,T Intervention or Product (e.g., toolkit, guide, curriculum) Design, develop, test, implement, and evaluate a consumer reporting system for patient safety events.
2011 JHU Comprehensive Unit-based Safety Program (CUSP) for Ventilator-Associated Pneumonia (VAP) Prevention $706,902 R,D,T Intervention or Product (e.g., toolkit, guide, curriculum) Develop and demonstrate in two States the implementation of a comprehensive program to prevent VAP, including the selection and use of an intervention bundle using the most current evidence
2011 HRET Continued National Implementation of TeamSTEPPS $3,843,782 D and I Dissemination Support nationwide adoption of TeamSTEPPS® by health systems, provider institutions, and health profession educational institutions.
2011 RTI Design and Development of a Perinatal Safety Intervention Program (PSIP) $5,425,517 R,D,T Intervention or Product (e.g., toolkit, guide, curriculum) Design and develop a PSIP to prevent birth injuries and reduce harm to mothers and infants during labor and delivery.
2011 JHU Development and Demonstration of Surgical Unit-based Safety Program (SUSP) To Reduce Surgical Site Infections (SSIs) $9,983,790 D,D,I Intervention or Product (e.g., toolkit, guide, curriculum) Create a “CUSP for Safe Surgery (SUSP)” and demonstrate the utility of applying SUSP nationwide in a phased manner.
2011 RAND Development of an integrated toolkit/resource guide for falls prevention in hospitals $595,231 R and D Intervention or Product (e.g., toolkit, guide, curriculum) Develop and produce a Web-based resource for use by hospital staff in implementing an evidence-based falls prevention program.
2011 C NA Identifying and Aligning Work-System Factors To Reduce Healthcare-Associated Infections (HAIs) $1,150,795 Exploratory Research Knowledge/Evidence Generation Investigate the widest possible range of systems issues that may affect patients in ambulatory dialysis units.
2011 HRET National Implementation of CUSP To Reduce Catheter-Associated Urinary Tract Infections (CAUTIs) $19,003,529 D and I Dissemination Expand adoption of CUSP to CAUTI in hospitals nationwide using a phased approach.
2011 RTI Proactive Risk Assessment During the Clinical Laboratory Testing Process To Reduce Diagnostic Error $515,664 R and D Intervention or Product (e.g., toolkit, guide, curriculum) Improve procedures, tools, and guidance for detecting and better understanding the errors that can cascade through the testing process.  
2011 JSI Reducing Hospital Readmissions for Medicaid Patients $581,737 R and D Intervention or Product (e.g., toolkit, guide, curriculum) Create a package of strategies and tools for helping safety-net hospitals reduce Medicaid readmissions.
2011 GWU Reducing Hospital Readmissions for Medicaid Patients $206,004 Exploratory Research Knowledge/Evidence Generation Identify factors and challenges underlying Medicaid readmissions; develop recommendations for addressing them.
2011 BU Systems Redesign for Value in Safety Net (SN) Hospitals and Delivery Systems $499,877 Exploratory Research Knowledge/Evidence Generation Identify external supports for system redesign in SN settings that are available or might be developed by government agencies and other organizations.
2011 Kaiser The AHRQ Harm Scale: Validation With Adverse Events $527,559 Exploratory Research Knowledge/Evidence Generation Expand evaluation of the Harm Scale for use in assessment of harms represented in the Common Formats.
2011 RTI Understanding the Role of Healthcare Facility Design in the Acquisition and Prevention of HAIs $479,952 Exploratory Research Knowledge/Evidence Generation Better understand and describe the role of health care facility design in the acquisition and prevention of HAIs.
2012 HRET Development and Demonstration of SUSP in Ambulatory Surgery To Reduce SSIs $11,145,087 D and I Dissemination Conduct national implementation of a surgical safety checklist and a SUSP to reduce SSIs in ambulatory surgery centers (ASCs)
2012 AIR Guide to Patient and Family Engagement (PFE) in Hospital Quality and Safety: Development, Implementation, and Evaluation (Followup) $193,561 R,D,T Intervention or Product (e.g., toolkit, guide, curriculum) Evaluate the implementation of the Guide to PFE in three hospitals.  
2012 HRET High Value and Efficiency Culture Surveys $1,061,722 R and D Intervention or Product (e.g., toolkit, guide, curriculum) Design and test a High Value and Efficiency Culture Survey, as well as a “Communicating About Value” checklist for physicians
2012 HRET Implementation of TeamSTEPPS in Primary Care Settings $1,755,060 Impl Research Intervention or Product (e.g., toolkit, guide, curriculum) Improve patient care by optimizing teamwork in the primary care setting.
2012 Lewin Improving Sickle Cell Transitions of Care Through Health Information Technology: Phase 1 $630,811 Exploratory Research Knowledge/Evidence Generation Acquire background knowledge needed to develop patient-directed tool for improving transitions of care for persons with sickle cell disease.
2012 JHU Improving the Emergency Department (ED) Discharge Process $677,031 R and D Intervention or Product (e.g., toolkit, guide, curriculum) Improve the ED discharge process to reduce potentially avoidable ED revisits
2012 HRET National Opportunity To Improve Care in End Stage Renal Disease $929,437 R and D Intervention or Product (e.g., toolkit, guide, curriculum) Refine and disseminate a “change package” to improve hemodialysis infection control practices and reduce vascular access site infections.
2012 Abt On-Time Falls Prevention Evaluation $731,435 Evaluation Knowledge/Evidence Generation Evaluate the On-Time Falls Prevention Program in a large nursing home chain.
2012 Abt Using Health Information Technology (IT) in Practice Redesign: Impact of Health IT Workflow $774,162 Impl Research Knowledge/Evidence Generation Investigate implementation of health IT to support practice redesign in ambulatory care settings; enhance understanding of the causal relationships between health IT and workflow processes.
2012 Billings #1 Using Health IT in Practice Redesign: Impact of Health IT Workflow $799,014 Impl Research Knowledge/Evidence Generation Investigate implementation of health IT to support practice redesign in ambulatory care settings; enhance understanding of the causal relationships between health IT and workflow processes.
2012 RTI Using Health IT in Practice Redesign: Impact of Health IT Workflow $799,928 Impl Research Knowledge/Evidence Generation Investigate implementation of health IT to support practice redesign in ambulatory care settings; enhance understanding of the causal relationships between health IT and workflow processes.
2013 HRET Comprehensive Patient Safety and Medical Liability Communication and Resolution Program Educational Toolkit $1,565,243 R and D Intervention or Product (e.g., toolkit, guide, curriculum) Create toolkit for hospitals to implement communication and resolution programs aimed at improving their facilitation and management of patient safety events.
2013 JHU CUSP for Ventilator-Associated Conditions (VAC) and VAP Prevention. $7,281,691 D and I Dissemination Conduct nationwide dissemination and implementation of CUSP in a phased approach to prevent VACs.
2013 HRET CUSP for CAUTI in Long-Term Care Facilities $11,640,916 D, D, I Dissemination Develop and implement CUSP for CAUTI in long term care facilities/nursing homes in all States, using a phased approach.
2013 Abt Evaluation of Stage 3 Meaningful Use (MU3) Objectives—Abt $355,717 Impl Research Knowledge/Evidence Generation Seek input from the field concerning the feasibility, challenges, necessary innovation/enhancement, and strategic value of the proposed MU3 objectives.
2013 JHU Evaluation of Stage 3 Meaningful Use Objectives—JHU $630,568 Impl Research Knowledge/Evidence Generation Seek input from the field concerning the feasibility, challenges, necessary innovation/enhancement, and strategic value of the proposed MU3 objectives.
2013 RTI Evaluation of Stage 3 Meaningful Use Objectives—RTI $534,827 Impl Research Knowledge/Evidence Generation Seek input from the field concerning the feasibility, challenges, necessary innovation/enhancement, and strategic value of the proposed MU3 objectives.
2013 Lewin Evaluation of Stage 3 Meaningful Use Objectives—Lewin $672,837 Impl Research Knowledge/Evidence Generation Seek input from the field concerning the feasibility, challenges, necessary innovation/enhancement, and strategic value of the proposed MU3 objectives.
2013 Abt Improving Informed Consent With an Informed Consent Toolkit $788,417 R and D Intervention or Product (e.g., toolkit, guide, curriculum) Develop and pilot test an enhanced hospital informed consent toolkit.
2013 Abt Long-Term Care Integrated Safety and Risk Management Program $680,282 R and D Intervention or Product (e.g., toolkit, guide, curriculum) Create an integrated safety and risk management program for nursing homes, using the On-Time tools/reports, TeamSTEPPS for Long Term Care materials, and the Nursing Home Survey on Patient Safety Culture.
2013 AIR Nursing Home Antibiotic Stewardship Tools and Guide $1,973,641 R,D,T Intervention or Product (e.g., toolkit, guide, curriculum) Develop and pilot a Guide to Nursing Home Antimicrobial Stewardship.
2013 Kaiser Taking Efficiency Interventions to Scale: Spreading LEAN $772,712 Impl Research Knowledge/Evidence Generation Increase knowledge about effective strategies for spreading interventions to improve the efficiency of care delivery.
2013 JSI Taking Efficiency Interventions to Scale: Staffing Redesign in Federally Qualified Health Centers $1,308,915 Impl Research Knowledge/Evidence Generation Increase knowledge about effective strategies for spreading interventions to improve the efficiency of care delivery.
2013 RAND Updating and Expanding the AHRQ Quality Indicator (QI) Toolkit for Hospitals $990,339 R,D,T Intervention or Product (e.g., toolkit, guide, curriculum) Expand, disseminate, and evaluate the AHRQ QI Toolkit for Hospitals.
2014 JSI Implement and Evaluate Hospital Guide to Reducing Medicaid Readmissions $779,645 Impl Research Dissemination Disseminate and implement the Hospital Guide to Reducing Medicaid Readmissions; provide replicable technical assistance; and evaluate usability and refine the guide as needed.
2014 HRET National Implementation of TeamSTEPPS $3,000,000 D and I Dissemination Support additional TeamSTEPPS® training.

Key to Project Type Abbreviations: R and D: Research and Development; R,D,T: Research, Development, and Testing; Impl Research: Implementation Research; D,D,I: Development, Dissemination, and Implementation; D and I: Dissemination and Implementation.

Page last reviewed May 2015
Page originally created May 2015
Internet Citation: ACTION II Task Orders. Content last reviewed May 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/factsheets/translating/action2/actionIIprojects.html