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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 8 of 8 Research Studies DisplayedBishai D, Sherry M, Pereira CC
Development and usefulness of a district health systems tool for performance improvement in essential public health functions in Botswana and Mozambique.
This study describes the development of a self-audit tool for public health and the associated methodology for implementing a district health system self-audit tool that can provide quantitative data on how district governments perceive their performance of the essential public health functions. It found that instant feedback from the audit was a feature that 100 percent of pilot respondents found most useful.
AHRQ-funded; HS000029.
Citation: Bishai D, Sherry M, Pereira CC .
Development and usefulness of a district health systems tool for performance improvement in essential public health functions in Botswana and Mozambique.
J Public Health Manag Pract 2016 Nov-Dec;22(6):586-96. doi: 10.1097/phh.0000000000000407.
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Keywords: Health Systems, Public Health, Quality Improvement
Peiris D, Phipps-Taylor MC, Stachowski CA
ACOs holding commercial contracts are larger and more efficient than noncommercial ACOs.
The researchers examined differences between commercial accountable care organizations (ACOs) and noncommercial ACOs. They found that among all ACOs, there was low uptake of quality and efficiency activities; commercial ACOs reported more use of disease monitoring tools, patient satisfaction data, and quality improvement methods; and about two-thirds of the ACOs had established processes for distributing any savings accrued. They concluded that ACO delivery systems remain at a nascent stage.
AHRQ-funded; HS024075.
Citation: Peiris D, Phipps-Taylor MC, Stachowski CA .
ACOs holding commercial contracts are larger and more efficient than noncommercial ACOs.
Health Aff 2016 Oct;35(10):1849-56. doi: 10.1377/hlthaff.2016.0387.
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Keywords: Healthcare Costs, Payment, Health Systems, Medicaid, Medicare
Simianu VV, Fichera A, Bastawrous AL
Number of diverticulitis episodes before resection and factors associated with earlier interventions.
The authors described patterns of episodes of diverticulitis before surgery and factors associated with earlier interventions using inpatient, outpatient, and antibiotic prescription claims. They found that 56.3% of elective resections for uncomplicated diverticulitis occurred after fewer than 3 episodes. Further, they determined that earlier surgery was not explained by younger age, laparoscopy, time between the last 2 episodes preceding surgery, or financial risk-bearing for patients.
AHRQ-funded; HS020025.
Citation: Simianu VV, Fichera A, Bastawrous AL .
Number of diverticulitis episodes before resection and factors associated with earlier interventions.
JAMA Surg 2016 Jul;151(7):604-10. doi: 10.1001/jamasurg.2015.5478.
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Keywords: Shared Decision Making, Digestive Disease and Health, Health Systems, Healthcare Utilization, Surgery
Rangachari P
Role of social knowledge networking technology in facilitating meaningful use of electronic health record medication reconciliation.
In this paper, Rangachari 1) conducted a narrative review of the literature on "technology use," to understand how technologies-in-practice may be transformed from limited use to meaningful use; 2) conducted a narrative review of the literature on "organizational change implementation," to understand how changes in technology use could be successfully implemented and sustained in a healthcare organizational context; and 3) applied lessons learned from the narrative literature reviews to identify strategies for the meaningful use and successful implementation of EHR Medication Reconciliation technology.
AHRQ-funded; HS024335.
Citation: Rangachari P .
Role of social knowledge networking technology in facilitating meaningful use of electronic health record medication reconciliation.
J Hosp Adm 2016 Jun;5(3):98-106. doi: 10.5430/jha.v5n3p98.
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Keywords: Health Systems, Medication, Hospitals, Organizational Change, Electronic Health Records (EHRs)
Fisher ES, Shortell SM, Savitz LA
Implementation science: A potential catalyst for delivery system reform.
Understanding which of the multitude of technological, policy, and organizational changes under way are most effective at improving care is a critical challenge. This article describes 3 ideas that could be helpful: application of a well-grounded conceptual framework; distinguishing 3 distinct types of innovations that health systems are using to improve care; and a focus on building the information systems needed to accelerate timely learning.
AHRQ-funded; HS024075.
Citation: Fisher ES, Shortell SM, Savitz LA .
Implementation science: A potential catalyst for delivery system reform.
JAMA 2016 Jan 26;315(4):339-40. doi: 10.1001/jama.2015.17949..
Keywords: Healthcare Delivery, Implementation, Quality Improvement, Quality of Care, Health Systems
Fleming C, Rich E, DesRoches C
Measuring changes in the economics of medical practice.
This paper explores current issues relevant to defining and measuring the inputs and outputs of physician practice. It reviews practice inputs and outputs as typically described in the literature on the economics of medical practice, and identifies the conceptual challenges for defining these inputs and outputs in a complex and evolving health care system.
AHRQ-funded; 23320095642WC; 23337033T.
Citation: Fleming C, Rich E, DesRoches C .
Measuring changes in the economics of medical practice.
J Gen Intern Med 2015 Aug;30 Suppl 3:S562-7. doi: 10.1007/s11606-015-3368-5..
Keywords: Healthcare Delivery, Health Systems, Practice Patterns, Data
van Weel C, Turnbull D, Whitehead E
AHRQ Author: Meyers D
International collaboration in innovating health systems.
A pre-conference workshop was organized at the 2014 North American Primary Care Research Group (NAPCRG) conference to explore international aspects of innovating health systems. Shifting to primary health care asks for a redirection of research towards the community setting. Four funding agencies, including AHRQ, presented their approaches towards innovation and translation support. Innovative approaches included trained implementation experts serving as change agents. Next steps included promotion of participatory research methodology as a meaningful tool for engagement with stakeholders and promotion of the value of international comparative outcome research for health systems’ innovation.
AHRQ-authored.
Citation: van Weel C, Turnbull D, Whitehead E .
International collaboration in innovating health systems.
Ann Fam Med 2015 Jan-Feb;13(1):86-7. doi: 10.1370/afm.1751.
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Keywords: Healthcare Delivery, Health Systems, Primary Care
Xie A, Carayon P, Cartmill R
Multi-stakeholder collaboration in the redesign of family-centered rounds process.
This study explores the experience of multiple stakeholders with collaboration in a healthcare system redesign project. A model of collaborative healthcare system redesign was developed, which defined four phases (i.e., setup of the redesign team, preparation for meetings, collaboration in meetings, follow-up after meetings) and two outcomes (i.e., team outcomes, redesign outcomes) of the collaborative process.
AHRQ-funded; HS018680.
Citation: Xie A, Carayon P, Cartmill R .
Multi-stakeholder collaboration in the redesign of family-centered rounds process.
Appl Ergon 2015 Jan;46 Pt A:115-23. doi: 10.1016/j.apergo.2014.07.011..
Keywords: System Design, Health Systems, Healthcare Delivery