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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
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1 to 7 of 7 Research Studies Displayed
Reiter KL, Jiang HJ, Wang J
Facing the recession: how did safety-net hospitals fare financially compared with their peers?
The authors examined the effect of the recession on the financial performance of safety-net versus non-safety-net hospitals. They concluded that safety-net hospitals may not be disproportionately vulnerable to macro-economic fluctuations, but their significantly lower margins leave less financial cushion to weather sustained financial pressure.
AHRQ-authored.
Citation:
Reiter KL, Jiang HJ, Wang J .
Facing the recession: how did safety-net hospitals fare financially compared with their peers?
Health Serv Res 2014 Dec;49(6):1747-66. doi: 10.1111/1475-6773.12230.
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Keywords:
Healthcare Costs, Healthcare Cost and Utilization Project (HCUP), Hospitals, Safety Net
Lyles CR, Aulakh V, Jameson W
Innovation and transformation in California's safety net health care settings: an inside perspective.
The authors investigated how safety net settings will innovate in order to achieve transformation of care delivery. Through informant interviews, they found that safety net systems have already begun implementing innovative practices supporting their key priority areas, but that more support is needed, specifically to accelerate the change needed to succeed under health reform.
AHRQ-funded; HS017594.
Citation:
Lyles CR, Aulakh V, Jameson W .
Innovation and transformation in California's safety net health care settings: an inside perspective.
Am J Med Qual 2014 Nov-Dec;29(6):538-45. doi: 10.1177/1062860613507474.
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Keywords:
Healthcare Delivery, Policy, Innovations and Emerging Issues, Organizational Change, Safety Net
Davidson AJ, McCormick EV, Dickinson LM
Population-level obesity surveillance: monitoring childhood body mass index z-score in a safety-net system.
The objective of this study was to determine the utility of repeated patient-level body mass index (BMI) measurements among higher-risk patients seen at safety-net clinics as a community-level monitoring tool for overweight and obesity population trends. The researchers found that childhood obesity prevalence was high, with substantial progression to overweight and obesity from first to last visit and concluded that clinically derived BMI z-score per person-year measures can effectively show population trends not observed using standard weight status categories.
AHRQ-funded; HS021138.
Citation:
Davidson AJ, McCormick EV, Dickinson LM .
Population-level obesity surveillance: monitoring childhood body mass index z-score in a safety-net system.
Acad Pediatr 2014 Nov-Dec;14(6):632-8. doi: 10.1016/j.acap.2014.06.007.
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Keywords:
Children/Adolescents, Community-Based Practice, Obesity, Children/Adolescents, Safety Net
Laiteerapong N, Kirby J, Gao Y
Health care utilization and receipt of preventive care for patients seen at federally funded health centers compared to other sites of primary care.
The investigators compared utilization and preventive care receipt among patients of federal Section 330 health centers (HCs) versus patients of other settings. They found that HC patients had fewer office visits and hospitalizations, were more likely to receive breast cancer screening, had fewer outpatient and emergency room visits, and were more likely to receive dietary advice compared to non-HC patients.
AHRQ-authored.
Citation:
Laiteerapong N, Kirby J, Gao Y .
Health care utilization and receipt of preventive care for patients seen at federally funded health centers compared to other sites of primary care.
Health Serv Res 2014 Oct;49(5):1498-518. doi: 10.1111/1475-6773.12178.
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Keywords:
Community-Based Practice, Healthcare Delivery, Medical Expenditure Panel Survey (MEPS), Prevention, Safety Net
Benkert R, Dennehy P, White J
Diabetes and hypertension quality measurement in four safety-net sites: lessons learned after implementation of the same commercial electronic health record.
The authors described what implementation of a commercially available EHR with built-in quality query algorithms showed us about our care for diabetes and hypertension populations in four safety net clinics. They found that utilizing a shared EHR, a Regional Extension Center-like partnership model, and similar quality query algorithms allowed safety-net clinics to benchmark and improve the quality of care across differing patient populations and health care delivery models.
AHRQ-funded; HS017191.
Citation:
Benkert R, Dennehy P, White J .
Diabetes and hypertension quality measurement in four safety-net sites: lessons learned after implementation of the same commercial electronic health record.
Appl Clin Inform 2014 Aug 20;5(3):757-72. doi: 10.4338/aci-2014-03-ra-0019.
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Keywords:
Diabetes, Electronic Health Records (EHRs), Hypertension, Quality Measures, Safety Net
Pohl JM, Tanner C, Hamilton A
Medication safety after implementation of a commercial electronic health record system in five safety-net practices: a mixed methods approach.
This study, conducted in five safety-net practices, examined the impact of implementing a commercial electronic health records system on medication safety. The authors found 130 "true" drug-drug interaction (DDI) pairs, representing 149,087 visits and 62 providers, with the largest DDI categories being related to antihypertensive medications, which are often prescribed together. They found no significant differences between physicians and nurse practitioners on the rate of DDI pairs.
AHRQ-funded; HS017191.
Citation:
Pohl JM, Tanner C, Hamilton A .
Medication safety after implementation of a commercial electronic health record system in five safety-net practices: a mixed methods approach.
J Am Assoc Nurse Pract 2014 Aug;26(8):438-44. doi: 10.1002/2327-6924.12089.
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Keywords:
Adverse Drug Events (ADE), Electronic Health Records (EHRs), Medication: Safety, Medication, Safety Net
Bazzoli GJ, Fareed N, Waters TM
Hospital financial performance in the recent recession and implications for institutions that remain financially weak.
This study of 2,971 private short-term general medical or surgical hospitals found that hospitals that were financially weak before the recession remained so during and after the recession. The total margins of nonprofit hospitals declined in 2008 but returned to pre-recession levels by 2011. The recession did not create additional fiscal pressure on hospitals that were previously financially weak or in safety-net roles.
AHRQ-funded; HS020627
Citation:
Bazzoli GJ, Fareed N, Waters TM .
Hospital financial performance in the recent recession and implications for institutions that remain financially weak.
Health Aff. 2014 May;33(5):739-45. doi: 10.1377/hlthaff.2013.0988..
Keywords:
Healthcare Costs, Payment, Hospitals, Safety Net
