National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Adverse Events (2)
- Ambulatory Care and Surgery (1)
- Cardiovascular Conditions (1)
- Children/Adolescents (1)
- Data (1)
- Diagnostic Safety and Quality (1)
- Disparities (1)
- Elderly (2)
- Emergency Department (1)
- Guidelines (1)
- Healthcare-Associated Infections (HAIs) (1)
- Healthcare Cost and Utilization Project (HCUP) (2)
- Home Healthcare (1)
- Hospital Readmissions (3)
- Hospitals (2)
- Injuries and Wounds (2)
- Long-Term Care (1)
- Neurological Disorders (1)
- Nursing (1)
- Nursing Homes (1)
- Outcomes (2)
- Patient-Centered Healthcare (1)
- Patient Safety (4)
- Pressure Ulcers (1)
- Prevention (2)
- Provider Performance (2)
- Quality Improvement (3)
- (-) Quality Indicators (QIs) (14)
- Quality Measures (4)
- Quality of Care (9)
- Racial and Ethnic Minorities (1)
- Rural Health (1)
- Surgery (2)
- Urban Health (1)
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 14 of 14 Research Studies DisplayedWang Y, Spatz ES, Tariq M
Home health agency performance in the United States: 2011-15.
This review’s evaluation of home health agency quality performance included 11,462 Medicare-certified home health agencies that served 92.4 percent of all ZIP codes nationwide, accounting for 315.2 million people. It found that home health agency performance on several quality indicators varied, and many agencies were persistently in the lowest quartile of performance.
AHRQ-funded; HS023000.
Citation: Wang Y, Spatz ES, Tariq M .
Home health agency performance in the United States: 2011-15.
J Am Geriatr Soc 2017 Dec;65(12):2572-79. doi: 10.1111/jgs.14987.
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Keywords: Quality of Care, Home Healthcare, Quality Indicators (QIs), Quality Measures
Gray, 2nd DM, Hefner JL, Nguyen MC
The link between clinically validated patient safety indicators and clinical outcomes.
The authors performed a retrospective analysis of patient discharges from an academic medical center comprising 6 hospitals from July 2012 to June 2014. The study demonstrated a strong association between clinically validated PSIs and patient outcomes. The findings have important implications in policy and practice as health care reform dictates improvement in the experience of care, health of populations, and per capita costs.
AHRQ-funded; HS024379.
Citation: Gray, 2nd DM, Hefner JL, Nguyen MC .
The link between clinically validated patient safety indicators and clinical outcomes.
Am J Med Qual 2017 Nov/Dec;32(6):583-90. doi: 10.1177/1062860616683014..
Keywords: Outcomes, Patient Safety, Quality Indicators (QIs)
Davies S, Schultz E, Raven M
AHRQ Author: Stocks C
Development and validation of the Agency for Healthcare Research and Quality Measures of Potentially Preventable Emergency Department (ED) Visits: the ED Prevention Quality Indicators for general health conditions.
The researchers sought to develop and validate rates of potentially preventable emergency department (ED) visits as indicators of community health. ED Prevention Quality Indicators (PQI) rates varied widely across U.S. communities. Indicator rates were significantly associated with county-level poverty, median income, Medicaid insurance, and levels of uninsurance. A few indicators were significantly associated with PCP density, with higher rates in areas with greater density.
AHRQ-authored; AHRQ-funded; 2902012000031.
Citation: Davies S, Schultz E, Raven M .
Development and validation of the Agency for Healthcare Research and Quality Measures of Potentially Preventable Emergency Department (ED) Visits: the ED Prevention Quality Indicators for general health conditions.
Health Serv Res 2017 Oct;52(5):1667-84. doi: 10.1111/1475-6773.12687.
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Keywords: Healthcare Cost and Utilization Project (HCUP), Emergency Department, Quality Indicators (QIs), Patient Safety, Prevention
Goldberg EM, Morphis B, Youssef R
An analysis of diagnoses that drive readmission: what can we learn from the hospitals in Southern New England with the highest and lowest readmission performance?
This study examined the most common diagnoses driving readmissions among fee-for-service Medicare beneficiaries in the hospitals with the highest and lowest readmission performance in Southern New England from 2014 to 2016. It found that the lowest-performing hospitals readmitted higher percentages of patients for sepsis and complications of device, implant, or graft, compared to highest-performing hospitals.
AHRQ-funded; HS000011.
Citation: Goldberg EM, Morphis B, Youssef R .
An analysis of diagnoses that drive readmission: what can we learn from the hospitals in Southern New England with the highest and lowest readmission performance?
R I Med J 2017 Aug;100(8):23-28.
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Keywords: Adverse Events, Diagnostic Safety and Quality, Hospital Readmissions, Hospitals, Quality Indicators (QIs)
Cerully JL, Martino SC, Rybowski L
Using "roll-up" measures in healthcare quality reports: perspectives of report sponsors and national alliances.
The objective of this study, which used semi-structured qualitative interview design, was to understand the views of prominent organizations in the field of healthcare quality on the topic of reporting roll-up measures that combine indicators of multiple, often disparate, dimensions of care to consumers. The investigators concluded that the results of the interviews elucidated the need for research focused on construction and reporting of roll-up measures.
AHRQ-funded; HS016980; HS016978.
Citation: Cerully JL, Martino SC, Rybowski L .
Using "roll-up" measures in healthcare quality reports: perspectives of report sponsors and national alliances.
Am J Manag Care 2017 Jun;23(6):e202-e07..
Keywords: Quality of Care, Quality Improvement, Quality Indicators (QIs), Quality Measures
Goodwin JS, Li S, Zhou J
Comparison of methods to identify long term care nursing home residence with administrative data.
Researchers compared different methods for identifying a long term care (LTC) nursing home stay, distinct from stays in skilled nursing facilities (SNFs), to the method currently used by the Center for Medicare and Medicaid Services (CMS). They concluded that using both Medicare and Minimum Data Set (MDS), data to identify LTC stays will lead to more accurate attribution of CMS nursing home quality indicators.
AHRQ-funded; HS022134.
Citation: Goodwin JS, Li S, Zhou J .
Comparison of methods to identify long term care nursing home residence with administrative data.
BMC Health Serv Res 2017 May 30;17(1):376. doi: 10.1186/s12913-017-2318-9.
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Keywords: Data, Long-Term Care, Nursing Homes, Quality Indicators (QIs)
Baernholdt M, Hinton ID, Guofen Y
A national comparison of rural/urban pressure ulcer and fall rates.
Despite recent decline in hospital acquired conditions (HACs), rates for pressure ulcers (PURs) and falls (FRs) remain at levels that require improvement. Contextual factors and care processes may impact HACs. Using the National Database of Nursing Quality Indicators (NDNQI®) this study examined differences in care processes and community, hospital, and nursing unit characteristics that influence PURs and FRs in 4238 rural and urban nursing units.
AHRQ-funded; HS023147.
Citation: Baernholdt M, Hinton ID, Guofen Y .
A national comparison of rural/urban pressure ulcer and fall rates.
Online J Issues Nurs 2017 May;22(2):1-12. doi: 10.3912/OJIN.Vol22No02PPT60..
Keywords: Injuries and Wounds, Nursing, Patient Safety, Pressure Ulcers, Quality of Care, Quality Improvement, Quality Indicators (QIs), Quality Measures, Rural Health, Urban Health
Tu JV, Maclagan LC, Ko DT
AHRQ Author: Bierman A
The Cardiovascular Health in Ambulatory Care Research Team performance indicators for the primary prevention of cardiovascular disease: a modified Delphi panel study.
The researchers developed a set of key performance indicators that can be used to measure and improve cardiovascular care in the primary care setting. A set of 28 indicators of primary prevention performance were identified, which were grouped into 5 domains: risk factor prevalence, screening, management, intermediate outcomes and long-term outcomes.
AHRQ-authored.
Citation: Tu JV, Maclagan LC, Ko DT .
The Cardiovascular Health in Ambulatory Care Research Team performance indicators for the primary prevention of cardiovascular disease: a modified Delphi panel study.
CMAJ Open 2017 Apr 25;5(2):E315-e21. doi: 10.9778/cmajo.20160139.
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Keywords: Cardiovascular Conditions, Quality of Care, Ambulatory Care and Surgery, Prevention, Quality Indicators (QIs)
Hollis RH, Graham LA, Richman JS
Hospital readmissions after surgery: how important are hospital and specialty factors?
Researchers hypothesized that hospital readmission rates for procedures within specialties were more strongly correlated than rates across specialties within the same hospital. However, they found that hospital readmission rates for orthopaedic, vascular, and general surgery were not correlated between specialties; within each of the 3 specialties, modest correlations were found between 2 procedures within 2 of these specialties.
AHRQ-funded; HS013852.
Citation: Hollis RH, Graham LA, Richman JS .
Hospital readmissions after surgery: how important are hospital and specialty factors?
J Am Coll Surg 2017 Apr;224(4):515-23. doi: 10.1016/j.jamcollsurg.2016.12.034.
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Keywords: Surgery, Hospital Readmissions, Quality Indicators (QIs), Elderly
Adirim T, Meade K, Mistry K
AHRQ Author: Mistry K
A new era in quality measurement: The development and application of quality measures.
Numerous national organizations focus on the development and application of quality measures, including the Pediatric Quality Measures Program, which is focused solely on the development and implementation of pediatric-specific measures. This policy statement provides an overview of quality measurement and describes the opportunities for pediatric health care providers to apply quality measures to improve clinical quality and performance in the delivery of pediatric health care services.
AHRQ-authored.
Citation: Adirim T, Meade K, Mistry K .
A new era in quality measurement: The development and application of quality measures.
Pediatrics 2017 Jan;139(1). doi: 10.1542/peds.2016-3442.
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Keywords: Quality Indicators (QIs), Quality Improvement, Outcomes, Children/Adolescents, Quality of Care
Lewis VA, Fraze T, Fisher ES
ACOs serving high proportions of racial and ethnic minorities lag in quality performance.
Researchers analyzed racial and ethnic disparities in health care outcomes among accountable care organizations (ACOs). Their findings suggest that ACOs with a high share of minority patients may struggle with quality performance under ACO contracts, especially during their early years of participation-maintaining or potentially exacerbating current inequities.
AHRQ-funded; HS024075.
Citation: Lewis VA, Fraze T, Fisher ES .
ACOs serving high proportions of racial and ethnic minorities lag in quality performance.
Health Aff 2017 Jan;36(1):57-66. doi: 10.1377/hlthaff.2016.0626.
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Keywords: Disparities, Racial and Ethnic Minorities, Provider Performance, Quality Indicators (QIs), Quality of Care
Campione JR, Smith SA, Mardon RE
Hospital-level factors related to 30-day readmission rates.
This study investigates the relationship between inpatient quality of care as measured by the Agency for Healthcare Research and Quality (AHRQ) patient safety indicator (PSI) composite and all-cause, hospital-wide, 30-day readmission rates. It concluded that inpatient quality of care appears to have less influence on hospital readmission rates than do clinical and socioeconomic factors.
AHRQ-funded; 290201200003I.
Citation: Campione JR, Smith SA, Mardon RE .
Hospital-level factors related to 30-day readmission rates.
Am J Med Qual 2017 Jan/Feb;32(1):48-57. doi: 10.1177/1062860615612158.
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Keywords: Quality of Care, Healthcare Cost and Utilization Project (HCUP), Hospital Readmissions, Quality Indicators (QIs), Quality Measures
Nuckols T, Conlon C, Robbins M
Quality of care for work-associated carpal tunnel syndrome.
This study evaluated the quality of care provided to individuals with workers' compensation claims related to carpal tunnel syndrome and identified patient characteristics associated with receiving better care. Overall, 81.6 percent of care adhered to recommended standards. Patients with classic/probable Katz diagrams, positive electrodiagnostic tests, and higher incomes received better care. However, age, sex, and race/ethnicity were not associated with quality.
AHRQ-funded; HS018982.
Citation: Nuckols T, Conlon C, Robbins M .
Quality of care for work-associated carpal tunnel syndrome.
J Occup Environ Med 2017 Jan;59(1):47-53. doi: 10.1097/jom.0000000000000916.
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Keywords: Guidelines, Quality of Care, Neurological Disorders, Patient-Centered Healthcare, Quality Indicators (QIs)
Calderwood MS, Kleinman K, Huang SS
Surgical site infections: volume-outcome relationship and year-to-year stability of performance rankings.
The researchers evaluated the volume-outcome relationship as well as the year-to-year stability of performance rankings following coronary artery bypass graft (CABG) surgery and hip arthroplasty. They concluded that aggregate surgical site infection risk is highest in hospitals with low annual procedure volumes. Even for higher volume hospitals, year-to-year random variation makes past experience an unreliable estimator of current performance.
AHRQ-funded; HS021424.
Citation: Calderwood MS, Kleinman K, Huang SS .
Surgical site infections: volume-outcome relationship and year-to-year stability of performance rankings.
Med Care 2017 Jan;55(1):79-85. doi: 10.1097/mlr.0000000000000620.
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Keywords: Surgery, Healthcare-Associated Infections (HAIs), Adverse Events, Injuries and Wounds, Hospitals, Provider Performance, Quality Indicators (QIs), Quality of Care, Patient Safety, Elderly