National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- (-) Behavioral Health (4)
- Caregiving (1)
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- Consumer Assessment of Healthcare Providers and Systems (CAHPS) (1)
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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 4 of 4 Research Studies DisplayedRichards JE, Yarborough BJH, Holden E
Implementation of suicide risk estimation analytics to support mental health care for quality improvement.
The purpose of this mixed-methods quality improvement study was to examine and describe the use of estimation analytics to enhance existing suicide prevention practices during routine mental health specialty engagements. The study found that during the 3.5 month observation period there were 4,789 patient engagements by 1939 patients. This included 161 engagements newly identified by suicide risk estimation analytics. The researchers reported that the engagement-based risk identifications did not consistently trigger additional suicide risk assessment as intended. During newly identified engagements: 57 patients reported frequent suicidal ideation and, as per preexisting workflow, 54 completed a Columbia-Suicide Severity Rating Scale (C-SSRS); 75 patients reported no or infrequent suicidal ideation, but only 10 completed a C-SSRS, per new workflow; 29 patients did not answer the Patient Health Questionnaire-9 (PHQ-9), and only 1 patient completed a C-SSRS, per new workflow. The providers interviewed (n = 8) reported important implementation concerns, including 1) lack of follow-up, 2) electronic health record- (EHR-) related inefficiencies, and 3) reliability and accuracy of the trigger. The patients interviewed (n = 20) repeated concerns about reliability and accuracy of estimation analytics. In addition, providers described concerns about access to care and potential liability associated with known suicide risk. Patients repeated the provider concerns about access and reported fears about identification of suicide risk resulting in coercive care. The researchers conclude that this unique quality improvement study underscores important implications for health care organizations considering implementation of estimation analytics to support engagement-based identification of suicide risk.
AHRQ-funded; HS026369.
Citation: Richards JE, Yarborough BJH, Holden E .
Implementation of suicide risk estimation analytics to support mental health care for quality improvement.
JAMA Netw Open 2022 Dec;5(12):e2247195. doi: 10.1001/jamanetworkopen.2022.47195..
Keywords: Behavioral Health, Quality Improvement, Quality of Care
Parast L, Burkhart Q, Bardach NS
Development and testing of an emergency department quality measure for pediatric suicidal ideation and self-harm.
The authors sought to develop and test a new quality measure assessing timeliness of follow-up mental health care for youth presenting to the emergency department (ED) with suicidal ideation or self-harm. Using Medicaid administrative data, they concluded that this new ED quality measure may be useful for monitoring and improving the quality of care for this vulnerable population; however, they recommended future work in order to establish the measure's predictive validity using more prevalent outcomes such as recurrence of suicidal ideation or deliberate self-harm.
AHRQ-funded; HS025291.
Citation: Parast L, Burkhart Q, Bardach NS .
Development and testing of an emergency department quality measure for pediatric suicidal ideation and self-harm.
Acad Pediatr 2022 Apr;22(3s):S92-s99. doi: 10.1016/j.acap.2021.03.005..
Keywords: Children/Adolescents, Emergency Department, Behavioral Health, Quality Measures, Quality Indicators (QIs), Quality of Care
Morden E, Byron S, Roth L
Health plans struggle to report on depression quality measures that require clinical data.
This study examined challenges and opportunities for reporting 5 HEDIS measures which used electronic clinical data to assess adolescent and perinatal depression care quality. Two learning collaboratives were convened with 10 health plans from 5 states. The authors conducted analysis of notes from collaborative meetings and individual calls with health plans to identify key challenges and strategies for reporting. The challenges most reported included: 1) lack of access to clinical data sources where the results of patient-reported tools were documented; 2) unavailability of the results of patient-reported tools in usable data fields; 3) lack of routine depression screening and ongoing assessment occurring in provider practices.
AHRQ-funded; HS025296.
Citation: Morden E, Byron S, Roth L .
Health plans struggle to report on depression quality measures that require clinical data.
Acad Pediatr 2022 Apr;22(3s):S133-s39. doi: 10.1016/j.acap.2021.09.022..
Keywords: Children/Adolescents, Depression, Behavioral Health, Quality Indicators (QIs), Quality Measures, Quality of Care
Parast L, Bardach NS, Burkhart Q
Development of new quality measures for hospital-based care of suicidal youth.
This study researched the value of 4 new quality measures developed to assess hospital-based care for suicidal youth. The four quality measures focused on counseling caregivers about restricting access to lethal means of self-harm, and the benefits and risks of antidepressant medications. They were divided into measures for the emergency department (ED) and inpatient measures. Survey field tests were conducted with caregivers of youth who were admitted to the ED or inpatient care for suicidality at 1 of 2 children’s hospitals between July 2013 and June 2014. Most caregivers did receive counseling about restricting their child’s access to lethal means of self-harm and also reported higher rates of counseling of benefits on antidepressants both in the ED and in the inpatient setting than the risks.
AHRQ-funded; HS020506.
Citation: Parast L, Bardach NS, Burkhart Q .
Development of new quality measures for hospital-based care of suicidal youth.
Acad Pediatr 2018 Apr;18(3):248-55. doi: 10.1016/j.acap.2017.09.017..
Keywords: Caregiving, Children/Adolescents, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Education: Patient and Caregiver, Emergency Department, Hospitalization, Hospitals, Inpatient Care, Behavioral Health, Prevention, Quality of Care, Quality Measures