September 2011

Tuesday, September 27, 2011

Study of Diabetes Patients' EMRs Show Frequent Encounters with Doctors Lead to Better Care and Outcomes


Study of Diabetes Patients’ EMRs Show Frequent Encounters with Doctors Lead to Better Care and Outcomes

                                         

Having more physician-patient encounters may lead to quicker control of type 2 diabetes measurements and improve outcomes, according to a study funded in part by AHRQ. The article “Encounter Frequency and Serum Glucose Level, Blood Pressure, and Cholesterol Level Control in Patients With Diabetes Mellitus,” published in the September 26 issue of the Archives of Internal Medicine, compared the electronic medical records (EMRs) of 26,496 patients who had encounters with their primary care physicians over 1 to 2 weeks versus 3 to 6 months.  Defined by the study authors as “any note made in the EMR”, doctor-patient encounters included face-to-face interactions, as well as remote communication between doctor and patient, such as those taking place by telephone.  More physician contact improved disease management across the board.  The authors caution, however, that increasing patient encounters with providers could increase demand on health care resources.  The free abstract of the study is available on the Archives of Internal Medicine’s website.  It can be viewed by going to this link: http://archinte.ama-assn.org/cgi/content/abstract/171/17/1542. 

Monday, September 26, 2011

NIH Research Matters for September 19, 2011--Blood pressure genomics, gene linked to optimism and self-esteem, and designing new diabetes drugs


The September 19, 2011, NIH Research Matters is now available. In this week's edition:

Photo of a blood pressure gaugeResearchers identified 29 genetic variations that influence blood pressure, more than half of which were previously unknown. The findings provide insights into the biology of blood pressure and may lead to new therapeutic strategies.

 Photo of an optimistic young Japanese woman.Why can some people make it through difficult times with little trouble while others crumble under the same circumstances? A new study suggests that the answer lies -- at least in part -- in your genes.

 Photo of the word �diabetes� and surrounding text seen through a magnifying glass.Building on recent insights into how diabetes medications work, researchers designed experimental drugs that are as effective in mice as current medications, but cause fewer side effects.

Friday, September 23, 2011

Communication Is Key to Better Health Care


Communication Is Key to Better Health Care

“Questions are the Answer,” a new initiative from the U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality (AHRQ) and the Ad Council, encourages clinicians and patients to engage in effective two-way communication to ensure safer care and better health outcomes.

 

An original series of new videos on the AHRQ Web site features real patients and clinicians discussing the importance of asking questions and sharing information.

 

Go to: http://www.ahrq.gov/questions

 

The Web site also features new resources to help patients be prepared before, during and after their medical appointments. The resources include:

 

·         An interactive “Question Builder” tool that enables patients to create, prioritize and print a personalized list of questions based on their health condition.

·         A brochure, titled “Be More Involved in Your Health Care: Tips for Patients,” that offers helpful suggestions to follow before, during and after a medical visit.

·         Notepads to help patients prioritize the top three questions they wish to address during their appointment.

 

For free copies of the brochure and notepad, please contact us at 1-800-358-9295 or send an e-mail request to: ahrqpubs@ahrq.hhs.gov

 

Thursday, September 22, 2011

Communication is key to better health care


Communication is key to better health care

 

“Questions are the Answer,” a new initiative from the U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality (AHRQ) and the Ad Council, encourages clinicians and patients to engage in effective two-way communication to ensure safer care and better health outcomes.

 

An original series of new videos on the AHRQ website, www.ahrq.gov/questions, features real patients and clinicians discussing the importance of asking questions and sharing information.

 

The website also features new resources to help patients be prepared before, during and after their medical appointments. The resources include:

 

                      An interactive “Question Builder” tool that enables patients to create, prioritize and print a personalized list of questions based on their health condition.

                      A brochure, titled “Be More Involved in Your Health Care: Tips for Patients,” that offers helpful suggestions to follow before, during and after a medical visit.

                      Notepads to help patients prioritize the top three questions they wish to address during their appointment.

 

For more information, go to www.ahrq.gov/questions.  To request free copies of the brochure and notepad, please contact us at 1-800-358-9295 or email AHRQpubs@ahrq.hhs.gov.

 

AHRQ Medical Office Survey on Patient Safety Culture Database -- OPEN FOR REGISTRATION


Medical Office Survey on Patient Safety Culture Comparative Database

Reminder:  Registration is NOW open for data submission to the Agency for Healthcare Research and Quality's (AHRQ) Medical Office Survey on Patient Safety Culture Comparative Database. If you have already registered, please take the time to complete your data submission.

First, please take a few minutes to view our submission instructional video for details on registering and submitting your medical office data to the submission system at https://www.sops-database.org/db/Public/TrainingIntro.aspx.

Medical offices that have administered the AHRQ survey can now voluntarily submit their data to the Medical Office Survey on Patient Safety Culture Comparative Database, which is open September 15 to October 15, 2011 for registration and data submission. Medical offices, health systems, or vendors in the United States that have already completed administration of the AHRQ Medical Office Survey on Patient Safety Culture and are prepared to submit their data by October 15, 2011 are eligible.

This database is a central repository for survey data from medical offices, health systems, or survey vendors that have administered the AHRQ medical office survey instrument. One of the purposes of the database is to produce comparative results to help medical offices identify strengths and opportunities for improvement in their patient safety culture. Comparative results are reported in the aggregate and do not include any information identifying participating medical offices.

To register, please go to  www.sops-database.org/medicaloffice 

Please feel free to contact us with any questions or concerns at DatabasesOnSafetyCulture@ahrq.hhs.gov.

Thank you,    

The Medical Office SOPS Database Submission

 

Wednesday, September 21, 2011

The AHRQ Health IT Portfolio's 2010 Annual ReportIs Now Available


The AHRQ Health IT Portfolio's 2010 Annual ReportIs Now Available

The Agency for Healthcare Research and Quality's Health Information Technology Portfolio has released its 2010 Annual Report. This Annual Report is designed to disseminate information on the research areas and progress at both the portfolio and project levels. The Portfolio is summarized by a number of broad categories of projects, including: Health IT Portfolio strategic goals, AHRQ business goals, funding mechanisms, geographic distribution, and lifetime funding as of 2010. The report also describes activities that took place throughout the year and synthesizes challenges, outputs, and successes of the 180 active projects. In addition, as part of the report, an individual project summary for each of the 121 grants and 59 contracts projects provides an overview of the project’s long term objectives, status updates of the specific aims and objectives, and updates on completed or ongoing project activities. The report also highlights the dissemination activities of the projects and the AHRQ Health IT team.  To access the abridged report online, please go to the AHRQ Health IT Portfolio's 2010 Annual Report: http://healthit.ahrq.gov/portal/server.pt/community/ahrq-funded_projects/654/health_it_portfolio_annual_report/16758. After reaching that website, the abridged report appears as a PDF file.

 

If you wish to access the abridged report in PDF format, you can do so, directly through this link: http://healthit.ahrq.gov/HIT2010Reportabridged.

 

For help opening the document, please review this PDF Help Guide: http://www.ahrq.gov/pdfhelp.htm.

Agency for Healthcare Research and Quality (AHRQ) Patient Safety Update


Register Now for Webinar on Obstetrical Adverse Events on September 28

HHS’ Partnership for Patients has teamed up with the National Quality Forum to launch a series of free patient safety Webinars. The next webinar will be held on September 28 and focuses on obstetrical adverse events. Featured speakers include Maureen Corry, Executive Director, Childbirth Connections and Kathleen Simpson, Ph.D., Perinatal Clinical Nurse Specialist, St. John’s Mercy Medical Center. The session will discuss the Partnership for Patients goal for hospitals to reduce 30 percent of preventable obstetrical adverse effects.  Select to register for the September 28, 1:00 – 2:30 p.m., EDT, Webinar.

Monday, September 19, 2011

Effective Health Care Program Update: Key Questions on Menopausal Symptoms and Stroke Prevention in AF Now Available For Comment


The Agency for Healthcare Research and Quality (AHRQ) Effective Health Care (EHC) Program is pleased to announce that key questions for the following comparative effectiveness reviews are now available and open for comment on the EHC Program Web site until October 17, 2011:

To view all EHC Program products that are currently available for comment, please visit: http://effectivehealthcare.ahrq.gov/index.cfm/research-available-for-comment/.

Learn how you can personalize your interactions with and share what you learn on the EHC Program Web site. Visit: http://www.effectivehealthcare.ahrq.gov/index.cfm/personalization-and-social-media-tools/.

We welcome your comments on the EHC Program Web site! Please use our “Contact Us” form available at: http://www.effectivehealthcare.ahrq.gov/index.cfm/contact-the-effective-health-care-program/.

Thank you,

Effective Health Care Program
www.effectivehealthcare.ahrq.gov

 

FW: NIH Research Matters for September 19, 2011 - Preventing a second stroke, lifestyle factors and diabetes risk, and tumor-associated epilepsy


The September 19, 2011, NIH Research Matters is now available. In this week's edition:

Photo of doctor taking man's blood pressure.A large, nationwide clinical trial found that patients at a high risk for a second stroke who received intensive medical treatment had fewer strokes and deaths than patients who received a brain stent in addition to the medical treatment.

 

 Photo of senior couple bike riding.A new analysis has found that a combination of 5 healthy lifestyle factors may help reduce the chance of developing type 2 diabetes, even if family history puts you at risk for the disease.

 

Photo of numerous images of mouse brains, with more on the left showing yellow and red areas.Glioma, one of the most deadly and common types of brain tumor, is often associated with seizures, but the origins of these seizures and effective treatments for them have been elusive. A new study sheds light on the cause and suggests potential therapies.

 

 

Editor's Picks from past issues:


NIH Research Matters is on Facebook! Join us at www.facebook.com/ResearchMatters, and write on our wall.

NIH Research Matters is also available as an RSS News Feed. Point your RSS reader to http://www.nih.gov/researchmatters/feed.xml (to learn more about RSS, visit http://www.nih.gov/news/rss.htm).

Saturday, September 17, 2011

USHIK at the AHRQ 2011 Annual Conference


USHIK at the AHRQ 2011 Annual Conference

Join the USHIK team at the AHRQ Annual Conference:

  • Date: September 18-21
  • Location:  Bethesda North Marriott Hotel & Conference Center, Bethesda, MD

Conference attendees: USHIK's role in "Promoting Effective Communication and Coordination of Care" will be the topic of a session moderated by Dr. Michael Fitzmaurice on Tuesday, September 20th at 10:00am.  Robin Barnes from Data Consulting Group and John Donnelly from IntePro Solutions Inc. are the featured speakers.  This session is part of the conference's "Track C" .


USHIK can be found at http://ushik.ahrq.gov

The USHIK team is interested in your feedback.  If you have questions or suggestions on how we can improve USHIK, please click the "Give Your Feedback" icon at the bottom of the main USHIK page.

 

NIH News Release Update


NIH News Release Update:

You are subscribed to New Releases for the National Institutes of Health (NIH). This information has recently been updated and is now available at http://www.nih.gov/news/

Effective Health Care Program Update: Two New Final Reports Are Now Available


The Agency for Healthcare Research and Quality (AHRQ) Effective Health Care (EHC) Program is pleased to announce that the following new reports are now available:

Learn how you can personalize your interactions with and share what you learn on the EHC Program Web site. Visit: http://www.effectivehealthcare.ahrq.gov/index.cfm/personalization-and-social-media-tools/.

We welcome your comments on the EHC Program Web site! Please use our “Contact Us” form available at: http://www.effectivehealthcare.ahrq.gov/index.cfm/contact-the-effective-health-care-program/.

Thank you,

Effective Health Care Program
www.effectivehealthcare.ahrq.gov

 

Thursday, September 15, 2011

NIH News Release Update


NIH News Release Update:

You are subscribed to New Releases for the National Institutes of Health (NIH). This information has recently been updated and is now available at http://www.nih.gov/news/

Healthcare 411 - Headaches


Emergency Room Visits for Headaches

More than 3 million emergency room visits per year are for the treatment of headaches. New data from AHRQ provides information on headaches, broken down by age and gender. For the podcast or transcript, go to: http://healthcare411.ahrq.gov/radiocastseg.aspx?id=1215&type=seg.

The Healthcare Cost and Utilization Project (HCUP) announces the release of the following new databases: 2010


New HCUP Databases Available

The Healthcare Cost and Utilization Project (HCUP) announces the release of the following new databases: 2010 State Databases (SID, SASD, SEDD).

The HCUP databases are available for purchase through the HCUP Central Distributor. Applications are available at: http://www.hcup-us.ahrq.gov/tech_assist/centdist.jsp

The HCUP family of health care databases and related software tools and products is made possible by a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality (AHRQ).

Visit the HCUP User Support Web site at: http://www.hcup-us.ahrq.gov

CDC report details influenza prevention and treatment for children and teens


Centers for Disease Control and Prevention - Your Online Source for Credible Health Information

 

CDC report details influenza prevention and treatment for children and teens
Although children and teenagers rarely die from flu–related causes, many of the deaths could have been prevented if the children had been vaccinated against the flu, according to a report by the Centers for Disease Control and Prevention. >> learn more

Lung cancer rates decline nationwide
Report shows a continuing decline among men, and a promising decline among women
The rates of new lung cancer cases in the United States dropped among men in 35 states and among women in 6 states between 1999 and 2008, according to a report by the Centers for Disease Control and Prevention. Among women, lung cancer incidence decreased nationwide between 2006 and 2008, after increasing steadily for decades. >> learn more

HCUP at AHRQ 2011 Annual Conference


HCUP at AHRQ 2011 Annual Conference

Join the Healthcare Cost and Utilization Project (HCUP) at the AHRQ Annual Conference:

  • Date: September 18-21
  • Location:  Bethesda North Marriott Hotel & Conference Center, Bethesda, MD

Information on upcoming HCUP events is available at: http://www.hcup-us.ahrq.gov/news/events.jsp

The HCUP family of health care databases and related software tools and products is made possible by a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality (AHRQ).Visit the HCUP User Support Web site at:http://www.hcup-us.ahrq.gov

Hospital emergency departments treated over 20,000 injuries due to air and paintball guns in 2008.


September 15, 2011, Issue #324

 

AHRQ News and Numbers

 

Hospital emergency departments treated over 20,000 injuries due to air and paintball guns in 2008.  This represents a 20 percent decrease in emergency room visits for injuries caused by air and paintball guns from 2006.  [Source: Agency for Healthcare Research and Quality, HCUP, Statistical Brief #119: Emergency Department Visits for Injuries Caused by Air and Paintball Guns, 2008.]

Today’s Headlines:

 

  1. Updated report highlights hospitals’ progress in reducing bloodstream infections
  2. AHRQ releases Nursing Home Survey on Patient Safety Culture: 2011 Comparative Database Report
  3. AHRQ seeks data submissions for Medical Office Survey on Patient Safety Culture comparative database
  4. AHRQ Health Care Innovations Exchange focuses on palliative care
  5. AHRQ Annual Conference is September 18-21
  6. AHRQ director helps consumers navigate the health care system in a new advice column on the Web
  7. AHRQ in the professional literature

 

1.  Updated Report Highlights Hospitals’ Progress in Reducing Bloodstream Infections

 

AHRQ released a second report that highlights the progress that has been achieved by hospitals taking part in a national effort to reduce the incidence of central line-associated bloodstream infections (CLABSI) by implementing a Comprehensive Unit-based Safety Program (CUSP).  Eliminating CLABSI: A National Patient Safety Imperative-Second Progress Report on the National On the CUSP: Stop BSI Project provides an update on the impact of the project and the number of State hospital associations, hospitals, and hospital teams that are implementing the clinical and safety culture changes proven to reduce CLABSI.  Adult intensive care units included in this report are drawn from 32 States and territories and more than 75 hospitals.  This is an increase to 10 States and 400 hospitals since November 2010.  These units have reduced their CLABSI rates by an average of 33 percent.  As of November 2010, CLABSI rates had decreased by an average of 35 percent, indicating rates are continuing to decrease but at a marginally slower rate.  Select to access the report.

 

 

2.  AHRQ Releases Nursing Home Survey on Patient Safety Culture: 2011 Comparative Database Report

 

AHRQ released the Nursing Home Survey on Patient Safety Culture: 2011 Comparative Database Report, which shows that residents are well cared for and safe, according to nursing home staff’s perceptions of their organization’s overall patient safety culture.  It is the first annual report that provides supplemental data that enables users of the Nursing Home Survey on Patient Safety Culture, released in 2008, to assess their strengths and area for potential improvement in patient safety culture.  The comparative database report represents data from 16,155 staff within 226 U.S. nursing homes and contains detailed comparative data for various nursing home characteristics (size and ownership) and respondent characteristics (job titles, work areas, direct patient contact, and shift worked).  Select to access the report on the AHRQ Web site.

 

 

3.  AHRQ Seeks Data Submissions for Medical Office Survey on Patient Safety Culture Comparative Database

 

AHRQ’s Medical Office Survey on Patient Safety Culture is a tool for medical offices to use to assess provider and staff opinions about the culture of patient safety in their medical offices.  Medical offices that have administered the AHRQ survey can register and submit their data to the new Medical Office Survey on Patient Safety Culture comparative database between September 15 and October 15.  That database is a central repository for survey data from medical offices, health care systems, or survey vendors that have administered the AHRQ medical office survey instrument.  One of the purposes of the database is to produce comparative results to help medical offices identify strengths and opportunities for improvement in their patient safety culture.  Select for more information on the benefits of participation and database products, participation requirements, and registration/data submission timeline and activities.

 

 

4.  AHRQ’s Health Care Innovations Exchange Focuses on Palliative Care

 

 The latest issue of AHRQ’s Health Care Innovations Exchange features three programs that deliver palliative care in different settings.  The QualityTools also highlighted provide health care professionals with resources and tools to support the development and quality improvement of palliative care programs.  More innovations and tools related to palliative care are available on AHRQ’s Innovations Exchange Web site.  The Spotlight features Post-discharge Care Management Integrates Medical and Psychosocial Care of Low-Income Elderly Patients from the AHRQ Innovations Exchange award-winning video series Frontline Innovators Making a Difference.

 

 

5.  AHRQ Annual Conference Is September 18-21

 

The AHRQ Annual Conference is less than a week away!  AHRQ: Leading Through Innovation & Collaboration will be held September 18-21 at the Bethesda North Marriott Hotel & Conference Center in Bethesda.  For those who cannot attend the Conference in person, you will be able to view both plenary sessions via webcast.  The plenary session on Monday, September 19, is scheduled for 10:00 a.m. to 11:30 a.m. (EDT) and the plenary session on Tuesday, September 20, is scheduled from 8:00 a.m. to 9:30 a.m. (EDT).  Registration for the webcast.  Select for more information on the plenary sessions, webcast, and the AHRQ Annual Conference.

 

 

6.  AHRQ Director Helps Consumers Navigate the Health Care System in a New Advice Column on the Web

 

AHRQ Director Carolyn M. Clancy, M.D., offers advice to consumers in brief, easy-to-understand columns.  The columns help consumers better navigate the health care system.  Select to read Dr. Clancy’s advice column about research on women’s health issues to help you make more informed treatment choices.

 

 

7.  AHRQ in the Professional Literature

 

We are providing the following hyperlinks to journal abstracts through PubMed® for your convenience.  Unfortunately, some of you may not be able to access the abstracts because of firewalls or specific settings on your individual computer systems.  If you are having problems, you should ask your technical support staff for possible remedies.

 

Epstein AJ, Polsky D, Yang F, et al.  Coronary revascularization trends in the United States, 2001-2008.  JAMA 2011 May 4; 305(17):1769-76.  Select to access the abstract on PubMed. ®

 

Hoeksema LJ, Bazzy-Asaad A, Lomotan EA, et al.  Accuracy of a computerized clinical decision-support system for asthma assessment and management.  J Am Med Inform Assoc 2011 May 1; 18(3):243-50.  Select to access the abstract on PubMed. ®

 

Haywood C Jr, Lanzkron S, Hughes MT, et alA video intervention to improve clinician attitudes toward patients with sickle cell disease: the results of a randomized experiment. J Gen Intern Med 2011 May; 26(5):518-23.  Select to access the abstract on PubMed. ®

 

Kistler CE, Kirby KA, Lee D, et al.  Long-term outcomes following positive fecal occult blood test results in older adults.  Arch Intern Med 2011 May 9.  Select to access the abstract on PubMed. ®

 

Bertakis KD, Azari R.  Patient-centered care is associated with decreased health care utilization.  J Am Board Fam Med 2011 May-Jun; 24(3):229-39.  Select to access the abstract on PubMed. ®

 

Grossman JM, Boukus ER, Cross DA, et al.  Physician practices, e-prescribing and accessing information to improve prescribing decisions.  Res Brief 2011 May;(20):1-10.  Select to access the abstract on PubMed. ®

 

 

Contact Information

 

Please address comments and questions regarding the AHRQ Electronic Newsletter to Nancy Comfort at Nancy.Comfort@ahrq.hhs.gov or (301) 427-1866.

 

AHRQ Medical Office Survey on Patient Safety Culture Database--OPEN FOR REGISTRATION


Medical Office Survey on Patient Safety Culture Comparative Database

Registration is NOW open for data submission to the Agency for Healthcare Research and Quality's (AHRQ) Medical Office Survey on Patient Safety Culture Comparative Database.

**Please take a few minutes to view a step-by-step training video to see how to register and submit your medical office data at https://www.sops-database.org/db/Public/TrainingIntro.aspx.**

Medical offices that have administered the AHRQ survey can now voluntarily submit their data to the new Medical Office Survey on Patient Safety Culture Comparative Database, which is open September 15 to October 15, 2011 for registration and data submission. Medical offices, health systems or vendors in the United States or U.S. territories that have already completed administration of the AHRQ Medical Office Survey on Patient Safety Culture and are prepared to submit their data by October 15, 2011 are eligible.

This database is a central repository for survey data from medical offices, systems, or survey vendors that have administered the AHRQ medical office survey instrument. One of the purposes of the database is to produce comparative results to help medical offices identify strengths and opportunities for improvement in their patient safety culture. Comparative results are reported in the aggregate and do not include any information identifying participating medical offices.

To register, please go to  www.sops-database.org/medicaloffice

Please feel free to contact us with any questions or concerns at DatabasesOnSafetyCulture@ahrq.hhs.gov

Thank you,

The Medical Office Database Submission Team