| February 24, 2022, Issue #802 The percentage of people under 65 years old who had "any period of uninsurance" decreased by 33 percent, and the percentage who were "uninsured all year" decreased by 42 percent between 2002 and 2018. (Source: AHRQ, 2021 National Healthcare Quality and Disparities Report, A-1) A new Federal Register Notice solicits public input on a draft strategic framework for AHRQ's future investments in patient-centered outcomes research (PCOR) dissemination and implementation projects. The framework will help guide AHRQ's PCOR investments, long-range planning and the selection and scope of objectives, projects and outcomes. AHRQ's investments, supported by the PCOR Trust Fund, are intended to have the greatest impact on equitable whole-person care across lifespans. Responses to AHRQ's draft framework are sought from healthcare providers, patients, community groups, employers, health services researchers, dissemination and implementation scientists, communications experts, representatives from health systems, and public and private payers. The comment period ends April 19. Access more information about AHRQ's draft framework and the agency's PCOR activities.  A recent AHRQ-funded study found that a majority of 58,500 adult patients surveyed had a more positive experience with telehealth visits than with traditional in-office visits. Researchers used the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey 3.0 to survey patients about telehealth versus in-office visits and patient experience before and during the COVID-19 pandemic. Reports about doctor communication, care coordination, global rating of the doctor, and recommending the doctor to family and friends were perceived to be slightly, but significantly better for televideo visits than office visits. The study, published in the Journal of General Internal Medicine, suggests that offering telehealth services post-pandemic may be well-received by patients. Access the abstract. |  Practice facilitators help primary care practices implement the best evidence and develop quality improvement capacity. To assist practice facilitators in gaining critical skills, AHRQ recently released a set of 14 on-demand Practice Facilitation Training Modules. These free, interactive training modules, each 20-30 minutes long, provide opportunities to practice skills and include videos of experienced practice facilitators who share insights and helpful hints. The self-directed modules, based on AHRQ's widely used Primary Care Practice Facilitation Curriculum, provide a solid foundation for new facilitators and give experienced facilitators a refresher on specific skills. Find more practice facilitation resources at Delivering Primary Care Practice Facilitation. | While the percentage of Americans adults who received cholesterol or colorectal screening increased 2 to 3 percentage points after the implementation of the Affordable Care Act, a review of data collected by AHRQ's Medical Expenditure Panel Survey in Medical Care suggests that existing racial/ethnic and socioeconomic disparities persisted. Except for a 9.3 percentage-point narrowing in the colorectal screening gap between those in families with incomes between 100 percent and 199 percent of the federal poverty line and those in families with income at 400 percent or more and improved preventive services utilization in the Midwest, researchers found that disparities between high and low earners, White non-Hispanic adults and adults of other race/ethnicity, privately and publicly insured adults, and those in the Northeast and in other regions remained unchanged. Access the abstract. AHRQ's Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include: Review additional new publications in PSNet's current issue or access recent cases and commentaries in AHRQ's WebM&M (Morbidity and Mortality Rounds on the Web). Editor's note: This article corrects a previous article that provided incorrect dates for the SOPS Hospital Survey 2.0. Voluntary data submission for AHRQ's Surveys on Patient Safety Culture™ (SOPS®) Databases will be open June 1–July 22 for the SOPS Hospital Survey 2.0, and September 1–21 for the SOPS Nursing Home Survey. The SOPS program is designed to help healthcare organizations assess how providers and staff members perceive various aspects of patient safety culture. Participating facilities will receive feedback reports displaying their results as well as aggregated results from all database participants. Select to access general information about the SOPS Databases. For technical assistance on data submission, email DatabasesOnSafetyCulture@westat.com or call 1-888-324-9790. | AHRQ in the Professional Literature Accountable care organizations and post-acute care: a focus on preferred SNF networks. Kennedy G, Lewis VA, Kundu S, et al. Med Care Res Rev. 2020 Aug;77(4):312-23. Epub 2018 Jul 2. Access the abstract on PubMed®. Disparities in United States hospitalizations for serious infections in patients with and without opioid use disorder: a nationwide observational study. Kim JH, Fine DR, Li L, et al. PLoS Med. 2020 Aug 7;17(8):e1003247. Access the abstract on PubMed®. Home pulse oximetry after discharge from a quaternary-care children's hospital: prescriber patterns and perspectives. Fierro J, Herrick H, Fregene N, et al. Pediatr Pulmonol. 2022 Jan;57(1):209-16. Epub 2021 Oct 18. Access the abstract on PubMed®. Family caregivers' conceptions of trust in home health care providers. Russell D, Burgdorf JG, Kramer C, et al. Res Gerontol Nurs. 2021 Jul-Aug;14(4):200-10. Epub 2021 Jul 1. Access the abstract on PubMed®. External validation of a predictive model of adverse events following spine surgery. Fatemi P, Zhang Y, Han SS, et al. Spine J. 2022 Jan;22(1):104-12. Epub 2021 Jun 9. Access the abstract on PubMed®. Prehospital comprehensive stroke center vs primary stroke center triage in patients with suspected large vessel occlusion stroke. Kass-Hout T, Lee J, Tataris K, et al. JAMA Neurol. 2021 Oct;78(10):1220-7. Access the abstract on PubMed®. Strategies for building robust prediction models using data unavailable at prediction time. Yang H, Tourani R, Zhu Y, et al. J Am Med Inform Assoc. 2021 Dec 28;29(1):72-9. Access the abstract on PubMed®. Difficulty obtaining behavioral health services for children: A national survey of multiphysician practices. Chien AT, Leyenaar J, Tomaino M, et al. Ann Fam Med. 2022 Jan-Feb;20(1):42-50. Access the abstract on PubMed®. Contact Information For comments or questions about AHRQ News Now, contact Bruce Seeman, (301) 427-1998 or Bruce.Seeman@ahrq.hhs.gov. |
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