| February 15, 2022, Issue #800  Access more data on this topic in the associated statistical brief, plus additional AHRQ data infographics. AHRQ's new guide on increasing the use of patient-generated health data (PGHD) into electronic health records is the subject of a new AHRQ Views blog post. The potential for PGHD to impact healthcare delivery is significant, according to authors Chun-Ju (Janey) Hsiao, a health scientist administrator in AHRQ's Division of Digital Healthcare Research, and Chris Dymek, director of the agency's Digital Healthcare Research Program. Ambulatory care clinicians have traditionally based treatment recommendations on information received from patients during clinical encounters. But the additional information provided by PGHD gives patients and clinicians the ability to employ better strategies to prevent and manage health conditions. Registration is open for a Feb. 22 web conference that will highlight the guide and feature recommendations on integrating PGHD into ambulatory care. Postpartum hospital readmissions, which account for more than 10 percent of hospital stays, have grown more common in recent years. A review of data from AHRQ's Healthcare Cost and Utilization Project has found that safety-net hospitals (SNHs), which typically provide care regardless of a patient's ability to pay, account for approximately four additional postpartum readmissions per 1,000 deliveries compared with non-SNHs. Patient characteristics, such as race and comorbidities, accounted for 66 percent of the increased readmission rate at SNHs. The study in Journal of Hospital Medicine suggests addressing underlying conditions and inequities is necessary to reduce postpartum readmissions. Access the abstract.  While the concept behind value-based purchasing programs in healthcare seems simple in theory, in practice, it's anything but. That's why the work of AHRQ-funded researcher and health economist Teresa M. Waters, Ph.D., professor at the University of Kentucky School of Public Health, Lexington, has been instrumental in building the evidence about whether these programs—and their millions of dollars in financial rewards and penalties—are based on sound, meaningful measures. Access Dr. Waters' profile, as well as additional AHRQ grantee profiles. |  Decades of AHRQ research studies, extensive consultation with stakeholders and results from a primary care research summit have identified research needs central to transforming primary care and achieving a high-performing healthcare system that serves all Americans and advances health equity, according to an Annals of Family Medicine commentary by AHRQ experts. According to AHRQ's Arlene Bierman, M.D., M.S., Bob McNellis, M.P.H., P.A., and Sebastian Tong, M.D., M.P.H., primary care research is essential to providing crucial evidence to overcome longstanding and widespread challenges to realizing primary care's full potential. The authors envision a future in which the lessons learned from the COVID-19 pandemic, recent influential reports on primary care, and research by a new generation of primary care researchers will yield a system that is easier to navigate, has coordinated care and is more equitable. 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). Voluntary data submission for AHRQ's Surveys on Patient Safety Culture™ (SOPS®) Databases will be open June 1–20 for the SOPS Hospital Survey 2.0, and Sept. 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, call (888) 324-9790. | AHRQ in the Professional Literature ECHO-CT: an interdisciplinary videoconference model for identifying potential postdischarge transition-of-care events. Gonzalez MR, Junge-Maughan L, Lipsitz LA, et al. J Hosp Med. 2021 Feb;16(2):93-6. Access the abstract on PubMed®. Multiple imputation procedures for estimating causal effects with multiple treatments with application to the comparison of healthcare providers. Silva GC, Gutman R. Stat Med. 2022 Jan 15;41(1):208-26. Epub 2021 Nov 2. Access the abstract on PubMed®. The STUN (STop UNhealthy) Alcohol Use Now trial: study protocol for an adaptive randomized trial on dissemination and implementation of screening and management of unhealthy alcohol use in primary care. Jonas DE, Barclay C, Grammer D, et al. Trials. 2021 Nov 16;22(1):810. Access the abstract on PubMed®. Variation in peritoneal dialysis-related peritonitis outcomes in the Peritoneal Dialysis Outcomes and Practice Patterns Study (PDOPPS). Al Sahlawi M, Zhao J, McCullough K, et al. Am J Kidney Dis. 2022 Jan;79(1):45-55.e1. Epub 2021 May 28. Access the abstract on PubMed®. Patient selection in the Comprehensive Care for Joint Replacement model. Ko H, Martin BI, Nelson RE, et al. Health Serv Res. 2022 Feb;57(1):72-90. Epub 2021 Oct 6. Access the abstract on PubMed®. Feasibility of enhanced recovery in emergency colorectal operation. Fischer CP, Knapp L, Cohen ME, et al. J Am Coll Surg. 2021 Feb;232(2):178-85. Epub 2020 Oct 16. Access the abstract on PubMed®. Risk factors for opioid-related adverse drug events among older adults after hospital discharge. Herzig SJ, Anderson TS, Jung Y, et al. J Am Geriatr Soc. 2022 Jan;70(1):228-34. Epub 2021 Sep 15. Access the abstract on PubMed®. Association of race/ethnicity and social determinants with rehospitalization for mental health conditions at acute care children's hospitals. Carroll AR, Hall M, Brown CM, et al. J Pediatr. 2022 Jan;240:228-34.e1. Epub 2021 Sep 1. 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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