May 7, 2004, Issue No. 134
AHRQ News and Numbers
Approximately 42 percent of the U.S. population received dental care from
a dentist, dental technician, dental hygienist, dental surgeon, orthodontist,
endodontist, or periodontist each year from 1996 through 2000. For people who
had a dental visit in 2000, the average total dental expenses were $480, an
increase of about 28 percent over the average expense in 1996. [Source: Agency
for Healthcare Research and Quality, MEPS Research Findings #20: Dental Services: Use, Expenses, and Sources of Payment, 1996-2000.]
Today's Headlines:
- New AHRQ report says better coordination of resources along
regional lines is essential to bioterrorism preparedness
- HHS listening session on priorities for research under
Medicare Modernization Act set for May 21
- Studies show lower nurse staffing levels contribute to poor
patient outcomes
- New issue of AHRQ Web M&M patient safety journal is
available online
- Training opportunity on May 25-26 — Learn more about the AHRQ
Quality Indicators!
- Nominations for new members of National Advisory Council for
Healthcare Research and Quality are due June 1
- AcademyHealth Annual Research Meeting and affiliate meetings
set for June 3-9
- Measures of family assessment of nursing home care are due
July 6
- Translating Research Into Practice conference scheduled July
12-14
- New tools added to AHRQ's QualityTools
- AHRQ in the professional literature
1. New AHRQ Report Says Better Coordination of Resources Along
Regional Lines Is Essential to Bioterrorism Preparedness
Coordinating resources across local and state lines—also known as
regionalization—may benefit some bioterrorism preparedness and response
capabilities, but more research is needed to find the best ways of coordinating
those resources, according to a new report released today by AHRQ. The new
report, Regionalization of Bioterrorism Preparedness and Response,
identifies key ways regionalization can make a difference in communities'
response. Select to access the press release;
select to access a summary of the report.
Printed copies of the summary and full report are available by calling AHRQ's
Publications Clearinghouse at 1-800-358-9295 or by sending an E-mail to ahrqpubs@ahrq.gov.
2. HHS Listening Session on Priorities for Research Under Medicare
Modernization Act Set for May 21
HHS will host a listening session on Friday, May 21, to solicit input on
research priorities under Medicare reform legislation signed by President Bush
in December. The listening session will be held from 9:00 a.m. to 11:00 a.m. in
the John M. Eisenberg Room (Room 800) of the HHS Hubert H. Humphrey Building,
200 Independence Ave., SW, Washington, DC (Federal Center SW Metro station). A
call-in line has been established for anyone not able to attend the meeting. The
call-in number is 877-546-1565, and the pass code is "Medicare Listening
Session." Participants will discuss the implications of Section 1013 of the
Medicare Prescription Drug Improvement and Modernization Act of 2003, which
authorizes HHS to support research that provides information on the outcomes,
comparative clinical effectiveness, and appropriateness of health care items and
services, including prescription drugs, and outlines strategies for improving
the efficiency and effectiveness of the Medicare, Medicaid, and SCHIP programs,
including how their services are organized, managed, and delivered. The new law
requires the initial priority list for research to be developed by June 2004 and
initial research to be completed in December 2005. Written suggestions for the
priority list can be submitted online at the Medicare Web
site, where the exact language of Section 1013 of the statute also can be
found.
3. Studies Show Lower Nurse Staffing Levels Contribute to Poor
Patient Outcomes
AHRQ issued a new synthesis of research studies funded by the Agency and
others that indicates that hospitals with lower nurse staffing levels, nurses
who spend less time with patients, or fewer registered nurses compared with
licensed practical nurses or nurses' aides tend to have higher rates of poor
patient outcomes, including pneumonia, shock, cardiac arrest, and urinary tract
infections. Select to access our press release
and our research synthesis to read Research in Action: Hospital Nurse
Staffing and Availability of Care.
4. New Issue of AHRQ Web M&M Patient Safety Journal is
Available Online
The latest issue of the AHRQ WebM&M online patient safety journal is now
available at our WebM&M Web site. This month,
we encourage you to participate in a brief, anonymous survey about what you like
about the site and what we might do to make the site even better. This month's
articles include cases in which a nurse draws the privacy drapes for a child in
the recovery room, not realizing the child is in distress until she nearly stops
breathing; an antenatal room in disarray prompts a search for a missing patient,
only to discover that a resident had performed an ultrasound on a nurse-friend;
a severely injured woman who rejects a blood transfusion on religious grounds,
but her parents arrive as the woman becomes unconscious and persuade the
physicians otherwise; and a woman who died after 3 weeks of hospitalization for
an undiagnosed respiratory infection, whose test results later revealed that she
actually had tuberculosis. This month's spotlight case focuses on a hospitalized
patient with diabetes. As always, the spotlight case includes a downloadable set
of slides. By completing the spotlight quiz, clinicians can receive CME credit,
and trainees can receive certification in patient safety, thereby helping to
meet new Accreditation Council on Graduate Medical Education requirements for
systems-based learning. Cases and CME from previous issues are still available
under "Archives" and "Past Issues" on the site. You can also submit a case for
consideration for future editions of the online journal.
5. Training Opportunity on May 25-26 — Learn More About the AHRQ
Quality Indicators!
Mark your calendars for AHRQ Quality Indicators (QIs) training. AHRQ QIs were
created to inform health care planning, support evidence-based policy
development, and facilitate quality monitoring and surveillance activities.
These QIs are constructed using existing hospital discharge data and can be
integrated into existing information infrastructures. AHRQ has developed
software, which can be used in conjunction with SAS or SPSS, to calculate QI
rates from inpatient discharge data derived from the Nationwide Inpatient Sample
(NIS), the State Inpatient Databases (SID) that are part of AHRQ's Healthcare
Cost and Utilization Project (HCUP), or any hospital administrative data. In
response to user requests, AHRQ is developing a curriculum to assist current and
future QI users. As part of the curriculum development, three training sessions
will be offered in 2004. The first session will be held on May 25-26 in Jackson
Hole, WY. Additional programs will be offered in November and December 2004.
Select to access QI Web
site and registration for more
details.
6. Nominations for New Members of National Advisory Council for
Healthcare Research and Quality Are Due June 1
AHRQ is currently seeking nominations for seven new public members for its
National Advisory Council for Healthcare Research and Quality, which advises the
Secretary of HHS and the Director of AHRQ on matters related to actions of the
Agency to enhance the quality, improve the outcomes, and reduce the costs of
health care services. The 21-member Council meets in the Washington, DC,
metropolitan area, generally in Rockville, MD, approximately three times a year.
Members generally serve 3-year terms, and new members will start their service
in the fall of 2004. AHRQ is seeking individuals who are distinguished in the
conduct of research, demonstration projects, and evaluations with respect to
health care; in the fields of health care quality research or health care
improvement; in the practice of medicine or other health professions; in the
private health care sector (including health plans, providers, and purchasers);
in the fields of health care economics, management science, information systems,
law, ethics, business, or public policy; and in representing the interests of
patients and consumers of health care. Nominations are due June 1 and should be
mailed to Deborah Queenan, AHRQ, 540 Gaither Road, Room 3238, Rockville, MD
20850 or faxed to her at (301) 594-1341. Select to access the
Federal Register notice.
7. AcademyHealth Annual Research Meeting and Affiliate Meetings
Set for June 3-9
The AcademyHealth Annual Research meeting and affiliate meetings will be held
June 3-9 in San Diego. The theme for this year's meeting is "The Premier Forum
for Health Services Research." The meeting provides opportunities to present and
hear about cutting-edge research, debate timely policy issues, and learn about
new methods and funding sources. In conjunction with the annual meeting, AHRQ is
co-sponsoring several affiliate meetings:
- The "Sixth Annual Child Health Services Researchers Meeting" on June 5
- "AHRQ Enhanced Emphasis on Translating Research Into Practice and Policy" on June 7.
- "What Do We Know About Quality? Key Findings from the First National Healthcare Quality and Disparities Reports" on June 8.
- "MEPS Data: What Every Researcher Should Know" and "HCUP: Data and Tools to Support Improvement in Health Care" on June 9.
8. Measures of Family Assessment of Nursing Home Care are Due July 6
AHRQ is currently soliciting a voluntary submission by researchers, survey
firms, stakeholders, and other interested parties of survey instruments or items
from survey instruments measuring family assessments of nursing home care. CMS
established as a priority support for the development of a standardized survey
for measuring and publicly reporting family and residents' assessments of
nursing home care that could be used nationwide. CMS asked AHRQ for assistance
in the development and testing of the survey instruments. A resident survey has
been developed and is in the process of being field tested. The next step is the
development of a standardized instrument for investigation of family
perspectives on residents' nursing home care. If selected for incorporation into
a standardized CAHPS® instrument for comparing family assessments of nursing home
care, measures will be made freely available to encourage widespread use.
Submissions are due July 6, and should be mailed to Judith A. Sangl, AHRQ, 540
Gaither Road, Rockville, MD, 20850, or E-mailed to JSangl@ahrq.gov. Select to access the
Federal Register notice.
9. Translating Research Into Practice Conference Scheduled July
12-14 in Washington, DC
Mark your calendars for TRIP 2004, "Translating Research Into Practice:
Advancing Excellence from Discovery to Delivery." This expanded July 12-14
conference at the new Washington Convention Center in Washington, DC, will
examine the state-of-the-art and next horizons in implementing research in
clinical practice and health policy. AHRQ Director Carolyn Clancy, M.D., is
among the keynote speakers, and sessions will focus on knowledge transfer
related to ephedra, colorectal and prostate cancer screening, and tobacco
cessation interventions for underserved populations. Health care provider
organizations, clinicians, patients, purchasers, researchers, innovators,
knowledge transfer experts and others from across the public and private sectors
will share research, insights, collaborations, and initiatives for moving
knowledge of efficacy and effectiveness into sustained practice change.
10. New Tools Added to AHRQ's QualityTools
To see what's new at QualityTools—a Web-based clearinghouse that will give
health care providers, health plans, policymakers, purchasers, patients, and
consumers an accessible mechanism to implement quality improvement
recommendations, initiatives, or principles—select to access QualityTools. These tools can be
used to improve the delivery and receipt of care, inform health care decisions,
and educate individuals regarding their own health care needs. The QualityTools
Web site also features the National Healthcare Quality Report and the
National Healthcare Disparities Report. Select to subscribe to QualityTools' Weekly Update Service, which notifies you via
E-mail when new tools become available at the QualityTools Web site.
11. AHRQ in the Professional Literature
Coil CJ, Haukoos JS, Witt M, et al. Evaluation of an emergency department
referral system for outpatient HIV testing. J Acquir Immune Defic Syndr
2004 Jan 1;35(1):52-5. Select to access the
abstract on PubMed®
Person SD, Allison JJ, Kiefe Cl, et al. Nurse staffing and mortality for
Medicare patients with acute myocardial infarction. Med Care 2004 Jan;42(1):4-12.
Select to access the
abstract on PubMed®
Lambert MC, Schmitt N, Samms-Vaughan ME, et al. Is it prudent to administer
all items for each Child Behavior Checklist cross-informant syndrome? Evaluating
the psychometric properties of the Youth Self-Report dimensions with
confirmatory factor analysis and item response theory. Psychol Assess
2003 Dec;15(4):550-68. Select to access the
abstract on PubMed®
Lawrence VA, Silverstein JH, Cornell JE, et al. Higher Hb level is associated
with better early functional recovery after hip fracture repair.
Transfusion 2003 Dec;43(12):1717-22. Select to access the
abstract on PubMed®
Whelan CT, Jin L, Meltzer D. Pain and satisfaction with pain control in
hospitalized medical patients: no such thing as low risk. Arch Intern Med
2004 Jan 26;164(2):175-80. Select to access the
abstract on PubMed®
Stelfox HT, Ahmed SB, Fiskio J, et al. Monitoring amiodarone's toxicities:
recommendations, evidence, and clinical practice. Clin Pharmacol Ther
2004 Jan;75(1):110-22. Select to access the
abstract on PubMed®
Bender RH, Lance TX, Guess LL. Including disrenrollees in CAHPS managed care
health plan assessment reporting. Health Care Financ Rev 2003 Fall;25(1):67-79.
Select to access the
abstract on PubMed®
Tsai AC. Conflicts between commercial and scientific interests in
pharmaceutical advertising for medical journals. Int J Health Serv 2003;33(4):751-68
Select to access the
abstract on PubMed®
Contact Information
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Current as of May 2004
Internet Citation:
AHRQ Electronic Newsletter. May 7, 2004, Issue No.
134. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/enews/enews134.htm