Fiscal Year 2004
In Fiscal Year 2004, the Agency for Healthcare Research and Quality (AHRQ) committed over $22 million of total support over the lives of the projects for new intramural and extramural research projects. Select for more information on the Agency's Child Health Research Agenda.
This fact sheet summarizes AHRQ initiatives in child and adolescent health care focusing on improving the quality, safety, efficiency, and effectiveness of health care.
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Contents
Improving Quality and Increasing Safety
Training Grants
Improving Efficiency and Effectiveness
Contracts
Conferences and Meetings
More Information
*Projects that include children or children's health care issues, but do not focus exclusively on children, are marked with asterisks.
Improving Quality and Increasing Safety
Project Funded Under AHRQ's
Program Announcement (PA) for
Health Services Research
This PA
supported projects focusing on a wide range
of topics under AHRQ's priority program
areas including:
- Supporting improvements in health outcomes.
- Improving quality and patient safety.
- Identifying strategies to improve access
and foster appropriate use and reduce
unnecessary expenditures.
Impact of Gait Analysis on
Surgical Outcomes
Principal Investigator: Tishya Wren, Children's
Hospital Los Angeles, Los Angeles,
CA
Grant No.: R01 HS014169 (04/01/2004-03/31/2009)
Description: This
project will conduct a randomized
controlled trial to assess the effects of
preoperative gait analysis on surgical
outcomes in ambulatory children
ages 3-18 with cerebral palsy. This
study will involve a large population
of Hispanic children, and a small
sample of African-American, Asian,
and Native Hawaiian or other
Pacific Islander children.
Project Funded under the PA for
AHRQ's Small Research Grant
Program. This program provides support
for new investigators or researchers new to
health care services issues, and encourages
preliminary, exploratory, or innovative
research in new or previously unexamined
areas.
Project Funded under the PA for
AHRQ's Small Research Grant
Program
This program provides support
for new investigators or researchers new to
health care services issues, and encourages
preliminary, exploratory, or innovative
research in new or previously unexamined
areas.
*Pharmaceutical Regulation
and New Drug Safety
Principal Investigator: Mary
Olson, Yale University, New
Haven, CT
Grant No.: R03
HS013932 (05/01/2004-04/30/2006)
Description: The aims of this
project are to:
- Examine
whether faster new-drug reviews
are associated with higher counts
of serious adverse drug reactions
among new drug approvals.
- Explore the factors that
influence serious adverse drug
reaction levels associated with
newly approved drugs.
Women
and children will be represented
in this study.
Projects Funded under RFA for
Demonstrating the Value of
Health Information Technology
(HIT)
This RFA requested projects
to increase knowledge and
understanding of the value of HIT,
including clinical, safety, quality,
financial, organizational, effectiveness,
efficiency, or other direct or indirect
benefits that may be derived from the
use of HIT in the delivery of health
care.
Valuation of Primary Care-Integrated Telehealth
Principal Investigator: Kenneth
McConnochie, University of
Rochester, Rochester, NY
Grant No.: R01 HS015165
(09/30/2004-09/29/2007)
Description:
Using a Health-e-Access
telehealth model, primary care
clinicians in 9 practices will
evaluate children in 9 schools
and 13 child care programs in
designated geographic areas.
The first study will focus on the
impact of telehealth on
utilization and cost at the level of
child programs and on
individual children using a
before-after design with
historical and concurrent
controls. The second study will
assess integration in primary
care, for example by measuring
the impact on continuity of care,
adherence to well-child visit
schedules, and immunization
rates. This project will include
Hispanic/Latino, Asian, and
black/African-American
children.
ParentLink: Better and Safer
Emergency Care for Children
Principal Investigator: Stephen
Porter, Children's Hospital
Corporation, Boston, MA
Grant No.: R01 HS014947
(09/30/2004-09/29/2006)
Description: This
study will:
- Evaluate the
completeness and accuracy of
information on symptoms,
disease condition, medications
and allergies generated by
parents using ParentLink versus
information documents by ED
physicians and nurses.
- Measure the ParentLink's impact
on ED patient safety and quality,
specifically the error rate for
ordering and prescribing
medications during ED care and
the percent of ED visits that
adhere to National evidence-based
guidelines.
Women
(speaking for children under 12
years), and Black and
Asian/Pacific Islander children
will be represented in this study.
Improving Pediatric Safety and
Quality with Health Care IT
Principal Investigator: Timothy
Ferris, Massachusetts General
Hospital, Boston, MA
Grant No.: R01 HS015002
(09/30/2004-09/29/2007)
Description: In
this study, researchers will assess
changes in patient experience of
care using a modified CAHPS®
survey to evaluate the influence
of:
- Weight-based dosing on
pediatric adverse drug events.
- A test result tracking system on
appropriate follow-up of ordered
tests.
- Automated
reminders on symptom
monitoring and medications for
children with asthma and
attention deficit disorder.
This
study will include inner-city
minority communities, especially
Hispanic and African-American
populations.
*Rural Trial of Clinic Order
Entry with Decision Support
Principal Investigator: Matthew
Samore, University of Utah, Salt
Lake City, UT
Grant No.: R01
HS015413 (09/20/2004-08/31/2007)
Description: This project will
measure the value of a health
information technology
intervention: "The
Computerized Clinic Order
Entry Tool." Ten rural primary
care practices in UT will be
assigned to implement the tool
and ten other rural primary care
practices will be assigned to
continue paper-based writing of
outpatient prescriptions and
orders. Effects of the tool on
provider productivity, office
efficiency, user satisfaction, and
medication practices will be
evaluated. Women, minorities,
and children will be included in
this study.
*Showing Health Information
Value in a Community
Network
Principal Investigator: David Lobach, Duke University,
Durham, NC
Grant No.: R01
HS015057 (09/30/2004-08/31/2007)
Description: This 3-year
project will assess the costs and
benefits of health information
technology in an established
community-wide network of
academic, private and public
healthcare facilities created to
share clinical information for the
purpose of population-based care
management of over 16,000
Medicaid beneficiaries in
Durham County, NC.
Researchers will evaluate the
impact of information-driven
interventions on care quality,
patient safety and healthcare
costs. The majority of patients in
this study will be minority
children (African-American,
Hispanic, and other ethnicities)
and women.
*Improving Safety and Quality
with Integrated Technology
Principal Investigator: Jeanne-Marie Guise, Oregon Health
and Science University, Portland,
OR
Grant No.: R01 HS015321
(09/30/2004-08/31/2007)
Description: The
aims of this project will:
- Demonstrate the value of an
integrated outpatient and
inpatient health information
technology (HIT) system to
improve quality of care and
safety for women and infants,
using group B streptococcus
(GBS) prevention as the test
case.
- Demonstrate the value
of an outpatient alert system to
increase GBS screening.
- Perform a cost-benefit analysis to
assess the economic impact of
implementing the integrated
HIT system.
Women, minorities
(Hispanics, African-Americans,
Native Americans, and other
races) and children will be
represented in this study.
*Impact of Health Information
Technology (HIT) on Clinical
Care
Principal Investigator: John
Hsu, Kaiser Foundation Research
Institute, Oakland, CA
Grant No.: R01 HS015280
(09/30/2004-09/29/2007)
Description: This
study has two aims:
- To determine the quality and safety
impact of ambulatory HIT on
resource use for patients with five
chronic diseases (asthma, coronary
artery disease, congestive heart
failure, diabetes mellitus, and
hypertension) by evaluating
measures of drug use, laboratory
monitoring, and physiologic
disease control.
- To determine the impact of
ambulatory HIT on resource use
for patients with these chronic
diseases by estimating the rates of
office visits, ED visits, and
hospitalizations.
A large number
of children with asthma and fewer
with diabetes mellitus will be
included in this study as well as
women and minorities.
Projects funded under RFA for
Transforming Healthcare Quality
through Information Technology
(THQIT)—Planning Grants
This RFA supported community-wide
planning processes across multiple
healthcare organizations within a local
or regional area that will enable them
to develop HIT infrastructure that
provides for effective exchange of health
information within the community.
Improving Quality of Care for
Children with Special Needs
Principal Investigator: Carmen
Lozzio, University of Tennessee
Health Science Center, Knoxville,
TN
Grant No.: P20 HS015426
(09/30/2004-09/29/2005)
Description: This
study will develop a database to
include diagnosis, health records,
and educational information on
children with special health care
needs in the Tennessee Child
Health Profile. Low-income,
minority children will be included
in this study.
Creating Online NICU
Networks to Educate, Consult
and Team
Principal Investigator: Jane Siders, University of
Southern Mississippi, Hattiesburg,
MS
Grant No.: P20 HS014996
(09/30/2004-09/29/2005)
Description: This
study will develop, implement,
and evaluate a cooperative effort
using health information
technology to facilitate a
continuum of appropriate medical
and developmental care for
infants most at-risk for long-term
neurodevelopmental problems.
High-risk infants, including
Asians and African Americans
from birth to 24 months, will be
represented in this study.
*El Dorado County Safety
Network Technology Project
Principal Investigator: Neda West,
Marshall Medical, Placerville, CA
Grant No.: P20 HS014908
(09/30/2004-09/29/2005)
Description: This
study will integrate the Network's
"Access Product," a three pronged
approach to:
- Provide outreach
and enrollment for children
eligible for public insurance.
- Provide access to quality health
care services for those children not
eligible for public insurance up to
300 percent of the poverty level.
- Access to healthcare to
those families employed by local
small businesses unable to provide
coverage for their workers.
The safety net population included in
this study will be indigent,
uninsured, and underinsured
rural, low-income, minorities,
women, and children.
*Boone County Community
Care Network
Principal Investigator: Robert Atkins,
Boone Memorial Hospital,
Madison, WV
Grant No.: P20
HS015286 (09/30/2004-09/29/2005)
Description: This project will
launch:
- ChartLink, a Web-enabled
application that will
provide secure and interactive
access to patient information
designed for physicians with
access to the hospital's medical
records.
- A computerized
physician order entry (CPOE)
system which is a secure and
interactive tool that will enhance
patient care utilizing the Internet
to increase patient safety and
order process efficiency.
The
population in this study includes
rural, low-income, women and
children.
*Service Integration
Principal Investigator: Michelle Lemming,
Franklin Foundation Hospital,
Franklin, LA
Grant No.: P20 HS015195 (09/30/2004-09/29/2005)
Description: This study will:
- Develop an implementation plan,
including organizational,
governance and financial
components.
- Create a
medication management system
with an electronic note writing
capability.
The population in this
study will include rural, low-income,
minorities, women,
children, the elderly, and persons
with chronic illnesses.
*Linking Rural Providers to
Improve Patient Care and
Health
Principal Investigator: Timothy Broos, Katherine Shaw
Bethea Hospital, Dixon, IL
Grant No.: P20 HS015023
(09/30/2004-09/29/2005)
Description: The
aim of this project is to plan the
development of a central
electronic health record system
that will facilitate standards-based
data sharing of health information
between a local acute care
hospital, an associated medical
group, the county health
department; and the local
behavioral health organizations.
This study will provide
coordination of quality and safe
health care services for disparate
groups, including rural,
economically disadvantaged,
ethnic/racial minority residents,
and older and younger persons
with special/complex health care
needs.
*Bay Area Community
Informatics Project
Principal Investigator: Jeffery Givens, Bay
Area Health District DBA Bay
Area Hospital, Coos Bay, OR
Grant No.: P20 HS014893
(09/30/2004-09/29/2005)
Description: The
purpose of this study is to
establish a secure fiber optic
connection between primary
performance sites (a consortium
of rural Oregon Coast healthcare
organizations) for transmission of
patient demographic data,
medical transcription files,
laboratory results, and
radiographic images. Patients in
this study include rural, women,
children, the elderly, and persons
with chronic illnesses.
*Improving the Quality and
Safety of Regional Surgical
Patient Care through the
Creation of a Multi-institutional
Partnership for the
Implementation and Support of
Perioperative Informatics Tools
Principal Investigator: Michael
Higgins, Vanderbilt University
Medical Center, Nashville, TN
Grant No.: P20 HS015401
(09/30/2004-09/29/2005)
Description: This
project will create a plan for
development, implementation,
and support of informatics tools
in regional health centers to
improve the safety of surgical
patient care in the mid-South.
The tools include creating a
registry of patients that details
surgical risks; a preoperative
evaluation resource containing the
medical history relevant to
planning perioperative care; a
performance benchmarking
resource to support collaborative
quality improvement efforts; and
point-of-care prompts designed to
reduce errors in the patient care
process. Minorities, women,
children and the elderly will be
represented in this study.
*Community HealthLink Care:
Regional Electronic Medical
Record
Principal Investigator: Thomas Lewis, Primary Care
Coalition of Montgomery
County, Silver Spring, MD
Grant No.: P20 HS014962
(09/30/2004-09/29/2005)
Description: This
study will:
- Implement the
health information technology
infrastructure among community-based
healthcare providers
necessary to support a single,
shared electronic medical record
application for medically
underserved patients in the
National capital area.
- Promote the community-wide
exchange of patient information
for clinical decision support,
research and disease management
on behalf of low-income,
uninsured individuals and
families.
Projects funded under RFA for
Transforming Healthcare Quality
through Information Technology
(THQIT)—Implementation
Grants
This RFA supported projects
that focuses on organizational and
community-wide implementation and
diffusion of HIT and assessed the extent
to which HIT contributes to
measurable and sustainable
improvements in patient safety, cost and
overall quality of care.
Electronic Records to Improve
Care for Children
Principal Investigator: Richard Shiffman,
Yale University, New Haven, CT
Grant No.: UC1 HS015420
(09/30/2004-09/29/2007)
Description: The
aims of this project are to:
- Implement a shared, electronic
health record for health care
providers in pediatric primary
care, school health, specialty care,
and emergency medicine.
- Demonstrate improvements in
quality of care for children with
asthma.
- Understand
organizational barriers and factors
that enhance IT acceptance.
- Provide administrative and
technical elements of a
community-wide health network
infrastructure that can be further
extended to additional health
partners, including academic
health center clinics, community
health centers, hospital emergency
departments, and inpatient
facilities.
This study will involve
an inner-city, multiethnic group
of children and women. It will
also include minority physicians
and nurse practitioners, who
practice at partner sites, as study
subjects.
Comprehensive IT Solution
for Quality and Patient Safety
Principal Investigator: Ann
Beach, Children's Healthcare of
Atlanta, Inc., Atlanta, GA
Grant No.: UC1 HS015236
(09/30/2004-09/29/2007)
Description: This
pediatric healthcare system will
implement a series of health
information technologies to
improve patient safety and
quality as well as increase
efficiency of all operations. Four
related technologies, focusing on
pharmacy, will be implemented
including:
- Inpatient
pharmacy system.
- Electronic
medication administration
record.
- Bar coding system.
- Computerized provider
order entry system.
Patients in
this study will include women,
minorities, and inner-city
children using Medicaid.
*Rural Hospital Collaborative
for Excellence Using IT
Principal Investigator: Patricia
Dorris, Palo Pinto General
Hospital, Mineral Wells, TX
Grant No.: UC1 HS015431
(09/30/2004-09/29/2007)
Description: This
project has three aims:
- To
implement Web-based business
intelligence tools, Internet
connectivity, and standardized
National measures of patient
safety and quality to improve
delivery of care.
- To
implement advanced technology
with an enriching educational
intervention to support a
committed patient safety and
quality culture.
- To conduct a
randomized trial to evaluate the
effects of technology and the
incremental effects of an
educational intervention on
patient safety and quality.
Participants in this study will
include women, children, and
minorities in rural Texas
hospitals.
*Evaluating the Impact of an
ACPOE/CDS System on
Outcomes
Principal Investigator: Sean Sullivan,
University of Washington,
Seattle, WA
Grant No.: UC1
HS015319 (09/30/2004-09/29/2007)
Description: This study will:
- Implement ambulatory
computerized prescriber order
entry (CPOE) systems with a
built-in clinical decision support
system (CDS) in 13 sites of the
Everett Clinic, a community-based
integrated health system in
the north Puget Sound region.
- Evaluate the impact of
the ambulatory CPOE/CDS
system on patient safety by
characterizing the epidemiology
of medication errors pre- and
post-implementation, and
linking these errors to adverse
events.
Women, minorities,
children, disabled persons, and
the elderly will be included in
this project.
*Creating an Evidence Base for
Vision Rehabilitation
Principal Investigator: Betty
Bird, Lighthouse International,
New York, NY
Grant No.: UC1
HS015052 (09/30/2004-08/31/2007)
Description: This study will:
- Provide training to staff to
use best-practice protocols.
- Install electronic vision
rehabilitation record at three
non-profit vision rehabilitation
agencies.
- Determine, build,
and pilot the electronic interface
between government providers
agencies, private rehabilitation
agencies and primary care
providers.
- Validate the
system's logic and predictive
ability.
- Construct and
populate a National
benchmarking database with
outcome-measurement data
from pilot sites, thereby
developing the first vision
rehabilitation evidence base for
best treatment practice.
Minorities and persons ranging
from six months to over 100
years will be included in this
study.
*Taconic Health Information
Network and Community
(THINC)
Principal Investigator: John Blair, Taconic
IPA, Fishkill, NY
Grant No.: UC1 HS015316 (09/30/2004-09/29/2007)
Description: The physician
independent practice association
(IPA) will add a healthcare portal
to the existing community-wide
electronic data exchange in area
hospitals and laboratories to
allow use of the current
electronic messaging system and
migration to a full electronic
medical record (EMR). The
EMR will include a clinical
decision support system and
patient registries designed to
significantly improve the quality,
safety, and efficiency of
healthcare. The patient
population includes women,
men, minorities, children, and
the elderly.
*ED Information Systems—Kentucky and Indiana
Hospitals
Principal Investigator: David Pecoraro,
Jewish Hospital HealthCare
Services, Inc., Louisville, KY
Grant No.: UC1 HS014897.
(09/30/2004-09/29/2007)
Description: This
study will implement and
evaluate a contemporary, Web browser-based electronic record
system called the Ibex
PulseCheck® emergency
department (ED) information
system at two small, countyowned,
community hospitals
and one medium-sized
community hospital in southern
Indiana, one rural hospital in
central Kentucky, and three
private primary care physician
practices in Indiana. The system
is intended to ensure
comprehensive patient
evaluation and continuity of
care. This study will include data
on a significant number of
women, children, and indigent
African-Americans, Asians, and
Hispanics.
*New Mexico Health
Information Collaborative
Principal Investigator: Martin
Hickey, Lovelace Clinic
Foundation, Albuquerque, NM
Grant No.: UC1 HS015447
(09/30/2004-09/29/2007)
Description: This
project will develop a health
information exchange with the
Collaborative (businesses, health
systems and plans, philanthropic
organizations, government,
schools and the University of
New Mexico) to improve care
coordination, chronic disease
outcomes and reduce
unnecessary costs of care. The
study will develop an
organizational infrastructure and
disease management prototypes
utilizing e-health strategies to
improve care and reduce costs;
establish a rural pilot to serve as
a model for other rural areas;
and evaluate development,
implementation, and outcomes
of the health information
collaborative. The study
population includes women,
children, and minority groups.
*Enhancing Patient Safety
through a Universal EMR
System
Principal Investigator: Thomas Johnson, DuBois
Regional Medical Center, DuBois,
PA
Grant No.: UC1 HS015083
(09/30/2004-09/29/2007)
Description: The
aims of this project are to:
- Implement a universal electronic
medical records (EMR) system
across health care delivery sites in
rural inpatient and outpatient
settings, including a rural acute
care hospital, and its partners, the
DuBois Regional Medical Group,
and the Free Medical Clinic of
DuBois.
- Use the EMR system
to reduce cost of delivery of care
through improved productivity,
lower operating expenses,
enhanced revenue, and improved
regulatory compliance.
- Use the
EMR system to improve patient
safety and reduce the frequency of
medical errors.
- Use the
EMR system to improve quality
of care for women, children, low-income
uninsured populations,
and patients receiving treatment
for diabetes, congestive heart
failure, and end-of-life care.
*Improving HIT
Implementation in a Rural
Health System
Principal Investigator: Daniel Mingle,
MaineGeneral Medical Center,
Augusta, ME
Grant No.: UC1
HS015337 (09/30/2004-08/31/2007)
Description: In 2000, a pilot
project for an outpatient
electronic medical record (EMR)
for a range of provider settings in
Central Maine was tested. This
study will:
- Complete the
primary implementation of the
EMR.
- Improve the structure
and usage in implemented
practices for disease and
preventive management.
- Put an EMR into service in one new
practice per quarter.
- Collect data about patient safety,
quality, access, cost, and
productivity.
This project will
include children, women and the
elderly populations.
*CCHS-East Huron Hospital
CPOE Project
Principal Investigator: Greg Kall, Meridia
Health System CCHS-East, East
Cleveland, OH
Grant No.: UC1
HS015076 (09/30/2004-08/31/2007)
Description: This project will
measure the impact of the
computerized physician order
entry (CPOE) on quality of care,
safety, and administrative
efficiency with a special focus on
patients with chronic diseases
using the clinical data repository
created by the electronic medical
record. This study will involve an
inner city, economically
disadvantaged patient population.
Projects funded under Request for
Proposals (RFP)—State and
Regional Demonstrations in Health
Information Technology
This RFP
sought proposals to develop Statewide
networks allowing major purchasers of
health care, public and private payers,
hospitals, ambulatory care facilities,
home healthcare providers, and longterm
care providers to use HIT to
communicate and share information.
*Colorado Connecting
Communities—Health
Information Collaborative (C3-HIC)
Principal Investigator: Arthur J.
Davidson, University of Colorado
Health Sciences Center, Aurora,
CO
Contract No.: 290-04-0014
(09/30/2004-09/29/2009)
Description: The
purpose of this project is to
implement Statewide information
and communications technologies
to enable clinicians to access
patient information from other
clinical data repositories at the
point of care.
*An Evolving Statewide Indiana
Information Infrastructure
Principal Investigator: Marc Overhage,
Indiana University School of
Medicine, Indianapolis, IN
Contract No.: 290-04-0015
(09/30/2004-09/29/2009)
Description: This
project will develop and
implement health information
exchange (HIE) using an
established technical infrastructure
and interconnects local health
information infrastructures. It
will also implement a Statewide
public health surveillance network
that links all hospitals to share
emergency department data.
*State and Regional
Demonstrations in Health
Information Technology
Principal Investigator: Patricia Nolan, State of
Rhode Island, Providence, RI
Contract No.: 290-04-0007
(09/30/2004-09/29/2009)
Description: The
purpose of this project is to plan,
develop, implement, and evaluate
a Master Patient Index to facilitate
interoperability and share patient
data between public and private
health care sectors.
*State and Regional
Demonstrations in Health
Information Technology
Principal Investigator: Mark E. Frisse,
Vanderbilt University Medical
Center, Nashville TN
Contract No.: 290-04-0006 (09/30/2004-09/29/2009)
Description: This project will
plan, implement, and evaluate a
State-based regional data sharing
and interoperatibility service
interconnecting the health care
entities in three counties
including needs assessment for
healthcare improvement and
reforming TennCare.
*Improving Communication
Between Health Care Providers
Via a Statewide Infrastructure:
UHINClinical
Principal Investigator: Jan Root, Utah Health
Information Network, Murray,
UT
Contract No.: 290-04-0002
(09/30/2004-09/29/2009)
Description: The
aim of this project is to expand
and enhance the current
Statewide network for the
electronic exchange of patient
administrative and clinical data,
and support the adoption of
EMRs.
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Training Grants
Using an EMR to Improve
Urban Child Health
Principal Investigator: William Adams,
Boston Medical Center, Boston,
MA
Grant No.: K02 HS013655.
(04/01/2004-03/31/2007)
Description: The
purpose of this Independent
Scientist Award is to develop, use,
and evaluate technology-based
solutions to improve the quality
of health and healthcare of urban
children focusing on two areas of
importance to clinicians—preventive services and the care of
asthma. This study will include
children in predominantly
economically poor populations of
ethnic minorities.
Strategies for Group A
Streptococcal Prevention
Principal Investigator: Grace Lee,
Harvard Pilgrim Health Care,
Inc., Wellesley, MA
Grant No.: K08 HS013908. (05/05/2004-04/30/2009)
Description: The purpose of
this Mentored Clinical Scientist
Development Award is to
incorporate patient preferences
and advance modeling methods in
evaluating the cost-effectiveness of
interventions against infections
such as pharyngitis. This
pediatric population will include
patients of racial and ethnic
minority groups (African-Americans, Asians, Hispanic or
Latino).
*Effect of Out-of-Hospital
Endotracheal Intubation Errors
Principal Investigator: Henry
Wang, University of Pittsburgh,
Pittsburgh, PA
Grant No.: K08
HS013628. (04/01/2004-03/31/2009)
Description: This Mentored
Clinical Scientist Development
Award will identify the patterns
and effects of errors occurring in
out-of-hospital endotracheal
intubation (OOH-ETI)
performed by paramedics. The
aims of this study will:
- Examine whether variations in the
emergency medical services system
structure, patient socioeconomic
status or patient racial and ethnic
background are associated with
the incidence of OOH-ETI
errors.
- Determine whether
OOH-ETI errors affect patient
outcomes and in-hospital resource
utilization.
This study will involve
patients of all ages (including
children), both genders, and all
ethnic groups.
Return to Contents
Improving Efficiency and Effectiveness
Project Funded under Program
Announcement (PA) for AHRQ's
Small Research Grant Program
*The Role of Technology in
Health Care Cost Growth
Principal Investigator: Michael
Chernew, University of Michigan
Ann Arbor, Ann Arbor, MI
Grant No.: R03 HS013048.
(09/01/2004-08/31/2005)
Description: This
project will assess:
- Which
diseases have contributed most to
health care cost growth at the
population level.
- The role of
technology in contributing to cost
growth.
- The types of
technology that have influenced
cost growth since 1996 and the
types of patients to which they
have been applied.
Women,
minorities and children will be
included in this study.
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Contracts
Projects funded under the
Ambulatory Pediatric Association's
Young Investigator Grant Program
AHRQ has supported this initiative for
several years. This program focuses on
the field of general pediatrics (e.g.,
emergency medicine, behavioral
pediatrics, education, quality, health
services research, etc. with focus on
health care delivery).
Ethnic Differences in
Complementary and Alternative
Medicine Use among Older US
Adolescents
Principal Investigator: Susan Yussman,
University of Rochester Medical
Center, Rochester, NY
Contract No.: 04R000101 (02/15/2004-12/31/2004)
Description: The aims of this
study are to:
- Describe and
compare the prevalence of
complementary and alternative
medicine (CAM) use among a
nationally representative
population of older adolescents
including Hispanics, Asians,
African-Americans and whites.
- Determine the impact of age,
gender, region of the U.S.,
education level, financial status,
access to allopathic medical care,
and health status on CAM use
by these adolescents.
- Compare the prevalence of CAM
use among subgroups of
Hispanic older adolescents
including Mexican-American,
Chicano, Cuban, Puerto Rican,
and Central/South American
populations.
Teen Suicide: Attributes and
Opportunities for Prevention
Principal Investigator: Romi
Webster, Children's Hospital,
Boston, MA
Contract No.: 04R000101 (02/15/2004-12/31/2004)
Description: This project will:
- Describe the attributes of teen
suicide as portrayed by the 2001
and 2002 National Violent
Injury Statistics System (NVISS)
data on suicide victims less than
18 years of age.
- Compare
these attributes to 2001 and
2002 NVISS adult suicides to
explore developmental patterns
and potential opportunities for
prevention of adolescent suicide.
Patient-Centered Access to
Resources for Families with
Health Related Social
Problems
Principal Investigator: Eric Fleegler,
Children's Hospital, Boston,
MA
Contract No.: 04R000101
(02/15/2004-12/31/2004)
Description: This
study will use geographical
information systems to perform
a geospatial analysis to evaluate
the availability of appropriate
referral agencies, based on
families' needs and preferences.
The study population will
include English- and Spanish-speaking caregivers of children
ages 0-6 present at one of two
urban primary care pediatric
clinics for well-child visits.
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Conferences and Meetings
Third Annual Forum for
Improving Children's Health
Care—March 2-4, 2004 (San
Diego, CA)
Principal Investigator: Charles Homer,
National Initiative for Children's
Healthcare Quality, Boston, MA
Grant No.: R13 HS14202.
(02/25/2004-01/30/2006)
Description: This
conference focused on:
- Building improvements in care
by highlighting successful
evidenced-based models and
interventions.
- Disseminating
strategies for implementing valid
findings from health services
research.
- Providing
collaboration and information
sharing relating to child health
care across multiple stakeholder
levels.
- Developing faculty
for future initiatives to improve
quality of health care for
children.
The Sixth Annual Child
Health Services Research
Meeting—Child Health
Services Research Across
Systems—June 5, 2004 (San
Diego, CA)
Principal Investigator: Wendy Valentine,
AcademyHealth, Washington,
DC
Grant No.: R13 HS14654.
(04/01/2004-03/31/2005)
Description: This
conference provided an
opportunity for participants to
learn about the latest child
health services research , develop
new skills and discuss critical
policy issues for children.
Various sessions addressed,
preventive service delivery
improvement interventions,
pediatric patient safety, activating
parents, school readiness,
research in health plans, and
qualitative methods. The
conference was co-sponsored by
AHRQ and AcademyHealth, with
support from the American
Academy of Pediatrics, American
Board of Pediatrics Foundation,
The Commonwealth Fund, The
David and Lucile Packard
Foundation, Health Resources
and Services Administration,
Nemours Foundation, and the
National Association of Children's
Hospitals and Related
Institutions.
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More Information
AHRQ provides information online on the its children's health services agenda and detailed information on funding opportunities.
Further details on AHRQ's programs and priorities in child health services research are available from:
Denise Dougherty, Ph.D.
Senior Advisor, Child Health
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
Phone: (301) 427-1868
Fax: (301) 427-1347
E-mail: Denise.Dougherty@ahrq.hhs.gov
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AHRQ Publication No. 05-P006
Current as of January 2005
Internet Citation:
Research on Child and Adolescent Health: New Starts, Fiscal Year 2004. Fact Sheet. AHRQ Publication 05-P006, January 2005. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/childr04.htm
540 Gaither Road Rockville, MD 20850