Fiscal Year 2005
New initiatives from the Agency for Healthcare Research and Quality (AHRQ) in child and adolescent health care are summarized, focusing on improving the quality,
safety, efficiency, and effectiveness of health care. Goals are described for each study.
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Contents
Introduction
Partnerships in Implementing Patient Safety
Transforming Healthcare Quality Through Information Technology (THQIT) Implementation Grants
Investigator-Initiated Research Projects
Contracts
More Information
Introduction
This Fact Sheet summarizes new
initiatives from the Agency for
Healthcare Research and Quality
(AHRQ) in child and adolescent health
care, focusing on improving the quality,
safety, efficiency, and effectiveness of
health care.
In fiscal year 2005, AHRQ
committed more than $6 million in
total support over the lives of projects
for new intramural and extramural
research, including directed and
investigator-initiated grants, small and
large conference grants, contracts, and
other mechanisms.*
Return to Contents
Partnerships in Implementing Patient Safety
This program assists health care
institutions in implementing safe
practice interventions that show
evidence of eliminating or reducing
medical errors, risks, hazards, and
harms associated with the process of
care. These projects directly address
AHRQ's mission to improve quality
and safety in health care. Grants
awarded under AHRQ's Partnerships in
Implementing Patient Safety RFA (HS-05-012) include the following:
Implementing a Simulation-based
Safety Curriculum in a Pediatric
Emergency Site
Description: The aims of this study
are to:
- Implement a
multidisciplinary simulation-based
safety curriculum that encompasses
crew resource management, teamwork
behaviors, and critical communication
skills.
- Evaluate the effectiveness of
this curriculum by assessing knowledge
of and attitudes toward patient safety
among caregivers prior to and following
this intervention.
- Evaluate the
effectiveness of training by assessing
teamwork behaviors in a simulated
setting prior to and following the
intervention.
- Evaluate the
transfer of the skills learned in a simulated setting to the emergency
department (ED) environment by
evaluation of teamwork skills in actual
critical ED patients.
The targeted
population (African American,
Hispanic, and multi-racial) for this
educational intervention is ED
personnel, faculty, and residents in
training.
Principal Investigator: Mary
Patterson, Children's Hospital Medical
Center, Cincinnati, OH.
Grant No.:
U18 HS15841.
Project Period: 7/01/05-6/30/07.
*The Emergency Department (ED)
Pharmacist as a Safety Measure in
Emergency Medicine
Description: This project will
implement and optimize a formal
emergency department pharmacist
program; study the effects of this safe
practice intervention in three high risk
populations—children, the elderly, and
the critically ill; and develop and
disseminate a comprehensive toolkit to
facilitate implementation of the
program in emergency departments at
other institutions. This study will
include racial and ethnic groups in the
city and suburbs surrounding
Rochester, NY.
Principal Investigator:
Rollin Fairbanks, University of
Rochester, Rochester, NY.
Grant No.:
U18 HS15818.
Project Period:
7/01/05-6/30/07.
*Implementing a Program of Patient
Safety in Small Rural Hospitals
Description: This
project will:
- Develop the
organizational infrastructure for
reporting, providing timely feedback,
and analyzing medication errors
necessary to identify and implement
evidence-based practices that minimize
the latent system causes of these errors
in participating small rural hospitals.
- Evaluate the effectiveness and
sustainability of a medication safety
toolkit within participating hospitals.
- Disseminate the results of the
project, in collaboration with AHRQ,
to audiences positioned to modify
policies and/or implement the
intervention.
Members of minority
populations (Blacks, Native Americans,
Asians, Pacific Islanders, and Hispanics)
may be included in this study.
Principal Investigator: Keith Mueller,
University of Nebraska Medical Center,
Omaha, NE.
Grant No.: U18
HS15822.
Project Period: 7/01/05-6/30/07.
*Banner Health/Arizona State
University Partnership for Emergency
Department (ED) Patient Safety
Description: The
aim of this project is to reduce waits,
inefficiencies, and ultimately patient
risk in EDs throughout Banner Health
by implementing a patient safety
practice called "Door-to-Doc" (D2D).
D2D reorganizes patient flow in the
emergency department and improves
the response time between patient
arrival and the initiation of care for
treat-and-release patients as well as for
those who need to be admitted as
inpatients. Researchers will:
- Monitor
and refine D2D in eight Banner
hospital EDs.
- Collect and evaluate
the impact of D2D as a safe practice at
each Banner ED.
- Use a variety of
tools to determine the size and business
parameters within which D2D best
operates.
- Develop training aids,
teaching methods, learning assessments
and monitoring aids to help hospital
staff use D2D successfully.
The
racial/ethnic minority populations
included in this study are American
Indian/Alaska Native, Asian, Native
Hawaiian or Other Pacific Islander,
Black/African American, and
Hispanic/Latino.
Principal Investigator: Twila Burdick, Banner
Health, Phoenix, AZ.
Grant No.: U18
HS15921.
Project Period: 7/01/05-6/30/07.
*Safe Critical Care: Testing
Improvement Strategies
Description: This project
will:
- Implement a campaign for
improving critical care as part of the
Institute for Healthcare Improvement
(IHI) 100,000 Lives Campaign across
147 medical/surgical and 5 children's
hospitals of the Hospital Corporation
of America.
- Develop toolkits for
reducing blood-stream infections and
ventilator-associated pneumonia.
- Conduct a randomized controlled trial
to compare the effectiveness of a
collaborative versus campaign and
toolkit strategy for implementing an
improvement initiative.
- Examine the organizational and
provider factors that contribute to and
enable successful performance
improvement.
This study will include
patients of all ages, both genders, and
all racial/ethnic minority populations.
Principal Investigator: Theodore
Speroff, Vanderbilt University School of
Medicine, Nashville, TN.
Grant No.:
U18 HS15934.
Project Period:
7/01/05-6/30/07.
*Enhanced Patient Safety
Intervention to Optimize Medication
Education (EPITOME)
Description: This project
will:
- Evaluate the hospital-wide
implementation of a multi-modal
patient medication education system
referred to as EPITOME.
- Assess the
impact and sustainability of EPITOME
on patient safety outcomes.
- Analyze
the barriers to implementing
EPITOME and develop and evaluate
strategies for overcoming those barriers
that will support the program.
- Develop a toolkit resource to promote a
generalizable and sustainable inpatient
medication education process for health
systems and hospitals to encourage safe
medication behaviors through improved
education systems.
Women, minorities
(Hispanic or Latino, American
Indian/Alaska Native, Asian, Native
Hawaiian or Other Pacific Islander, and
African American) and children will be
included in this study.
Principal Investigator: Carl Sirio, University of
Pittsburgh, Pittsburgh, PA.
Grant No.:
U18 HS15851.
Project Period:
7/01/05-6/30/07.
*Medication Reconciliation: Bridging
Communications Across the
Continuum of Care
Description: Researchers will:
- Test a functional interdisciplinary
medication assessment model through
the development of a system-wide
process to create, maintain, and update
a complete list of medications and
allergies at the time of admittance to
any service along the continuum of
outpatient primary care and inpatient
care.
- Develop and test processes that
ensure communication of medication
and allergy lists to all external providers
and the patient upon transfer of care or
discharge.
- Develop, refine, and
disseminate a toolkit for implementing
medication reconciliation in a multitiered
health system.
Patients in this
study will include women and
racial/ethnic minority populations, both
staff and patients of Legacy Health
System. Data collected from children
will be included in aggregate adverse
drug event information and
hospitalization records only.
Principal Investigator: Melinda Muller, Legacy
Emanuel Hospital and Health Center,
Portland, OR.
Grant No.: U18
HS15904.
Project Period: 7/01/05-6/30/07.
*Improving Patient Safety through
Provider Communication Strategy
Enhancements
Description: Researchers will:
- Implement an evidence-based
standardized communication tool—the
Situation, Background, Assessment,
Recommendation (SBAR)—a scripting
guide for provider communication
regarding changes in patient status or
needs for non-emergent events.
- Develop and implement an escalation
process algorithm for provider
communication regarding changes in
patient conditions for non-code
situations.
- Implement daily patient
centered multi-disciplinary rounds
using an evidence-based daily goals
sheet that will include all providers
involved in the patient's care.
- Implement provider and support staff
team huddles at the beginning of each
shift to quickly brief staff on
operational expectations of the shift.
Women and minorities will be included
in this research. Children will be
included to the extent they are 18-21
years of age and that they have triggered
the use of the SBAR or the escalation
algorithm.
Principal Investigator: Kay
Daugherty, Denver Health and
Hospital Authority, Denver, CO.
Grant No.: U18 HS15846.
Project Period:
7/01/05-6/30/07.
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Transforming Healthcare Quality Through Information Technology (THQIT) Implementation Grants
The Transforming Healthcare Quality
through Information Technology
(THQIT) program supports
organizational and community-wide
implementation and diffusion of health
IT and evaluates the extent to which
health IT contributes to measurable
and sustainable improvements in
patient safety, cost, and overall quality
of care. THQIT includes a special focus
on small and rural hospitals.
Projects
awarded under the THQIT
implementation grants limited
competition RFA (HS-05-013) include
the following:
Creating Online NICU Networks to
Educate, Consult, and TeamDescription: This
project will:
- Expand an electronic
medical records-sharing initiative for
high-risk infants and their families in
Mississippi, linking new health centers
and clinics and serving a rural area that
spans 17 counties.
- Use telemedicine
technologies to enhance evidence-based
developmental care for newborns in
acute care hospitals.
- Create
Web-based decision support resources
for physicians who care for infants.
Patients in this study will include
Hispanic or Latino and African
American children, ranging from birth
to 3 years of age.
Principal Investigator:
Valerie Rachal, University of Southern
Mississippi, Hattiesburg, MS.
Grant No.: UC1 HS16147.
Project Period:
9/30/05-09/28/08.
Improving Quality Care for Children
With Special Needs: Statewide
Implementation
Description: This study will:
- Develop the health IT infrastructure in
Tennessee to promote and improve the
safety and quality of health care for
children with special health care needs.
- Develop an electronic health record
called "child health profile" for infants
with disorders detected by the State
newborn screening and newborn
hearing programs.
- Expand the
profile to include children with other
genetic disorders and developmental
disabilities diagnosed at the major
genetic and child development centers
in the State.
This project will include
Hispanic/Latino, American
Indian/Alaska Native, Asian, and
African American children.
Principal Investigator: Carmen Lozzio, University
of Tennessee-Knoxville, Knoxville, TN.
Grant No.: UC1 HS16133.
Project Period: 9/30/05-9/29/08.
*El Dorado County Safety Net
Technology Project/ACCESS El
Dorado
Description: This project will focus on
creating health information technology
connections through a new patient-centered
program called Care
Connections; create a county-wide technology infrastructure; implement
basic electronic health record
capabilities; and implement electronic
prescription writing. This study will
include low-income/uninsured adults
and children, minority groups
(Latino/Native American), and
individuals with special health care
needs not currently available in the
rural service area.
Principal Investigator: Greg Bergner, Marshall
Medical, Placerville, CA.
Grant No.:
UC1 HS16129.
Project Period:
9/30/05-9/29/08.
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Investigator-Initiated Research Projects
AHRQ encourages both experienced
and new investigators in health services
research through various mechanisms,
including the following:
- Research project grants. AHRQ
supports projects that focus on a
wide range of topics that address the
Agency's mission of improving
quality, patient safety, efficiency, and
effectiveness of health care.
- Small grants. AHRQ's small
research grant 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.
- Dissertation awards. AHRQ's
dissertation grant program supports
research undertaken as part of an
academic doctorate that focuses on
areas relevant to health services
research, with emphasis placed on
methodological and research topics
that address AHRQ's mission.
- Conference grants. AHRQ
supports both large and small
conferences that further its mission.
The types of conferences eligible for
support include: research
development; study design and
methodology; research
dissemination; and research training,
infrastructure, and career
development.
Grants awarded in child health during
fiscal year 2005 under these
mechanisms are listed below.
Research Project Grants
*Nationally Representative Quality-of-Life Weights
Description: The aims of the
project are to:
- Establish nationally
representative health-related quality-of-life
(HRQOL) scores for the U.S.
population and for subpopulations
defined by age and gender.
- Establish
nationally representative HRQOL
scores for the U.S. population by health
status measures such as activities of
daily living, difficulty in seeing or
hearing, and health conditions (e.g.,
diabetes, asthma, and presence of heart
disease).
- Estimate the
relationship between rating health status
and the HRQOL scores.
This study will
generate HRQOL weights for women,
children, and racial minorities.
Principal Investigator: John Nyman,
Regents of the University of Minnesota,
Minneapolis, MN.
Grant No.: R01
HS14097.
Project Period: 7/01/05-6/30/07.
*TRIP (Translating Research Into
Practice) for Postpartum Depression
Description:
This study will test the impact of
translation of a universal screening and
followup program for postpartum
depression versus usual care in family
physicians' offices. In the intervention
arm, screening will occur at 4-8 weeks
postpartum or at well-infant visits with
specific tools to facilitate diagnosis and
followup for women who screen
positive. For the usual care and
intervention arms, patient-oriented
outcomes including the level of
depressive symptoms, functional status,
marital/dyad satisfaction, and comfort
with mothering will be assessed and
compared at 6 and 12 months
postpartum. The impact of practice and
patient characteristics on the translation
of the program and the outcomes of
interest will also be explored. The study
population will include community-based
primary care practices in 2
practice-based research networks
representing 46 States and an ethnically,
economically, and geographically
diverse group of postpartum women
(Hispanic/Latino, American
Indian/Alaska Native, Asian, and
African American).
Principal Investigator: Barbara Yawn, Olmsted
Medical Center, Rochester, MN.
Grant No.: R01 HS14744.
Project Period:
9/30/05-9/29/10.
*Incentive Formularies and the Costs
and Quality of Care
Description: This project will:
- Examine the variation of different
pharmacy benefit structures on total
pharmaceutical and out-of-pocket
spending.
- Examine the impact of
variation of different pharmacy benefit
structures on total medical spending,
including inpatient, outpatient, and
emergency services.
- Study the
effects of variation of pharmacy benefits
on continuity of chronic medication
use for conditions such as hypertension
and hypercholesterolemia, the use of
appropriate medications for
hypertension, and the adverse
consequences of medication
discontinuation and switching for
diabetes and asthma.
The study will
include women, minorities, and
children.
Principal Investigator: Bruce
Landon, Harvard Medical School,
Boston, MA.
Grant No.: R01
HS14774.
Project Period: 9/30/05-9/29/07.
Small Grants
*How Public Reporting and Pay-For-Performance Policies Impact Safety
Net Hospitals
Description: The aims of this project
are to:
- Understand the Medicare and
Medicaid regulations and policies
pertaining to public reporting and pay-for-performance (P4P) and how they
limit involvement of safety net
hospitals.
- Assess whether such
hospitals are participating in public
reporting and P4P and determine the
factors that influence hospital
executives' decisions to participate.
- Identify potential changes to current
reporting and P4P approaches that
might make these initiatives more
applicable and feasible to safety net
hospitals.
- Determine whether the
barriers to participation in reporting
and P4P differ among rural and urban
safety net hospitals.
- Evaluate the
feasibility and acceptability to other
stakeholders of hospital executives'
proposals for changing reporting and
P4P.
This study will include CA
city/county acute care hospitals with
more than 50 percent Medicaid or
uninsured patients, or rural hospitals.
Principal Investigator: R. Adams
Dudley, Regents of the University of
California, San Francisco, CA.
Grant No.: R03 HS16117.
Project Period:
9/30/05-9/29/07.
*Bayesian Pattern-Mixture Models
(PMM) for Quality of Care Data
Description:
The aims of this study are to:
- Yield
improved estimates of relationships
among program structure, treatment
process, and client outcomes.
- Improve ability of health services
researchers to provide policymakers
with accurate characterizations of
quality-of-care analyses when treatment
dropout and study attrition occur.
- Utilize expert opinion and
knowledge about the reasons for
treatment dropout and attrition in
order to inform the subjective decisions
that are required to build the quality-of-care
PMM analyses.
This study will
include adolescents (African Americans,
Hispanics, Asians, and other groups)
undergoing substance abuse treatment
in 16 Phoenix House therapeutic
community treatment programs.
Principal Investigator: Susan Paddock,
RAND Corporation, Santa Monica,
CA.
Grant No.: R03 HS14805.
Project Period: 9/30/05-9/29/07).
Dissertation Award
The Relationship Between Education
and Health: Is It Causal?
Description: This
dissertation will employ a data-rich
longitudinal dataset and instrumental
variables methods to investigate the
nature of the observed relationship
between education and health.
Specifically, this project aims to:
- Explore the determinants of educational
attainment in youth to evaluate the
effect of youth health on educational
attainment.
- Examine the extent to
which estimates of education's effect on
health behaviors and health status are
robust to the exclusion of frequently
omitted variables.
- Estimate the
causal effect of education using
instrumental variables methods.
This
study will include racial and ethnic
minority populations living in rural and
urban areas of Los Angeles.
Principal Investigator: Adele Kirk, University of
California-Los Angeles, Santa Monica,
CA.
Grant No.: R36 HS15988.
Project Period: 9/01/05-5/31/06.
Conference Grants
*National Asthma Disparities
Conference, February 21-23, 2005Description:
The purpose of this 2-day conference
was to develop a parsimonious set of
recommendations to serve as "next
steps" for the research, clinical, policy,
and consumer communities to use in
reducing asthma disparities. Participants
reviewed key issues underlying asthma
health disparities, current research,
clinical care, and policy to address this
problem. The recommendations are
intended to help reduce these disparities
through new research opportunities,
proposed new directions in clinical and
public policy, and innovative consumer
strategies to promote change.
Additionally, a set of core dissemination
tools will be developed and provided to
key audiences as a resource for
communicating conference
recommendations.
Principal Investigator: Kevin Weiss,
Northwestern University, Evanston, IL.
Grant No.: R13 HS15762.
Project Period: 2/21/05-8/31/05.
5th Annual Forum for Improving
Children's Health Care, March 16-18, 2005
Description: This conference focused on:
- Building will for improvement in
care by highlighting successful evidence-based
models and interventions.
- Disseminating strategies for
implementing valid findings of health
services research.
- Providing the basis
for collaboration and information
sharing related to child health care
across the multiple stakeholder levels
affecting children's health care.
- Developing faculty capacity for future
initiatives for improving quality of
health care for children.
Principal Investigator: Charles Homer, National
Initiative for Children's Healthcare
Quality, Boston, MA.
Grant No.: R13
HS14202.
Project Period: 9/30/05-9/29/06.
*Symptom Management: What
Works, for Whom and at What Cost? March 19, 2005
Description: This conference
explored research regarding the
experience and management of
unpleasant symptoms, demonstrated
methods of assessing associated
costs/benefits of optimizing
symptom management, and
promoted academic/clinical
collaborative efforts for research
associated with this area. Experts
provided a critical review of recent
developments in the theoretical and
conceptual underpinnings of
research and practice on improving
management of unpleasant
symptoms. Conference proceedings
will be disseminated to a broad
audience of nursing scholars
engaged in practice, research, and
education.
Principal Investigator:
Gayle Page, Johns Hopkins
University, Baltimore, MD.
Grant No.: R13 HS15760.
Project Period:
3/18/05-10/17/06.
*Health Disparities and Hispanic
Research, March 31-April 3,
2005
Description: The purpose of this health
services conference was to
disseminate AHRQ's National
Healthcare Disparities Report to
new audiences of Hispanic
physicians, medical residents, and
health professionals to encourage
them to consider a health services
career, specifically AHRQ training
opportunities. Conference
proceedings will be posted on the
National Hispanic Medical
Association's Web site.
Principal Investigator: Elena Rios, National
Hispanic Medical Association,
Washington, DC.
Grant No.: R13
HS16074.
Project Period: 3/25/05-3/24/06.
*Conference on Translational
Research for Quality Health,
April 7-9, 2005
Description: This forum
disseminated conceptual papers and
original research presenting
examples of translational research.
The theme focused on:
- The role
of health services research,
informatics, economic analysis, and
risk communication as a means to
facilitate translation of research into
practice and policy.
- Vulnerable and underserved
populations such as immigrants,
prisoners, children, urban poor, and
those with HIV/AIDS.
Dissemination plans included a
supplement to Nursing Research and
proceedings to be posted on the
Eastern Nursing Research Society
(co-host) Web site at www.enrsgo.org and www.cumc.columbia.edu/dept/nursing/.
Principal Investigator: Elaine Larson, The
Trustees of Columbia University,
New York, NY.
Grant No.: R13
HS15760.
Project Period: 3/15/05-3/14/06.
Seventh Annual Child Health
Services Research Meeting, June
25, 2005
Description: This 1-day conference
highlighted a number of children's
health care issues, including
children in Medicaid and SCHIP,
access/quality of care for limited
English-proficient patients, use of
Healthcare Cost and Utilization
Project data for research, the child
health care workforce, and new
national survey data sets to provide
information on children and youth
with special health care needs.
Health information technology in
research and quality improvement
was also covered. Presentations can
be viewed at: www.academyhealth.org/conferences/childhealth.htm.
The conference was cosponsored by
AHRQ and AcademyHealth, with
support from the American
Academy of Pediatrics, 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, in
collaboration with the Ambulatory
Pediatrics Association.
Principal Investigator: Wendy Valentine,
AcademyHealth, Washington, DC.
Grant No.: R13 HS14742.
Project Period: 5/12/05-5/11/06.
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Contracts
Evaluation of AHRQ's Children's
Health Research
Description: This project will:
- Measure and assess to what
extent the Agency contributed new
knowledge resulting from its
extramural and intramural
children's health research and
effectively disseminated and/or
translated research findings to meet
AHRQ and Departmental strategic
objectives.
- Measure and assess to
what extent AHRQ's children's
health care activities (i.e., research
findings, meetings, conference
support, products, tools, etc.)
improved clinical practice and
health care outcomes and
influenced heath care policies over
the past 15 years.
- Measure and
assess AHRQ's financial and staff
support and internal processes for
children's health research grants,
contracts, and intramural activities
among other AHRQ programs,
portfolios, and activities as well as
other Departmental and Federal
efforts.
- Measure and assess
to what extent AHRQ succeeded in
involving children's health care
stakeholders and/or creating
partnerships to fund and
disseminate key child health
activities.
Co-Principal Investigators: Michael Stoto and
Michael Seid, RAND, Santa
Monica, CA.
Contract No.: 282-00-0005.
Project Period: 9/15/05-7/31/06.
Pediatric 100,000 Lives
Campaign
Description: This project helped
support the pediatric arm of the
Institute for Healthcare
Improvement (IHI) 100,000 Lives
Campaign and resulted in a
summary paper. The IHI 100,00
Lives Campaign is a nationwide
initiative to dramatically reduce
morbidity and mortality in
American health care, focusing on
inpatient care.
Principal Investigator: Charles Homer,
National Initiative for Children's
Healthcare Quality/Institute for
Healthcare Improvement,
Cambridge, MA.
Contract No.:
HHSP233200500443P.
Project Period: 6/22/05-9/30/05.
Antidepressant Medications and
Suicidal Behavior in Children
and Adolescents
Description: This project,
from one of AHRQ's Integrated
Delivery System Research Network
partners, will focus on analysis of
one or more existing large databases
of community-treated children and
adolescents to address as many
questions as possible within the 6-month duration of this task. These
include, but are not limited to:
-
Linkages, if any, between completed
suicides and antidepressant use in
youth that may suggest causality.
- Evidence of any increased rates
of suicidal attempts, emergency
room visits, and/or hospitalizations
for suicidal behavior among youths
treated with antidepressants.
-
Associations, if any, between specific
antidepressants and suicidal
behavior.
- Gender differences
between antidepressant use and
suicidal behavior.
- Evidence
of linkages between antidepressants
and aggression to others.
Principal Investigator: Enid Hunkeler, Kaiser
Foundation Research Institute, Kaiser Permanente of Northern
California, Oakland, CA.
Contract No.: 290-00-0015.
Project Period:
8/1/05-2/1/06.
Increasing Chlamydia
Trachomatis Screening of Young,
Sexually Active Women Enrolled
in Commercial Health Plans
Description:
This project will:
- Ascertain
whether interventions have been
implemented in plans with
significant increases in chlamydia
screening rates.
- Assess barriers,
facilitators, and costs of
implementation for interventions
designed to improve screening rates,
focusing on network model plans,
or determine whether plans can
identify intervening factors that
may have contributed to increased
screening rates.
- Assess how rates
compared before and after
implementation of any
interventions in such plans.
- Develop and disseminate a "best
practices" guide or compendium to
other U.S. network model health
plans and other organizations.
This
project is being conducted by one
of AHRQ's Integrated Delivery
System Research Network partners
in collaboration with the National
Committee on Quality Assurance.
Principal Investigator: Adam
Athery, Emory University Center
on Health Outcomes and Quality,
Atlanta, GA.
Contract No.: 290-00-0011.
Project Period: 9/1/05-8/1/06.
Ambulatory Pediatric
Association Young Investigator
Awards
AHRQ has supported this initiative
of the Ambulatory Pediatric
Association for several years. This
competitive program provides a
small amount of support to new
investigators in general pediatrics
who are conducting child health
services research. Projects awarded
are:
Population-Based Screening for
Hypothyroidism in Children with
Down SyndromeDescription: This project
will determine the proportion of
children with Down syndrome who
are being screened for
hypothyroidism, a sequela of Down
syndrome. Children will be
identified from a State public
insurance plan database with data
from 1995-2003.
Principal Investigator: Kecia N. Carroll,
Vanderbilt Children's Hospital,
Nashville, TN.
Contract No.:
HHSP233200500492P.
Project Period: 7/13/05-12/31/05.
Attention Deficit Hyperactivity
Disorder (ADHD), Its Subtypes,
and Co-morbidity in a Nationally
Representative Sample: Overall
Prevalence and Sociodemographic
Variation
Description: This research will
determine whether socioeconomic
status and race/ethnicity influence
ADHD prevalence, recognition,
and treatment. The investigator will
use National Health and Nutrition
Examination Survey data collected
in 2001 and 2002 for children ages
8-15 years with an oversampling of
African American and Mexican
American children.
Principal Investigator: Tanya Froehlich,
Cincinnati Children's Hospital
Medical Center, Cincinnati, OH.
Contract No.:
HHSP233200500492P.
Project Period: 7/13/05-12/31/05.
Ambulatory Injury: The Role of
Race/Ethnicity and
Socioeconomic Status
Description: This
project will determine overall
patterns of injury-related medical
visits to emergency departments
and primary care practices. Specifically, this study will compare
children of Latino ethnicity to non-Latino children with rates of
injuries related to death,
hospitalizations, and barriers to
care. Using the National Health
Interview Survey, data will be
analyzed to determine the number
of injury episodes linking to sample
child files with independent
variables relating to injuries in
children.
Principal Investigator:
Tamara Simon, University of
Colorado Health Sciences Center,
Aurora, CO.
Contract No.:
HHSP233200500492P.
Project Period: 7/13/05-12/31/05.
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More Information
The AHRQ Web site provides
information on the Agency's agenda
in children's health services
research, including funding
opportunities, at http://www.ahrq.gov/child/.
For further details on AHRQ's
programs in child health, contact:
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
*Projects that include children or children's health care issues, but do not focus exclusively on children, are marked with asterisks.
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AHRQ Publication No. 06-P005
Current as of December 2005
Internet Citation:
Research on Child and Adolescent Health: New Starts, Fiscal Year 2005. Fact Sheet. AHRQ Publication 06-P005, December 2005. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/childr05.htm