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From: Agency for Healthcare Research and Quality (AHRQ)
[mailto:[log in to unmask]] 
Sent: Friday, June 08, 2012 1:54 PM
To: Robinson-Paquette, Mindy R&D/US
Subject: AHRQ Electronic Newsletter, Issue #345


June 8, 2012, Issue #345


AHRQ Stats 


Poor and low-income Americans are more likely than others to report that
their usual source of medical care provider did not usually or never
showed respect for their treatment preferences nor asked them to share
in making decisions about treatment options. [Source: Agency for
Healthcare Research and Quality, MEPS, Statistical Brief #367
l> : Indicators of Health Care Quality by Income and Insurance Status
among Individuals with a Usual Source of Care, 2009.] 


Today's Headlines: 

1.	AHRQ toolsets available to help pharmacists and physicians
implement e-prescribing 
2.	New portal compares standard data sets 
3.	AHRQ's Health Care Innovations Exchange adds new focus on health
care policy innovations 
4.	AHRQ evidence report examines management of febrile infants 
5.	AHRQ in the professional literature 

1. AHRQ Toolsets Available to Help Pharmacists and Physicians Implement


Two toolsets, one for physicians in small practices and one for
independent pharmacies, to support e-prescribing implementation have
been released by AHRQ. The toolsets offer a step-by-step guide for
preparing for and launching an e-prescribing system. They include advice
on topics ranging from planning the implementation process, launching
the system, troubleshooting common problems, and navigating into more
advanced practice and pharmacy services. Select to access the toolsets
and supporting tools <> .



2. New Portal Compares Standard Data Sets


AHRQ and CDC's National Center for Health Statistics have partnered to
provide a portal in the United States Health Information Knowledgebase
(USHIK), AHRQ's metadata registry of health care-related data elements
and their sources. The portal includes a core set of data elements from
each State's All-Payer Claims Database (APCD), the corresponding data
elements in the Accredited Standards Committee (ASC) X12 5010 standard,
the ASC X12 Post-Adjudicated Data Reporting Guides (in development), and
the National Council for Prescription Drug Programs (NCPDP) Uniform
Healthcare Payer Standard Implementation Guide Version 1.0. The strength
of the APCD portal is its ability to facilitate a comparison among the
corresponding data elements of each state's APCD with the national
standard for each data element. Using standard data elements can
facilitate health information exchange and provide better estimates of
disease prevalence and treatment practices. Select to access the portal
rue> .



3. AHRQ's Health Care Innovations Exchange Adds New Focus on Health Care
Policy Innovations


The June 6 issue of AHRQ's Health Care Innovations Exchange
<>  announces a new expanded scope to
included health care policy innovations in addition to its current focus
on health care service delivery innovations The featured innovations
describe an insurer's incentive and support structure to stimulate
quality improvement, a policy initiative implemented by the State
legislature. One such innovation describes three policies implemented by
the Connecticut Department of Mental Health and Addiction Services
<>  that help mental
health centers provide consistent, high-quality treatment to people with
concurrent mental health and substance abuse disorders. The policies
include mandatory screening for both disorders using validated tools, a
learning collaborative and evaluations to promote quality improvement,
and financial incentives to clinics achieving various service
benchmarks. Two statewide evaluations found that the policies have
produced positive patient outcomes, achieving significant reductions in
substance use and mental health symptoms in the first six months after
initiating treatment.   Select to read more profiles of innovations
related to on the Health Care Innovations Exchange Web Site, which
contains more than 700 searchable innovations and 1,500 QualityTools.



4. AHRQ Evidence Report Examines Management of Febrile Infants 


Evidence for diagnosing and managing febrile infants between 0 and 3
months of age has focused largely on ruling out serious bacterial
illness, according to an AHRQ report. Prepared by AHRQ's University of
Ottawa Evidence-based Practice Center, the report also found that
combined screening criteria are accurate for identifying possible cases
of serious bacterial illness, but harms associated with testing or
management strategies for febrile infants have not been well-studied.
The review, led by Charles Hui, M.D., also found that attempts to
identify high-risk groups were largely unsuccessful and little
literature exists on factors associated with compliance to follow-up
care. Future studies should focus on identifying the risks associated
with testing and management strategies and factors that predict
compliance, according to the report. Select to read the executive
summary of Diagnosis and Management of Febrile Infants 0-3 Months
<> .



5. AHRQ in the Professional Literature


We are providing the following hyperlinks to journal abstracts through
PubMed(r) for your convenience. Access to the abstracts may be blocked
because of firewalls or specific settings on individual computer
systems. If you are having problems, ask your technical support staff
for possible remedies.


Gibbons RD, Brown CH, Hur K, et al. Suicidal thoughts and behavior with
antidepressant treatment: reanalysis of the randomized
placebo-controlled studies of fluoxetine and venlafaxine. Arch Gen
Psychiatry 2012 Feb 9. Select to access the abstract
<>  on PubMed.(r)


Weinberger DM, Simonsen L, Jordan R, et al. Impact of the 2009 influenza
pandemic on pneumococcal pneumonia hospitalizations in the United
States. J Infect Dis 2012 Feb; 205(3):458-65. Select to access the
abstract <>  on PubMed.(r)


Donohue JM, Morden NE, Gellad WF, et al. Sources of regional variation
in Medicare Part D drug spending. N Engl J Med 2012 Feb 9; 366(6):530-8.
Select to access the abstract
<>  on PubMed.(r)


Laws MB, Beach MC, Lee Y, et al. Provider-patient adherence dialogue in
HIV care: results of a multisite study. AIDS Behav 2012 Jan 31 [Epub
ahead of print.] Select to access the abstract
<>  on PubMed.(r)


Chen J, Ross JS, Carlson MD, et al. Skilled nursing facility referral
and hospital readmission rates after heart failure or myocardial
infarction. Am J Med 2012 Jan; 125(1):100.e1-100.e9. Select to access
the abstract <>  on


Beukelman T, Haynes K, Curtis JR, et al. Rates of malignancy associated
with juvenile idiopathic arthritis and its treatment. Arthritis Rheum
2012 Feb 10 [Epub ahead of print.] Select to access the abstract
<>  on PubMed.(r)


Singh H, Giardina TD, Forjuoh SN, et al. Electronic health record-based
surveillance of diagnostic errors in primary care. BMJ Qual Saf 2012
Feb; 21(2):93-100 [Epub ahead of print.] Select to access the abstract
<>  on PubMed.(r)


Kesselheim AS, Lee JL, Avorn J, et al. Conflict of interest in oncology
publications: a survey of disclosure policies and statements. Cancer
2012 Jan 1; 118(1):188-95. Select to access the abstract
<>  on PubMed.(r)



Contact Information 

Please address comments and questions regarding the AHRQ Electronic
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