AHRQ Child & Adolescent Health Periodic Digest

 AHRQ Child & Adolescent Health Periodic Digest

Volume 14, No. 29, January 28, 2014    

  1. Health Insurance Coverage, Access and Affordability
  2. Healthcare Delivery System Affordability, Efficiency and Quality
  3. Toolkit Designed to Improve Safety of Fragile Newborns 
  4. Perinatal Health, Access and Improving Birth Outcomes  
  5. Screening for Dyslipidemia in Children and Adolescents


Health Insurance Coverage, Access and Affordability

The mission of the Agency for Healthcare Research and Quality (AHRQ) is to produce the evidence that is needed to make health care safer, higher quality, more accessible, equitable, and affordable. AHRQ accomplishes this by working with the Department of Health & Human Services and other partners to make sure that the evidence is understood and used.

This Notice informs the research community that AHRQ intends to support research designed to develop the evidence that will facilitate improvements in access to health care, help moderate the growth in the cost of health care and improve affordability. Attention will be given to determining the effects and impact of the Affordable Care Act coverage expansions on access to care, health safety, quality and outcomes, disparities, financial security, labor market effects (including effects on job-lock, entrepreneurship, and part-time work), insurance offers and take-up, provider costs, and health spending.  Interested applicants should use AHRQ’s current “parent” funding opportunity announcements for R01s, R18s, K08s, and R03s, and mention this special emphasis notice.

Go to: http://grants.nih.gov/grants/guide/notice-files/NOT-HS-14-004.html


Healthcare Delivery System Affordability, Efficiency and Quality

One major AHRQ priority is producing evidence that will increase the affordability, efficiency and quality of health care. AHRQ seeks to develop and spread evidence and tools to measure and enhance the efficiency of health systems–the capacity to produce better quality and outcomes while avoiding overutilization, or to maintain quality and outcomes with lower resource use. This includes analyzing variations in quality and resource use, and identifying the factors that differentiate higher-performing (more efficient and higher quality) from lower-performing systems, with special emphasis on understanding the policy-relevant effects of different workforce configurations, organizational strategies, and compensation methods. AHRQ also will fund work to develop and test interventions to improve performance, with the goal of providing promising models to the Center for Medicare and Medicaid Intervention (CMMI), states, and private payers and systems. Interested applicants should use AHRQ’s current “parent” funding opportunity announcements for R01s, R18s, R03s, and K08s, and mention this special emphasis notice. 

Go to: http://grants.nih.gov/grants/guide/notice-files/NOT-HS-14-005.html


Toolkit Designed to Improve Safety of Fragile Newborns

A new toolkit is available to help improve the safety of infants born preterm or with complex congenital conditions as they transition from the neonatal intensive care unit to their home. Funded by the Agency for Healthcare Research and Quality, the toolkit features information on how to create a Health Coach Program, where the “Health Coach” serves as a teacher and facilitator who encourages open communication with the parents/caregivers to identify their needs and concerns and facilitates follow up care for the infant by primary care providers. As an online product, the Health Coach Program can customize a broad range of information for each family based on their needs and concerns. Included are approximately 30 fact sheets, directed to either the clinician or the infant’s family, on topics that range from medications to breastfeeding to insurance coverage tips. For your free copy of the toolkit,

Go to: www.ahrq.gov/nicutoolkit  


Perinatal Health, Access and Improving Birth Outcomes

The 2013 editions of Child Health USA and Women’s Health USA are now available online.  Produced annually by the Health Resources and Services Administration (HRSA), the data books provide a compilation of key health statistics from multiple Federal sources and highlight trends and disparities in some of the most pressing health challenges facing women, children, families, and communities.  The data books are designed as easy-to-use references to help maternal and child health professionals, policymakers, educators, and program managers identify and address key health issues affecting women, mothers, infants and children.  

Go to: http://mchb.hrsa.gov/chusa13/ and http://mchb.hrsa.gov/whusa13/


Screening for Dyslipidemia in Children and Adolescents

The U.S. Preventive Services Task Force  has posted a draft Research Plan on screening for dyslipidemia in children and adolescents. The draft Research Plan is available for review and public comment through February 19, 2014.

Go to: http://www.uspreventiveservicestaskforce.org/tfcomment.htm

AHRQ Related Articles



Rinke ML, Milstone AM, Chen AR, et al. Ambulatory pediatric oncology CLABSIs: epidemiology and risk factors. Pediatr Blood Cancer 2013 Nov;60(11):1882-9. Select to access the abstract

Berry JG, Ziniel SI, Freeman L, et al. Hospital readmission and parent perceptions of their child's hospital discharge. Int J Qual Health Care 2013 Oct; 25(5):573-81. Select to access the abstract.

Chirdkiatgumchai V, Xiao H, Fredstrom BK, et al. National trends in psychotropic medication use in young children: 1994-2009. Pediatrics 2013 Oct; 132(4):615-23. Select to access the abstract.

Simon AE, Driscoll A, Gorina Y, et al. A longitudinal view of child enrollment in Medicaid. Pediatrics 2013 Oct; 132(4):656-62. Select to access the abstract.

McGrady ME, Hommel KA. Medication adherence and health care utilization in pediatric chronic illness: a systematic review. Pediatrics 2013 Oct; 132(4):730-40. Select to access the abstract 

Rosenthal DG, Learned N, Liu YH, et al. Characteristics of mothers with depressive symptoms outside the postpartum period. Matern Child Health J 2013 Aug; 17(6):1030-7. Select to access the abstract 

Deshpande A, Pant C, Anderson MP, et al. Clostridium difficile infection in the hospitalized pediatric population: increasing trend in disease incidence. Pediatr Infect Dis J 2013 Oct; 32(10):1138-40. Select to access the abstract. 

Stang AS, Straus SE, Crotts J, Johnson DW, Guttmann A. Quality indicators for high acuity pediatric conditions. Pediatrics 2013 Oct; 132(4):752-62. Select to access the abstract.  

Floyd RL, Johnson KA, Owens JR, et al. A national action plan for promoting preconception health and health care in the United States (2012-14). Womens Health 2013 Oct; 22(10):797-802. Select to access the abstract 

Bauer ME, Bateman BT, Bauer ST, et al. Maternal sepsis mortality and morbidity during hospitalization for delivery: temporal trends and independent associations for severe sepsis. Anesth Analg 2013 Oct; 117(4):944-50. Select to access the abstract 

Schwarz EB, Parisi SM, Handler SM, et al. Counseling about medication-induced birth defects with clinical decision support in primary care. Womens Health 2013 Oct; 22(10):817-24. Select to access the abstract.