AHRQ Electronic Newsletter, December 15, 2015

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December 15, 2015, #498

AHRQ Stats: Avoidable Hospitalizations for Women

The rate of potentially avoidable hospitalizations among Asian and Pacific Islander women in 2012 was 616 per 100,000. The rate was significantly higher, meanwhile, for white women (1,402 per 100,000) and black women (2,654 per 100,000). Source: Agency for Healthcare Research and Quality, 2014 National Healthcare Quality and Disparities Report, Chartbook on Women’s Health Care.) 

Today's Headlines:

New Report on Health Information Exchange

HI Exchange

The full impact of electronically exchanging health information on patient outcomes needs additional research, according to a new AHRQ systematic review. The electronic exchange of health information has increased over time and is used most in hospitals and the least in long-term care settings. However, the practice of exchanging health information electronically remains low overall. Some evidence suggests electronically exchanging health information may reduce duplicative laboratory and radiology testing, lower emergency department costs, reduce hospital admissions, improve public health reporting, increase ambulatory quality of care and improve disability claims processing. Barriers to electronically exchanging health information include lack of participation, inefficient workflows and poorly designed features. To advance our understanding of how to better exchange health information electronically, future studies need to address comprehensive questions, use more rigorous designs and be part of a coordinated, systematic approach to studying the electronic exchange of health information.  Select to access the full systematic review.

AHRQ Evidence Review Assesses Treatments for Major Depressive Disorder

Second-generation antidepressants and cognitive behavioral therapy can alleviate symptoms for mild to severe major depressive disorder when used as a first step in outpatient treatment, according to a new AHRQ-supported systematic review. The review looked at the benefits and harms of second-generation antidepressants, psychological therapies, complementary and alternative medicine and exercise treatment options as first-step outpatient treatments for adults with major depressive disorder. The review also assessed second-step interventions for patients with major depressive disorder whose illness did not go into remission after it was first treated with second-generation antidepressants. Related research, which appeared online December 8 in BMJ, compared the benefits and harms of second-generation antidepressants and cognitive behavioral therapy for treating depression in adults. Clinicians providing initial treatment to patients with major depressive disorder should consider the patient’s history and preferences, following a discussion of the advantages and disadvantages of treatment options. Select to access the systematic review.

Challenge Competition Seeks Better Ways To Prevent Healthcare-Associated Blood Clots

AHRQ  is working with the Centers for Disease Control and Prevention (CDC) to promote a competition to recognize hospitals and managed care organizations for innovative and successful strategies to prevent venous thromboembolism, which are blood clots occurring as deep vein thrombosis and/or pulmonary embolism. Organizations are encouraged to submit evidence of successful prevention strategies and interventions by Jan. 10. A panel of judges from AHRQ, CDC and other U.S. Department of Health and Human Services agencies will recognize up to seven Healthcare-Associated Venous Thromboembolism Prevention Champions, who will receive cash awards of $10,000. Select for more information on the challenge.

New Research and Evidence From AHRQ

Featured Case Study: AHRQ’s Quality and Disparities Reports Included in Arizona State Health Sciences Curriculum

The College of Health Solutions at Arizona State University uses AHRQ’s National Healthcare Quality and Disparities Reports in its curriculum for all graduate and undergraduate health science students to help them bridge the gap between theory and application in the areas of population health, health policy and economics. Read the case study.

AHRQ in the Professional Literature

Multimorbidity redefined: prospective health outcomes and the cumulative effect of co-occurring conditions. Koroukian SM, Warner DF, Owusu C, et al. Prev Chronic Dis. 2015 Apr 23;12:E55. Select to access the abstract on PubMed®.

Does increased adherence to medications change health care financial burdens for adults with diabetes? Miller GE, Sarpong EM, Hill SC. J Diabetes. 2015 Nov;7(6):872-80. Epub 2015 May 6. Select to access the abstract on PubMed®.

A patient-centered symptom monitoring and reporting system for children and young adults with cancer (SyMon-SAYS). Lai JS, Yount S, Beaumont JL. Pediatr Blood Cancer. 2015 Oct;62(10):1813-8. Epub 2015 Apr 9. Select to access the abstract on PubMed®.

Clinical outcomes of early and later physical therapist services for older adults with back pain. Rundell SD, Gellhorn AC, Comstock, BA, et al. Spine J. 2015 Aug 1;15(8):1744-55. Epub 2015 Apr 4. Select to access the abstract on PubMed®.

Comparative effectiveness of imaging modalities to determine metastatic breast cancer treatment response. Lee CI, Gold LS, Nelson HD, et al. Breast. 2015 Feb; 24(1):3-11. Epub 2014 Dec 3. Select to access the abstract on PubMed®.

Health-related quality of life in lung cancer survivors: Latent class and latent transition analysis. Kenzik KM, Martin MY, Fouad MN, et al. Cancer. 2015 May 1; 121(9):1520-8. Epub 2015 Jan 6. Select to abstract on PubMed®.

Comparison of risk and age at diagnosis of myocardial infarction, end-stage renal disease, and non-AIDS-defining cancer in HIV-infected versus uninfected adults. Althoff KN, McGinnis KA, Wyatt CM, et al. Clin Infect Dis. 2015 Feb 15; 60(4):627-38. Epub 2014 Oct 30. Select to access the abstract on PubMed®.

Prevalence and correlates of anger in the community: results from a national survey. Okuda M, Picazo J, Olfson M, et al. CNS Spectr. 2015 Apr; 20(2):130-9. Select to access the abstract on PubMed®.

Contact Information

Please address comments and questions about the AHRQ Electronic Newsletter to Bruce Seeman at: (301) 427-1998 or Bruce.Seeman@ahrq.hhs.gov.