AHRQ Electronic Newsletter, June 7, 2016

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June 7, 2016, Issue #521

AHRQ Stats: Most Expensive Hospital Conditions

The five most expensive conditions for hospital treatment in 2013 were septicemia; osteoarthritis; care for newborn infants; complication of device, implant or graft; and acute myocardial infarction. These conditions accounted for about 20 percent of total hospital costs. (Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project Statistical Brief #204: National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2013.)

Today's Headlines:

Study Shows That AHRQ Program Reduces Urinary Tract Infections in Hospitals

AHRQ’s Comprehensive Unit-based Safety Program (CUSP) has significantly helped reduce catheter-associated urinary tract infections in hospitals, according to a study published in the June 2 New England Journal of Medicine. Approximately 250,000 catheter-associated urinary tract infections (CAUTIs) occur in hospitals each year, costing about $250 million. CAUTIs, which are among the most common healthcare-associated infections, are largely preventable. CUSP is a customizable safety program in which clinicians use a checklist of clinical best practices and combine it with improvement in safety culture, teamwork and communications. The study authors examined data from 926 hospital units (including intensive care units [ICUs] and non-ICUs) in 32 states, the District of Columbia and Puerto Rico that participated in the early stages of the 4-year CUSP project. Researchers found that CAUTI rates decreased by 32 percent in non-ICUs, from 2.28 to 1.54 infections per 1,000 days of catheter use. These units were also able to reduce the overall use of catheters from 20.1 percent to 18.8 percent by avoiding unnecessary or unnecessarily prolonged catheterizations and using alternative urinary collection methods. Although CAUTI rates and catheter use decreased in non-ICUs, the study showed that rates of CAUTIs and catheter use in participating ICUs were unchanged. Access the study abstract and AHRQ's press release to learn more.

AHRQ-Funded Studies Featured in Health Affairs’ Behavioral Health Issue

Four AHRQ-supported research projects are featured in the June issue of Health Affairs, which explores the topic of behavioral health, including racial and ethnic disparities in treatment, trends in financing of behavioral health and substance use disorder treatment, and the portrayal of mental health issues in the media. Access the abstracts for the AHRQ-supported articles:

Register Now: June 30 AHRQ Webinar on Health Information Technology and Improving Health Care Delivery for Children

Registration is open for a webinar on June 30, from 12:30 to 2 p.m. ET, to discuss recent research on how health information technology can better support the quality of health care delivered to children and adolescents. This webinar will include discussions on pediatric-specific electronic health record functionality and the use of a pediatric registry for reporting quality measures data. Earn 1.5 hours of continuing medical education credits/continuing education units for participating.

New Research and Evidence From AHRQ

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    National Quality Strategy Releases New Brief on Healthy Living

    The National Quality Strategy (NQS) has released a new issue brief on the health and well-being of communities, part of its Priorities in Focus series that spotlights current issues, recent federal initiatives to improve care quality and data demonstrating improvement in each of the six NQS priority areas. The brief aligns with AHRQ’s Chartbook on Healthy Living that draws on data from the agency’s 2015 National Healthcare Quality and Disparities Report (QDR). The NQS brief features new QDR data showing significant improvements over time in areas of healthy living and disparities.

    AHRQ in the Professional Literature

    Healthcare coverage for HIV provider visits before and after implementation of the Affordable Care Act. Berry SA, Fleishman JA, Yehia BR, et al. Clin Infect Dis. 2016 May 3. [Epub ahead of print.] Access the abstract in PubMed®.

    Software prototyping: a case report of refining user requirements for a health information exchange dashboard. Nelson SD, Del Fiol G, Hanseler H, et al. Appl Clin Inform. 2016 Jan 13;7(1):22-32. eCollection 2016. Access the abstract in PubMed®.

    Recognizing differences in hospital quality performance for pediatric inpatient care. Berry JG, Zaslavsky AM, Toomey SL, et al. Pediatrics. 2015 Aug;136(2):251-62. Epub 2015 Jul 13. Access the abstract in PubMed®.

    Development and validation of prognostic indices for recovery of physical functioning following stroke: Part 1. Bates BE, Xie D, Kwong PL, et al. PM R. 2015 Jul;7(7):685-98. Epub 2015 Jan 26. Access the abstract in PubMed®.

    Historical matching strategies in kidney paired donation: the 7-year evolution of a web-based virtual matching system. Fumo DE, Kapoor V, Reece LJ, et al. Am J Transplant. 2015 Oct;15(10):2646-54. Epub 2015 May 26. Access the abstract in PubMed®.

    Perceptions of culture of safety in hemodialysis centers. Davis KK, Harris KG, Mahishi V, et al. Nephrol Nurs J. 2016 Mar-Apr;43(2):119-26, 182; quiz 127. Access the abstract in PubMed®.

    The role of severe dementia in nursing home report cards. Konetzka RT, Brauner DJ, Coca Perraillon M, et al. Med Care Res Rev. 2015 Oct;72(5):562-79. Epub 2015 May 27. Access the abstract in PubMed®.

    Outcomes of clinical decision support (CDS) and correlates of CDS use for home care patients with high medication regimen complexity: a randomized trial. McDonald MV, Feldman PH, Barrón-Vayá Y, et al. J Eval Clin Pract. 2015 May 26. [Epub ahead of print.] Access the abstract in 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.