jueves, 29 de septiembre de 2016

Drug Shortages Update

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Drug Shortages for U.S. Food & Drug Administration (FDA). This information has recently been updated.
September 29, 2016
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Every Income Group Experienced Significant and Similar Drops in Uninsured Rates Under the Affordable Care Act

Dept. of Health & Human Services

Every Income Group Experienced Significant and Similar Drops in Uninsured Rates Under the Affordable Care Act

ACA led to widespread coverage gains across income, age, geography, and race; expanding Medicaid significantly strengthens gains
Today, the U.S. Department of Health and Human Services released new research analyzing gains in health insurance coverage from 2010-2015 across key demographic categories of Americans: income, age, geography, race and ethnicity. The report finds that ACA coverage gains have been widely shared across groups. For example, the uninsured rate fell by around 40 percent for Americans in all income groups for 2010 through 2015, including individuals with incomes above 400 percent of the federal poverty level (FPL).
Read more about today's announcement.
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Success story: How Alaska achieved routine alcohol screening

Success story: How Alaska achieved routine alcohol screening

CDC

In CDC’s latest addition to Public Health Practice Stories from the Field:

  • 38 million US adults drink too much alcohol, but only 1 in 6 adults has talked about alcohol use with a health professional
  • Alaska public health nurses tested tools for implementing alcohol screening and brief intervention (SBI)
  • All 22 of Alaska’s public health centers and more than 240 villages now routinely use alcohol SBI

Sudan Teaching Hospitals Use AHRQ’s Patient Safety Culture Survey and TeamSTEPPS | Agency for Healthcare Research & Quality

Sudan Teaching Hospitals Use AHRQ’s Patient Safety Culture Survey and TeamSTEPPS | Agency for Healthcare Research & Quality

AHRQ--Agency for Healthcare Research and Quality: Advancing Excellence in Health Care



Sudan Teaching Hospitals Use AHRQ’s Patient Safety Culture Survey and TeamSTEPPS

Patient Safety
September 2016
Two hospitals in the northeast African country of Sudan—Omdurman Teaching Hospital and the National Ribat University Hospital—are using AHRQ tools to improve patient safety.
Omdurman Hospital used AHRQ’s Hospital Survey on Patient Safety Culture, which was translated into Arabic in 2008. As a result, and through efforts of members of the Middle East and North Africa Regional Network for Patient Safety Culture initiative, the Arabic version of the survey is also being used at facilities in Saudi Arabia, Jordan, Palestinian Territories, United Arab Emirates, and Qatar.
"Having tools available in Arabic opened doors for implementation in additional countries besides Sudan," said Asaad Mohamedtaha, Ph.D., M.Sc., M.H.M., founder of the patient safety culture initiative. Dr. Mohamedtaha translated the survey to Arabic and adapted it to fit Arabic-speaking countries while conducting health management research at Omdurman Hospital. The facility is now considered to have set the standard for patient safety culture for teaching hospitals in Arabic-speaking countries in the Middle East and North Africa, he said.
"Developing a benchmark to measure patient safety was a great accomplishment for our region," Dr. Mohamedtaha noted.
From 2012 to 2015, he used AHRQ resources again in his work, which included an Arabic translation of parts of theTeamSTEPPS® 2.0 curriculum. This version of TeamSTEPPS was culturally adapted and field-tested at the National Ribat University Hospital as part of Dr. Mohamedtaha’s doctoral dissertation. The translated and adapted tools included the TeamSTEPPS Essential Instructor Guide, TeamSTEPPS pocket guide, Teamwork Attitudes Questionnaire, and the Teamwork Perceptions Questionnaire.
"Changing behavior is a complex and expensive process. However, using TeamSTEPPS in the Ribat University Hospital study proved that simple and low-cost interventions can bring a significant impact," Dr. Mohamedtaha said.
Using the TeamSTEPPS questionnaires, he compared the Hospital Survey on Patient Safety Culture dimensions among a controlled group of trained TeamSTEPPS staff from general and pediatric surgery units with and a group of non-TeamSTEPPS-trained staff from neurosurgery and orthopedic surgery. The Hospital Survey on Patient Safety Culturesurvey results identified patient safety issues, established a baseline, and were used to track the impact of TeamSTEPPS training and patient safety dimensions over time.
"The results speak for themselves; we saw positive and significant improvements in five of 12 safety culture areas after the TeamSTEPPS trainings," Dr. Mohamedtaha said.
Results from the Arabic version of AHRQ’s Hospital Survey on Patient Safety Culture show how TeamSTEPPS has helped trainees—the intervention group—improve patient safety strategies
Results from the Arabic version of AHRQ’s Hospital Survey on Patient Safety Culture show how TeamSTEPPS has helped trainees–the intervention group–improve patient safety strategies.


Impact Case Study Identifier: 
2016-13
AHRQ Product(s): Hospital Survey on Patient Safety Culture, TeamSTEPPS®
Topics(s): Patient Safety, Health Care Quality
Geographic Location: International
Implementer: Omdurman Teaching Hospital; National Ribat University Hospital
Date: 09/23/2016
2016-13
Page last reviewed September 2016

Harvard Used AHRQ Data to Develop Tool to Analyze Utilization, Costs in Primary Care | Agency for Healthcare Research & Quality

Harvard Used AHRQ Data to Develop Tool to Analyze Utilization, Costs in Primary Care | Agency for Healthcare Research & Quality

AHRQ--Agency for Healthcare Research and Quality: Advancing Excellence in Health Care



Harvard Used AHRQ Data to Develop Tool to Analyze Utilization, Costs in Primary Care

Value
September 2016
Researchers at Harvard Medical School and Stanford University used data from AHRQ’s Medical Expenditure Panel Survey (MEPS) to develop an instrument that gauges how workforce and financing changes may affect utilization, revenue, and expenses in primary care practices.
The research was led by the Center for Primary Care, a division of Harvard Medical School that conducts research and interventions on how primary care is delivered and how practitioners are trained. Working with seven Boston-area academic medical centers and 28 primary care practices, as well as the Institute for Healthcare Improvement and Qualis Health, the Center and partners created an Academic Innovations Collaborative that aimed to transform primary care in Massachusetts.
Staffing questions immediately emerged. "Practices need to make the business case for adding staff and need to explain to their chief financial officers whether it would pay off if they increased capacity in primary care teams by adding nurse care managers or community health workers," said Russell S. Phillips, M.D., director of the Center for Primary Care and the William S. Applebaum Professor of Medicine and Professor of Global Health and Social Medicine at Harvard Medical School.
Dr. Phillips teamed up with researchers to create mathematical models that simulate real-world practice settings, in order to analyze how different variables could affect practices differently.
"Our model relied on a number of databases, the most important of which was MEPS," he noted.
The result was an instrument in which a number of statistical assumptions could be used to predict the impact of changing the primary care labor force on clinic operations, economic outcomes, and performance in patient-centered medical home models. For instance, one analysis revealed that hiring a nurse practitioner to work independently with a subset of patients diagnosed with diabetes or hypertension could increase net revenues, but only if nurse practitioner visits involved limited physician consultation or if nurse practitioner reimbursement rates increased.
The instrument can also be used to test the impact of new approaches to payment. Hospitals and primary care practices in the collaborative—together treating approximately 300,000 patients—can use this model to understand how to invest resources wisely. The model also has applications nationwide, because parameters are specified for each state.
"This model provides a starting point to evaluate primary care redesign," Dr. Phillips said. "It can be expanded to answer a range of questions, including the impact of new payment models on the structure and finances of primary care practices."
Impact Case Study Identifier: 
2016-12
AHRQ Product(s): Medical Expenditure Panel Survey (MEPS)
Topics(s): Data, Costs, Primary Care
Geographic Location: Massachusetts
Implementer: Harvard Medical School
Date: 09/23/2016
Page last reviewed September 2016

What's New at AHRQ

What's New at AHRQ

AHRQ--Agency for Healthcare Research and Quality: Advancing Excellence in Health Care



The following new items were posted on September 28, 2016:

CDC - September 2016 Edition - Public Health Law News - Public Health Law

CDC - September 2016 Edition - Public Health Law News - Public Health Law



Public Health Law Banner







Public Health Law Program

Thursday, September 29, 2016

Public Health Law Program
Office for State, Tribal, Local and Territorial Support
Centers for Disease Control and Prevention

Public Health Law News Announcements



Webinar—Electronic Health Information: State and Local Approaches to Data Sharing. This free webinar, co-sponsored by CDC’s Public Health Law Program and the Network for Public Health Law, will focus on the importance of data sharing for public health purposes. Panelists will characterize public health information exchange and highlight efforts under way to improve the ability of state and local public health agencies to access and use electronic health information. The webinar will take place on Thursday, October 20, 2016, from 1:00 to 2:30 pm (EDT).



MMWR—School District Crisis Preparedness, Response, and Recovery Plans. This MMWR discusses data from the 2012 School Health Policies and Practices Study, which evaluated and identified gaps in schools’ preparedness and response plans. The article discusses how deficiencies need to be addressed to meet the four Healthy People 2020preparedness PREP-5 objectives



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