aportes a la gestión necesaria para la sustentabilidad de la SALUD PÚBLICA como figura esencial de los servicios sociales básicos para la sociedad humana, para la familia y para la persona como individuo que participa de la vida ciudadana.
sábado, 21 de diciembre de 2024
PAYBACK: TRACKING THE OPIOID SETTLEMENT CASH
PAYBACK: TRACKING THE OPIOID SETTLEMENT CASH
How Are States Spending Opioid Settlement Cash? We Built a Database of Answers
By Aneri Pattani, Data visualizations by Lydia Zuraw
From addiction treatment to toy robot ambulances, we uncovered how billions in opioid settlement funds were used by state and local governments in 2022 and 2023. Find out where the money went.
https://kffhealthnews.org/news/article/opioid-settlement-funds-detailed-database-state-county-city-spending/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-8gJmeXE49kFsiCFRqHsnxHZk6WvOJX4gCTmrfE7bVVBLohsiEFXEuPWt0wdu_VedmSvyrnXMe571XsW7H4XRoaQC7WOQ&_hsmi=339602266&utm_content=339602266&utm_source=hs_email
Read more from our 'Payback' series
https://kffhealthnews.org/opioid-settlements/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz--yYHDUoFhSCf9ydM6KIfMFudK5256Len9z76syTQJxMj1cqswt2i_a1lxmeEc-m7mjlEV-wQ4eKQYg0PIF5XAiL5yVdg&_hsmi=339602266&utm_content=339602266&utm_source=hs_email
Native American Patients Are Sent to Collections for Debts the Government Owes // How a Duty To Spend Wisely on Worker Benefits Could Loosen PBMs’ Grip on Drug Prices // Employers Press Congress To Cement Health Price Transparency Before Trump’s Return
HEALTH CARE COSTS
Native American Patients Are Sent to Collections for Debts the Government Owes
By Katheryn Houghton and Arielle Zionts
Federal law says Native Americans aren’t liable for medical bills the Indian Health Service promises to pay. Some are billed anyway as a result of backlogs or mistakes from the agency, financial middlemen, or health systems.
https://kffhealthnews.org/news/article/native-american-patients-debt-collection-indian-health-service-ihs/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_iwnuE4WOXSTVHgvW7mG1egu70dVWJcTLK93kbSZlANlud6h1Qt6ktd7a6CtSK1Zw3HOIuGCC1h07U2iY_RdJCRclaYg&_hsmi=339602266&utm_content=339602266&utm_source=hs_email
How a Duty To Spend Wisely on Worker Benefits Could Loosen PBMs’ Grip on Drug Prices
By Arthur Allen
As criticism of pharmacy benefit managers heats up, fear of lawsuits is driving some big employers to drop the “Big Three” PBMs — or force them to change.
https://kffhealthnews.org/news/article/pbms-pharmacy-benefit-managers-erisa-lawsuit-mark-cuban-cost-plus/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-8tPkcvKZnF-tYOqa1Vf9Jli-YksQ0iMrlmnCCAJWRF7mD79vDcwWJvXujXU5g-Oa5h-WzuZ6cW3-VRUG9Ojggkpknr8Q&_hsmi=339602266&utm_content=339602266&utm_source=hs_email
Employers Press Congress To Cement Health Price Transparency Before Trump’s Return
By Julie Appleby
Donald Trump’s first administration advanced rules forcing hospitals and insurers to reveal prices for medical services. Employers don’t want to risk backtracking during Trump’s second administration.
https://kffhealthnews.org/news/article/price-transparency-health-care-trump-regulations-hospitals/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-8OnCxnhRHg7eH0KCMn2JLVMzl9VUVm9KssgftuM2ioAa5ADdhdM7qbC_HWJ2KRUOjsk9pcXE0g-LmL7uMtEAVQJU_gLw&_hsmi=339602266&utm_content=339602266&utm_source=hs_email
Trump’s Picks for Top Health Jobs Not Just Team of Rivals but ‘Team of Opponents’
TRUMP ADMINISTRATION
Trump’s Picks for Top Health Jobs Not Just Team of Rivals but ‘Team of Opponents’
By Stephanie Armour and Julie Rovner
The president-elect’s choices to lead the Department of Health and Human Services, as well as agencies such as the National Institutes of Health, FDA, and CDC, hold positions on issues including abortion and vaccination that are often at odds.
https://kffhealthnews.org/news/article/trump-rfk-kennedy-health-hhs-fda-cdc-vaccines-covid-weldon/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_BiNEPRVnfhgYy240eFEx-asXLb3dUjz0WF6bHpyCl4yGosGFM_2zp1ajnE4XNWPPlIx-gao7Wj9-Mw99Hj3mA2HlQIA&_hsmi=339602266&utm_content=339602266&utm_source=hs_email
Trump Threat to Immigrant Health Care Tempered by Economic Hopes
By Vanessa G. Sánchez
Donald Trump’s second term is reigniting mistrust in health services among California immigrants, making it harder for community health workers to get people enrolled in Medi-Cal. Yet the president-elect is also seen as someone who could improve their lives with a better economy, even if that means forgoing health care.
https://kffhealthnews.org/news/article/california-trump-immigrants-medi-cal-economy-health-care/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-8edVeWoL86lt_xmJCsXLQ5wvacrIQcqDcIIRcBUtvCpqITsAjueV_XLVKoXwfvNg6S5w9KYNDiNsuujiqmmdFCeyJ2dg&_hsmi=339602266&utm_content=339602266&utm_source=hs_email
Obamacare Sign-Ups Lag After Trump Election, Legal Challenges // Democratic Senators Ask Watchdog Agency To Investigate Georgia’s Medicaid Work Rule
INSURANCE
Obamacare Sign-Ups Lag After Trump Election, Legal Challenges
By Julie Appleby
The number of new and returning enrollees using healthcare.gov — the federal marketplace that serves 31 states — is well below last year’s as of early December. Also, a Biden administration push to give “Dreamers” access to Obamacare coverage and subsidies is facing court challenges.
https://kffhealthnews.org/news/article/obamacare-enrollment-lag-trump-election-legal-challenges/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-9FN2kIkgISP_F7ygWiutZQ1aMcmYKvTnjLTJB-PpEbuPSPUWQRJ8MQAzZuFJnXhWdn_b49BgyKFZsLDAtsqczpy-NNwQ&_hsmi=339602266&utm_content=339602266&utm_source=hs_email
Democratic Senators Ask Watchdog Agency To Investigate Georgia’s Medicaid Work Rule
By Andy Miller and Renuka Rayasam and Sam Whitehead
A group of Democratic senators asked the Government Accountability Office to examine a Georgia program that requires some Medicaid enrollees to work, study, or volunteer 80 hours a month for coverage. They cited KFF Health News’ reporting, which has documented the program’s high costs and low enrollment.
https://kffhealthnews.org/news/article/georgia-medicaid-word-requirement-democrats-gao-investigate/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz--1KfnATsnqauG8h4-KT5QA4--gjf4J6K7qDElcebuiQd_JBJd7_BqtxrtdiZ8xSZsHz90fvgmZOzi-9oowyew7PFSQCA&_hsmi=339602266&utm_content=339602266&utm_source=hs_email
End-of-Year Chaos on Capitol Hill Episode 377 December 19, 2024
https://kffhealthnews.org/news/podcast/what-the-health-377-congress-chaos-budget-december-19-2024/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_m45OsEnZwp0Eid1VPMoGfrwtb2Oed0XGA2GtKJlNsj8cCbzHyNKnOsWT6LmE8TUJruiTv_EE7dKfaKdvgXZNOna1kSA&_hsmi=339602266&utm_content=339602266&utm_source=hs_email
KFF Health News' 'What the Health?': End-of-Year Chaos on Capitol Hill
Democrats and Republicans in the House and Senate successfully negotiated an enormous end-of-Congress health package, including bipartisan efforts to address prescription drug prices — only to see it blown up at the last minute after Elon Musk and President-elect Donald Trump applied pressure. Meanwhile, the Supreme Court accepted its first abortion-related case of the term, and the attorney general of Texas sued a doctor in New York for prescribing abortion pills to a Texas patient. Alice Miranda Ollstein of Politico, Jessie Hellmann of CQ Roll Call, and Victoria Knight of Axios join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF President and CEO Drew Altman about what happened in health policy in 2024 and what to expect in 2025.
Hypoxemia after Emergency Intubation Christian Bohringer, MBBS and Hong Liu, MD | December 18, 2024
https://psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
Hypoxemia after Emergency Intubation
After drowning in a pool, a 19-month-old child arrived at the ED in respiratory distress, requiring intubation and mechanical ventilation. The patient’s SpO2 did not improve after the first intubation attempt; after a second attempt, it was discovered that the mechanical ventilator had not been connected to an oxygen source. The WebM&M commentary discusses approaches to improving safety during emergency intubation, such as capnography confirmation, standardized algorithms to assess post-intubation hypoxia, and simulation training to improve intubation skills.
Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk Marla Shauer, PhD, CNM, MSN, Diana Guzman Perez, MS, Brenda Chagolla, RN, PhD, CNS, FACHE | December 18, 2024
https://psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk
Infant feeding presents an opportunity for hospital and community staff to review safety processes around feeding of expressed breast milk or the provision of infant formula. This WebM&M commentary describes safe infant feeding practices and strategies to avoid breast milk feeding errors or the provision of expired feeding products.
Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis Jose A Castillo Jr, MD, Richard Price, MD, PhD, Kee D Kim, MD | December 18, 2024
https://psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis
In this WebM&M Spotlight Case with CE/MOC, an older man underwent L4-5 decompressive lumbar laminectomy and discectomy, which was complicated by intraoperative durotomy. At a follow-up visit, he reported clear drainage from the surgical site and the surgeon suspected a cerebrospinal fluid (CSF) leak. Despite conservative management at home, his condition worsened over several weeks before being readmitted with discitis, osteomyelitis and sepsis, resulting in his death 50 days after the operation. The commentary provides an overview of the clinical manifestations of intraoperative durotomy, intra- and post-operative management strategies to address intraoperative durotomy and CSF leaks, and approaches to ensuring patient safety during spine surgery.
Neurological Red Flags: A Missed Stroke after Intermittent Episodes of Dizziness and Headache Jonathan A. Edlow, MD, FACEP | December 18, 2024
https://psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
Neurological Red Flags: A Missed Stroke after Intermittent Episodes of Dizziness and Headache
In this WebM&M Spotlight Case with CE/MOC, a patient in his mid-30s presented to the emergency department (ED) with three weeks of intermittent left-sided headaches, balance issues, and one brief episode of difficulty speaking and moving. On exam, the patient had normal vital signs, neurologic exam, and initial imaging; he was discharged from the ED without consultation from neurology. A few hours later, he suffered a stroke due to left posterior cerebral artery occlusion and vertebral artery dissection, leading to severe neurological deficits after delayed treatment. The commentary highlights the importance of thorough neurological investigation of patients presenting with dizziness and other simultaneous neurological symptoms, the challenges of diagnosing transient ischemic attack (TIA) – particularly in a young, healthy adult, and the limitations of non-contrast brain CT for identifying TIA or early ischemic strokes in patients presenting with dizziness.
Finding SAMHSA Training and Technical Assistance for Mental Health and Substance Use
https://www.samhsa.gov/resource-search/tta?utm_source=SAMHSA&utm_campaign=446ed53f58-EMAIL_CAMPAIGN_2024_12_17_10_09&utm_medium=email&utm_term=0_-446ed53f58-167840245
SAMHSA-funded training and technical assistance centers offer free support to people working in the field on topics across the behavioral health spectrum. This includes assistance for states, tribes, non-profits, communities, health care professionals, and behavioral health specialties including licensed clinicians and peer support specialists.
Training and technical assistance serves:
National audiences through webinars, online learning modules, and written resources
Specific groups through topic-based virtual learning collaboratives, communities of practice, or short-term training
Communities, states, tribes, and systems through intensive individualized technical assistance
Some programs may offer continuing education credits.
You can now search for centers that meet your needs on SAMHSA’s new training and technical assistance webpage at samhsa.gov/technical-assistance.
Making Healthcare Safer IV: Patient Monitoring Systems To Prevent Failure To Rescue
Making Healthcare Safer IV: Patient Monitoring Systems To Prevent Failure To Rescue: Objective: To review the evidence published after the previous Making Healthcare Safer (MHS) report on the effectiveness of implementing patient monitoring systems that scan patient data for signs of clinical deterioration to alert a clinician of a potential adverse condition.
viernes, 20 de diciembre de 2024
2025 Annual Research Meeting Valuable Evidence. Vibrant Community. Vital Conversations.
https://academyhealth.org/ARM
Nominations are now being accepted for the HCUP Award for Outstanding (Clinical) Research and the HCUP Award for Outstanding (Policy) Research, co-sponsored by AHRQ and AcademyHealth. The awards recognize research published in peer-reviewed journals that used the HCUP databases to explore and address healthcare topics. The publications must have occurred between July 1, 2022, and June 30, 2024. Work honored demonstrates how HCUP has contributed to the healthcare services field.
Authors may self-nominate or be nominated by another individual. One nomination per author/individual/research group per category will be accepted. For those nominating an individual, please notify the author. Awards will be presented during an HCUP session at the 2025 AcademyHealth Annual Research Meeting (ARM), which will be held June 7-10, 2025 in Minneapolis, MN.
Registration Is Open for Our January 21 Webinar: “Engineering Safety into Practice through Implementation of the 2025 SAFER Guides”
https://cma.ahrq.gov/cma/welcome.jsp?code=naajan2025
As the modern healthcare delivery system continues to evolve, the safe and effective design, development, implementation, and use of electronic health records (EHRs) as the primary means of patient data collection, storage, retrieval, and communication becomes more apparent. The safety of our patients, workforce, and health care system requires a shared commitment and responsibility to evidence-based practices known to help the health IT community improve the safety and safe use of information systems vital to health care delivery. The Safety Assurance Factors for EHR Resilience (SAFER) guides are designed to help healthcare organizations of all sizes from individual practices to large hospital systems meet that responsibility by conducting proactive self-assessments to evaluate the safety and effectiveness of their electronic health record (EHR) implementations. The 2025 SAFER guides have been updated and streamlined to focus on the highest risk, most commonly occurring issues that can be addressed through technology or practice changes to build system resilience. Join us on January 21, 12:00-1:00 PM ET, for a session on engineering safety with Dean Sittig, PhD and Hardeep Singh, MD, MPH, the authors of the SAFER Guides, as they discuss the development of this latest version and the use of the guides for self-assessments.
jueves, 19 de diciembre de 2024
Regulation (EU) 2021/2282 of the European Parliament and of the Council of 15 December 2021 on health technology assessment and amending Directive 2011/24/EU (Text with EEA relevance)
https://eur-lex.europa.eu/eli/reg/2021/2282/oj
More available, accessible, and affordable treatments
https://www.eurordis.org/our-priorities/treatments/
SAMHSA Commits to Sustaining and Accelerating HIV Progress
https://www.samhsa.gov/blog/samhsa-commits-sustaining-accelerating-hiv-progress?utm_source=SAMHSA&utm_campaign=77e63883f4-EMAIL_CAMPAIGN_2024_12_18_05_15&utm_medium=email&utm_term=0_-77e63883f4-167840245
SAMHSA Commits to Sustaining and Accelerating HIV Progress
By: Kristin Roha, M.S., M.P.H., Public Health Advisor for HIV, Center for Substance Abuse Treatment
World AIDS Day, established in 1988 and observed annually on December 1, is a day to commemorate the 42 million people globally who have died from AIDS-related illnesses since the start of the epidemic, and honor the more than 39 million people including 1.2 million Americans, living with HIV around the world. This year’s World AIDS Day theme, Collective Action: Sustain and Accelerate HIV Progress, serves as an important reminder that we must remain steadfast in our commitment to prevent new HIV infections and provide essential services to all people living with HIV. However, despite the advancements we have made around the world and in the United States, our progress has been uneven, and challenges remain. In too many communities, limited public awareness, lack of access, and sparse partner engagement continue to create barriers to comprehensive HIV prevention and treatment.
https://www.hiv.gov/blog/world-aids-day-2024-collective-action-sustain-and-accelerate-hiv-progress?utm_source=SAMHSA&utm_campaign=77e63883f4-EMAIL_CAMPAIGN_2024_12_18_05_15&utm_medium=email&utm_term=0_-77e63883f4-167840245
miércoles, 18 de diciembre de 2024
Substance Use Disorder Treatment Month
https://www.samhsa.gov/newsroom/observances/substance-use-disorder-treatment-month?utm_source=SAMHSA&utm_campaign=6b2b79ec1f-EMAIL_CAMPAIGN_2024_12_16_05_56&utm_medium=email&utm_term=0_-6b2b79ec1f-167840245
Quality and Safety Review System (QSRS)
Quality and Safety Review System (QSRS): Retrospectively Reviewing Inpatient Health Records To Identify Adverse EventsMedical errors are an ongoing challenge to the healthcare system in the United States. The extent of medical errors in U.S. hospitals was revealed in 2000 when the Institute of Medicine (now the National Academy of Medicine) published To Err Is Human, estimating that up to 98,000 deaths occurred each year due to medical errors.
EvidenceNOW: Managing Unhealthy Alcohol Use
EvidenceNOW: Managing Unhealthy Alcohol Use: @media (min-width: 1300px) { .field--name-body ul.indent, .field--name-body ol.indent, .field--name-body li.indent { margin-left: 14em; } } ProblemUnhealthy alcohol use is one of the Nation’s
AHRQ Research Funding Priorities & Special Emphasis Notices
AHRQ Research Funding Priorities & Special Emphasis Notices: AHRQ Announces Interest in Research to Improve Treatment and Management of Menopause SymptomsAHRQ Announces Interest in Health Services Research to Improve Care Delivery, Access, Quality, Equity, and Health Outcomes for Older AdultsAHRQ Announces Interest in Health Services Research to Improve Healthcare for Persons Living with Di
Surveys on Patient Safety Culture (SOPS)
Surveys on Patient Safety Culture (SOPS): Explore AHRQ's Surveys on Patient Safety Culture™ (SOPS®) surveys and supplemental items designed to capture provider and staff perceptions of patient safety culture in their organization.
Webinar - Jan. 16: Approaches to Address Health Risks in Older Adults
Webinar - Jan. 16: Approaches to Address Health Risks in Older Adults: Date: Jan. 16, 2025Time: 2:00-3:15 p.m. ET This free webinar from AHRQ’s National Center for Excellence in Primary Care Research will explore the role of primary care in optimizing health and well-being for older adults.
Webinar - Jan. 15: AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users
Webinar - Jan. 15: AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users: Date: Jan. 15, 2025Time: 1:00 - 2:00 p.m. ET.This free 30-minute webinar will provide an overview of AHRQ’s Surveys on Patient Safety Culture® (SOPS®) Program. Speakers will describe the SOPS surveys, supplemental items, rules for administration, public databases, resources available, and the relationship of SOPS surveys to patient safety outcomes.Speakers:
AHRQ in the Professional Literature
AHRQ in the Professional Literature
Implementation of electronic triggers to identify diagnostic errors in emergency departments. Vaghani V, Gupta A, Mir U, et al. JAMA Intern Med. 2024 Dec 2. [Epub ahead of print.] Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39621337/
The high costs of anticancer therapies in the USA: challenges, opportunities and progress. Jazowski SA, Nayak RK, Dusetzina SB. Nat Rev Clin Oncol. 2024 Dec;21(12):888-99. Epub 2024 Oct 4. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39367130/
A pragmatic approach to identifying and profiling primary care clinicians and primary care practices in the USA. Zhan C, McNellis RJ, O'Malley PG, et al. J Gen Intern Med. 2024 Aug;39(11):1962-8. Epub 2024 Jan 25. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/38273069/
You cannot function in "overwhelm": helping primary care navigate the slow end of the pandemic. Sullivan EE, Etz RS, Gonzalez MM, et al. J Healthc Manag. 2024 May-Jun;69(3):190-204. Epub 2024 May 10. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/38728545/
Health care utilization with telemedicine and in-person visits in pediatric primary care. Casey SD, Huang J, Parry DD, et al. JAMA Health Forum. 2024 Nov;5(11):e244156. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39576615/
Improving screening, brief intervention and referral to treatment for unhealthy alcohol use in diverse, low-resourced primary care clinics. Davis MM, Coury J, Sanchez V, et al. BMC Health Serv Res. 2024 Nov 12;24(1):1384. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39533319/
Enrollment of underserved racial and ethnic populations in pediatric asthma clinical trials. Geanacopoulos AT, Wu AC, Bourgeois FT, et al. J Allergy Clin Immunol Glob. 2024 Nov;3(4):100315. Epub 2024 Jul 26. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39234418/
Characteristics of patients hospitalized in rural and urban ICUs from 2010 to 2019. Harlan EA, Ghous M, Moscovice IS, et al. Crit Care Med. 2024 Oct;52(10):1577-86. Epub 2024 Jun 26. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/38920619/
martes, 17 de diciembre de 2024
Treatment of Obsessive-Compulsive Disorder in Children and Youth: A Meta-Analysis
Truth-teller or reflexive contrarian: Which Marty Makary would run the FDA? Makary earned praise for his embrace of science, but some in public health are uneasy
https://www.statnews.com/2024/12/17/marty-makary-trump-pick-to-run-the-fda-commissioner-profile/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-8FjEWAImmA2NI6pk8uN4m7AEKC-YIeYzEiJM1cfI6mYEEET8nHq10lvnuQAtozEdUnETdsk2h-Ar6VPEmEe7Ln8WmQ0Q&_hsmi=338888776&utm_content=338888776&utm_source=hs_email
Some people see Trump’s pick to lead the FDA as a truth-teller and independent thinker with a deep respect for science. Others consider him a contrarian for contrarian’s sake who too often opines on matters outside of his expertise. Marty Makary got his start as a surgeon trying to raise awareness about the impact of hospital workplace culture on patient care. “He would leave people with a feeling of, ‘Oh my gosh, I should be doing that,’” said one psychologist who worked closely with him on the issue.
But as STAT’s Lizzy Lawrence reports, Makary can fall victim to hyperbole. In 2016, he led a paper asserting that medical error was the third-leading cause of death in the U.S. that got widespread coverage — even STAT reported on it. But experts quickly saw that the conclusion was the misleading product of some methodological errors.
Still, Makary is more trusted by traditional health care leaders than some of Trump’s other nominees. Read more in Lizzy’s illuminating profile on Makary and what kind of commissioner he might be.
Hispanic/Latino Adults Lack Adequate, Affordable Health Insurance Coverage
https://www.commonwealthfund.org/blog/2024/hispaniclatino-adults-lack-adequate-affordable-health-insurance-coverage?check_logged_in=1&utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_KR-qO8mCaodtlehIyD0pqjIdda_P-QZ9gj_2750dFPvZ_jPVscTzXOLJFWbj5QhhBP7W4qDoMI0dDzMuwHuVzKHtLmA&_hsmi=338888776&utm_content=338888776&utm_source=hs_email
Hispanic adults face underinsurance at higher rates
The number of uninsured Hispanic adults dropped from 33 to 18% after the Affordable Care Act became law. But more than 55% of Hispanic adults are underinsured, meaning they don’t have health insurance or can’t afford the health care services they need, according to a report released today by the Commonwealth Fund. This compares to 42% of the nation’s non-Hispanic population. More than half of those surveyed said they either did not pick up prescriptions, get follow-up tests that had been ordered, or see a physician when they were sick due to cost, while 30% said they were paying off medical or dental debt over time.
“The United States spends more on health care than any other high-income nation, yet we have the least to show for it,” said report author Joseph R. Betancort, the fund’s president. “Undoubtedly uninsurance, underinsurance, and affordability challenges are major root causes of this painful difference.”
— Usha Lee McFarling
Lithium Use During Pregnancy in 14 Countries
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2828074?utm_term=121624&utm_campaign=ftm_links&utm_medium=referral&_hsenc=p2ANqtz--2UWQGlbaiYTlzuW1xWspqEjPt1DljhFgi8UpQCdelJSS4wP4ecXncBLMSY3iphPLJwACQebzDlynVd46uND5cvFpomA&_hsmi=338888776&utm_source=For_The_Media
Should people on lithium keep taking it during pregnancy?
For people with bipolar disorder or other psychiatric conditions, lithium can serve as critical treatment. But upon getting pregnant, they must weigh the benefits of the drug against its potential risks. Across the world, the proportion of people who do continue their prescriptions during pregnancy varies wildly depending on where they live, according to a study published yesterday in JAMA Network Open. Over more than two decades, about 2% of people in South Korea who took lithium before getting pregnant were still taking it in the second trimester. In Denmark, that proportion was 80%.
The study used data from more than 21 million pregnancies in 14 countries, including the U.S., between 2000 and 2023. In 10 populations, use of the drug during pregnancy increased over that time period. Overall rates of lithium use ranged from 0.07 per 1,000 pregnancies (in Hong Kong) to 1.56 per 1,000 (among those publicly insured in the U.S.). The authors recommend the development of “internationally harmonized guidelines” to help people better navigate medical decisions during pregnancy.
Taxi drivers are steering neuroscience toward better understanding Alzheimer’s A new study shows taxi drivers die at lower rates from Alzheimer’s disease compared to people in other professions
Taxi drivers are steering neuroscience toward better understanding Alzheimer’s
A new study shows taxi drivers die at lower rates from Alzheimer’s disease compared to people in other professions
https://www.statnews.com/2024/12/16/alzheimers-disease-research-taxi-drivers-hippocampus-dementia-link/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--qIZ6QovX5xGjS3nAB4F41Zs_ZAbzNm-Tijjt689WQmOzIMB5J7vDIpKuyPFvZoyGXDJUjimlGk3r9PnhCMzDX-_F1Yg&_hsmi=338888776&utm_content=338888776&utm_source=hs_email
Here’s an interesting factoid for you: Taxi drivers die from Alzheimer’s disease at lower rates than people in other professions. In a study published yesterday in The BMJ, researchers posit that the reason may be how the job requires drivers to constantly exercise the parts of the brain responsible for navigation.
But it’s not just a factoid. Understanding the reasons behind the association could have implications for the rest of us as well. Read more from STAT’s Anil Oza on the study. You’ll come for the science and stay for the history of how taxi drivers have been teaching neuroscientists about the brain for over 20 years.
New model enables simpler, cheaper estimate of heart failure risk Unexpected high-risk group is identified in study using PREVENT model
A new model to estimate heart failure
About a year ago, the American Heart Association released the PREVENT calculator to predict cardiovascular risk. A report published yesterday used the tool to model risk of heart failure versus other types of cardiovascular disease and found that there’s a substantial group of people who are at risk for heart failure, but not for the common clogged arteries that can lead to angina, heart attacks, and strokes. More than half of participants at elevated risk of heart failure had high blood pressure, and half were overweight or had obesity.
As you might remember, the calculator drew attention earlier this year for its potential to reduce the number of Americans who are eligible to receive widely-prescribed cholesterol-lowering statins. But fewer people discussed the addition of heart failure to the list of conditions that it estimated. Read more from STAT’s Liz Cooney on the new data and how it could shape new guidelines on statin use.
https://www.statnews.com/2024/12/16/heart-failure-prevent-risk-model-cardiovascular-disease/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-8YEmYAbF-o70C0NyCsKILgFv3_lqrtSEbZLs-34cyTnKxqqH_X94nIN0-t5dUQ0XL7O6oNg7smRosiddvCugXaLc7j-Q&_hsmi=338888776&utm_content=338888776&utm_source=hs_email
Emergency Department Visits With an Influenza Test Ordered or Provided: United States, 2013-2022
https://www.cdc.gov/nchs/products/databriefs/db517.htm
EDs test more for flu now than a decade ago
The percentage of people in emergency departments who get tested for the flu increased from just 2.5% in 2013 to almost 11% in 2022, according to CDC data released today. This doesn’t mean that more people are actually sick, but rather that emergency rooms have been using the tests more than in the past. Fever, cough, nausea, and shortness of breath were all reasons that people visited the ED before receiving a test. Coming in with psychological symptoms didn’t lead to any flu tests in 2013, but that was the first reason for a visit in almost 17% of all flu tests done in the ER in 2022.
The CDC report doesn’t present any potential reasons for the increase in testing, but it’s hard to imagine that the Covid-19 pandemic didn’t play any part.
New report highlights the scientific impact of open source software
https://www.statnews.com/sponsor/2024/11/26/new-report-highlights-the-scientific-impact-of-open-source-software/
Two of the scientists who won this year’s Nobel Prize for cracking the code of proteins’ intricate structures relied, in part, on a series of computing models that anyone with a computer and the right understanding can access and run.
lunes, 16 de diciembre de 2024
Potential Health Policy Administrative Actions in the Second Trump Administration President-elect Trump could exercise executive branch authority through administrative action to quickly move forward on some policy changes without congressional action. Published: December 16, 2024
Potential Health Policy Administrative Actions in the Second Trump Administration
President-elect Trump could exercise executive branch authority through administrative action to quickly move forward on some policy changes without congressional action.
https://www.kff.org/potential-health-policy-administrative-actions-in-the-second-trump-administration/?utm_campaign=KFF-Medicare&utm_medium=email&_hsenc=p2ANqtz--MIkAjfHv76cayWp7Ofx8px2jMw0b9CWa1vkICVLdI8jMogUE2Iw9EPvoUDZ5TL0ttwxtYhwa7kyyC8wqOEdNi3tO4tg&_hsmi=338743476&utm_content=338743476&utm_source=hs_email
Published: December 16, 2024
KFF Highlights Possible Health Policy Administrative Actions for the Second Trump Administration
A new KFF resource provides information about more than 40 potential health policy administrative actions the new Trump administration may pursue, based on President-elect Trump’s campaign positions and statements and his first-term record. The list includes potential actions to reverse or modify regulations or guidance issued by the Biden administration.
Potential administrative actions could affect a range of health policy issues, including abortion and contraception, Medicaid, the Affordable Care Act, prescription drugs, LGBTQ health, global health policy, racial equity in health care, immigrant health care, long-term care, patient and consumer protections, and fentanyl. The resource lists each potential action along with a short description of what it would do, the history of the policy, and links to additional information.
domingo, 15 de diciembre de 2024
Removing a Splinter? Treating a Wart? If a Doctor Does It, It Can Be Billed as Surgery By Elisabeth Rosenthal December 13, 2024
https://kffhealthnews.org/news/article/doctor-billing-coding-surgery-profit/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-8-8aHhY9iK-fX4Wn9clOwbgpBb2O6Fylp1ol62vBM6At7dU9LbVIoaaSFBIRIRXwZb7ifAbQQKV9LsL89HDrknwb_hvA&_hsmi=338474419&utm_content=338474419&utm_source=hs_email
Removing a Splinter? Treating a Wart? If a Doctor Does It, It Can Be Billed as Surgery
By Elisabeth Rosenthal
Minor interventions are increasingly being rebranded and billed as surgery, for profit. This means a neurologist spending 40 minutes with a patient to tease out a diagnosis can be paid less for that time than a dermatologist spending a few seconds squirting a dollop of liquid nitrogen onto the skin.
A Killing Touches Off Backlash Against Health Insurers Episode 376 December 12, 2024
https://kffhealthnews.org/news/podcast/what-the-health-376-unitedhealthcare-ceo-killing-insurer-backlash-december-12-2024/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-92iqF_VFGDYp8WIwxJf3S47GjQYbdTazb6p0CJc67nsJpl1I_7gkfWV5NVzP6wuDr5AY_DHqGx5xTyIHsjxXEL0KyhCg&_hsmi=338474419&utm_content=338474419&utm_source=hs_email
KFF Health News' 'What the Health?': A Killing Touches Off Backlash Against Health Insurers
The shocking shooting death of UnitedHealthcare’s chief executive in Midtown Manhattan prompted a public outcry about the problems with the nation’s health care system, as stories of delayed and denied care filled social media. Meanwhile, President-elect Donald Trump continues to avoid providing specifics about his plans for the Affordable Care Act and other health issues. Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Rachel Cohrs Zhang of Stat join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Francis Collins, who was the director of the National Institutes of Health and a science adviser to President Joe Biden.
Patients Couldn’t Pay Their Utility Bills. One Hospital Turned to Solar Power for Help. By Martha Bebinger, WBUR December 12, 2024 +++
https://kffhealthnews.org/news/article/solar-power-hospital-shares-offsets-patients-utility-bills-boston/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_yXfDQJNfM8VS6f86NYcwLNEi7FmnFEMU6v9umpf7S1EKq77PYUvhjLNHQ7miERBUkVVzZklPZTGGji2MQSjUpU-FJDQ&_hsmi=338474419&utm_content=338474419&utm_source=hs_email
HEALTH INDUSTRY
Patients Couldn’t Pay Their Utility Bills. One Hospital Turned to Solar Power for Help.
By Martha Bebinger, WBUR
Doctors in Boston got tired of writing letters to utility companies asking for assistance for their medically vulnerable patients who need power and heat to stay healthy. So a hospital decided to share the power its solar panels generate with patients who needed help with their electricity and gas bills.
Former Montana Health Staffer Rebukes Oversight Rules as a Hospital ‘Wish List’
By Katheryn Houghton
The push-pull in Montana reflects a national tension as states try to decide what counts as fair checks on tax-exempt hospitals and industry players weigh in. The debate centers on whether nonprofit hospitals do enough good to earn their charitable status.
https://kffhealthnews.org/news/article/montana-hospital-oversight-rules-community-benefit/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_UIb7BhZy_3Vt7si7Uo4JTQXIV7Vhu-mBXmt836f4PgtHlKaSCoNo60TpnS2WdAwuIU4L2GipJ7lGoR7aaBoojiTBckA&_hsmi=338474419&utm_content=338474419&utm_source=hs_email
California Official Comes out of Retirement To Lead Troubled Mental Health Commission
By Molly Castle Work
Former California social services head Will Lightbourne has come out of retirement to lead the state’s mental health accountability commission following its executive director’s resignation in the wake of conflict of interest allegations.
https://kffhealthnews.org/news/article/will-lightbourne-q-and-a-california-mental-health-commission/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_JwY8jYZfG0gdQ7H3Fx4VuXH3uyp5LmRuUvPnNbNDgD4tOn9wQVK63lRQ0qdVrer_DwtWOmqFogDsYHWUFRSfPEl99RQ&_hsmi=338474419&utm_content=338474419&utm_source=hs_email
A Centenarian Thrives Living Alone, Active and Engaged By Judith Graham December 10, 2024 ++++
https://kffhealthnews.org/news/article/centenarian-thrives-living-alone-older-adults/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-9ZGLI2iPnz04X-hL4g_-ESSZHQG90EHbgkoX5oYMvISAdsUdog0GhEj6SZXkajTw0LCSReXRlmaRqIDwZRkU5W7Rlnow&_hsmi=338474419&utm_content=338474419&utm_source=hs_email
Resources Are Expanding for Older Adults on Their Own
By Judith Graham
Updated December 9, 2024
Originally Published December 9, 2024
https://kffhealthnews.org/news/article/aging-alone-resources-older-adults-solo-agers/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_O8TxNvJVan9CQKSc3z7TfrLGj_ZekMO1Iz_zxICMp6qXp6S6UxjZNqOmvvnVKJ_diFmYplDTlGxVjoLgoljw5whJ7dg&_hsmi=338474419&utm_content=338474419&utm_source=hs_email
Watch: ‘Going It Alone’ — A Conversation About Growing Old in America
December 12, 2024
https://kffhealthnews.org/news/article/watch-going-it-alone-a-conversation-about-growing-old-in-america/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_ivvqwuIcbScDS0WVdAAH26NTELHjSf1EorddjDQQBRYAjzXHstyHJGJjKk4iSahVuorJpi7LqcYUCdh5R-otWTIFyZQ&_hsmi=338474419&utm_content=338474419&utm_source=hs_email
Going It Alone
https://kffhealthnews.org/news/tag/going-it-alone/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz--mD_xQgE0clRe_wQk0xseyPGMK0Hj95Ggs29CvV15zSfLXYPUxGPTdWiDAFTofck1Id2f8YjfFIM5iVNBRGuSUKH2GkQ&_hsmi=338474419&utm_content=338474419&utm_source=hs_email
sábado, 14 de diciembre de 2024
Disaster Recovery Homelessness Toolkit
Disaster Recovery Homelessness Toolkit
https://www.hudexchange.info/homelessness-assistance/disaster-recovery-homelessness-toolkit/?utm_source=SAMHSA&utm_campaign=0f76c8873c-EMAIL_CAMPAIGN_2024_11_21_06_27_COPY_01&utm_medium=email&utm_term=0_-0096a82052-167840245
This toolkit from the U.S. Department of Housing and Urban Development (HUD) offers guidance to communities to help them address the needs of people experiencing homelessness, including people living in shelters, through all phases of emergency management. Composed of sections focusing on local planning, response, and short- and long-term recovery, the toolkit includes steps to take, information, and links to related resources. One part of the toolkit features a section about creating shelters that effectively meet the needs of people experiencing homelessness.
https://www.hudexchange.info/homelessness-assistance/disaster-recovery-homelessness-toolkit/response-guide/?utm_source=SAMHSA&utm_campaign=0f76c8873c-EMAIL_CAMPAIGN_2024_11_21_06_27_COPY_01&utm_medium=email&utm_term=0_-0096a82052-167840245
Coping With Disasters and Strengthening Systems
https://capacity.childwelfare.gov/states/topics/disaster-preparedness/coping-with-disasters-and-strengthening-systems?utm_source=SAMHSA&utm_campaign=0f76c8873c-EMAIL_CAMPAIGN_2024_11_21_06_27_COPY_01&utm_medium=email&utm_term=0_-0096a82052-167840245
Coping With Disasters and Strengthening Systems
This web page from the Child Welfare Capacity Building Collaborative is designed to help child welfare agency leaders, managers, and disaster planning and response teams with emergency planning and preparedness, response, and recovery. It refers readers to resources, many from the Coping With Disasters and Strengthening Systems Guide, to aid in working on an agency-wide disaster plan, coordinating disaster response and recovery, and working with youth, families, and communities.
https://capacity.childwelfare.gov/states/resources/coping-guide?utm_source=SAMHSA&utm_campaign=0f76c8873c-EMAIL_CAMPAIGN_2024_11_21_06_27_COPY_01&utm_medium=email&utm_term=0_-0096a82052-167840245
Disaster Human Services Capabilities Playbook
https://www.acf.hhs.gov/ohsepr/training-technical-assistance/disaster-hs-capab-playbook?utm_source=SAMHSA&utm_campaign=0f76c8873c-EMAIL_CAMPAIGN_2024_11_21_06_27_COPY_01&utm_medium=email&utm_term=0_-0096a82052-167840245
Disaster Human Services Capabilities Playbook
Written by the Office of Human Services Emergency Preparedness and Response (OHSEPR) within the Administration for Children and Families (ACF), this resource identifies eight capabilities that are important for state, territory, tribal, and local human service organizations to be able to provide effective services for disaster survivors, including vulnerable disaster survivors. Discussion of each capability includes a definition of the capability, an explanation of its importance, and key actions and approaches to be taken in support of preparedness, response, and recovery.
Capacity-Building Toolkit for including Aging & Disability Networks in Emergency Planning
https://aspr.hhs.gov/at-risk/Pages/Aging-and-Functional-Needs-toolkit.aspx?utm_source=SAMHSA&utm_campaign=0f76c8873c-EMAIL_CAMPAIGN_2024_11_21_06_27_COPY_01&utm_medium=email&utm_term=0_-0096a82052-167840245
Capacity-Building Toolkit for including Aging & Disability Networks in Emergency Planning
Produced by the National Association of County and City Health Officials (NACCHO) and the Association of State and Territorial Health Officials (ASTHO) in collaboration with ASPR and the Administration for Community Living (ACL), this resource is designed to support ACL aging and disability networks in planning for and responding to public health emergencies and other disasters. Toolkit modules address topics such as creating an emergency operations plan, identifying populations of older adults and people with disabilities, effective messaging, and assessing the emotional impact of a disaster on staff and volunteers.
TAP 34: Disaster Planning Handbook for Behavioral Health Service Programs
https://store.samhsa.gov/product/tap-34-disaster-planning-handbook-behavioral-health-service-programs/pep21-02-01-001?utm_source=SAMHSA&utm_campaign=0f76c8873c-EMAIL_CAMPAIGN_2024_11_21_06_27_COPY_01&utm_medium=email&utm_term=0_-0096a82052-167840245
TAP 34: Disaster Planning Handbook for Behavioral Health Service Programs
This Technical Assistance Publication (TAP) is designed to help mental and substance use disorder service and treatment programs develop and enhance their disaster plans. The guide provides an overview of the planning process and the process of writing a disaster plan, steps to take in developing and using the plan, and information about managing prescription medications. An appendix contains worksheets that can be used by programs to write sections of their plans or follow steps in the plan development and maintenance process.
Trauma Training for Criminal Justice Professionals
https://www.samhsa.gov/gains-center/trauma-training-criminal-justice-professionals?utm_source=SAMHSA&utm_campaign=0f76c8873c-EMAIL_CAMPAIGN_2024_11_21_06_27_COPY_01&utm_medium=email&utm_term=0_-0096a82052-167840245
Trauma Training for Criminal Justice Professionals
The SAMHSA GAINS (Gather, Assess, Integrate, Network, and Stimulate) Center for Behavioral Health and Justice Transformation offers information and resources to help people who are in the criminal justice system and experiencing a mental and/or substance use disorder. Trauma is common for adults and children in the United States, and it is particularly common among justice-involved youth and adults and people with mental or substance use disorders. Also, people may experience trauma during and after disasters, including people who are incarcerated. For all of these reasons it is essential for criminal justice professionals to understand trauma, its impacts, and trauma-informed practices to work effectively with people who are incarcerated. SAMHSA’s GAINS Center offers a half-day training for criminal justice professionals on trauma-informed practices and developing trauma-informed policy and a train-the-trainer event to prepare criminal justice professionals to deliver the half-day training. Access or share the Trauma Training for Criminal Justice Professionals web page to learn about the training, find trainers in your area, or contact the SAMHSA GAINS Center about scheduling training.
https://www.samhsa.gov/find-help/trauma?utm_source=SAMHSA&utm_campaign=0f76c8873c-EMAIL_CAMPAIGN_2024_11_21_06_27_COPY_01&utm_medium=email&utm_term=0_-0096a82052-167840245
Emergency Use Authorization--Archived Information
https://www.fda.gov/emergency-preparedness-and-response/mcm-legal-regulatory-and-policy-framework/emergency-use-authorization-archived-information?utm_medium=email&utm_source=govdelivery#covid19
FDA Revokes EUAs for Four Monoclonal Antibody Products
At the request of the individual product sponsors, FDA has revoked the Emergency Use Authorizations (EUAs) for four respective monoclonal antibody (mAb) products that had been authorized for emergency use as part of the United States government’s response to the COVID-19 public health emergency.
As of today, the EUAs for bebtelovimab, Evusheld (tixagevimab co-packaged with cilgavimab), sotrovimab, and REGEN-COV(casirivimab and imdevimab) have been revoked.
The four mAb products have not been authorized for administration to patients for more than a year due to the high frequency of circulating SARS-CoV-2 variants that are not susceptible to each particular mAb product. Previously, FDA, at the appropriate time, based on a limitation in each EUA, announced that the respective mAb product was no longer authorized for emergency use. The limitation allowed each EUA to remain in place, and in turn, permitted health care facilities and providers to retain inventory of the particular mAb product in case the susceptibility of future SARS-CoV-2 variants changed. However, the high frequency of circulating SARS-CoV-2 variants that are non-susceptible to these particular mAb products has persisted. In addition, the shelf life for nearly all lots of these products has expired.
bebtelovimab.
https://www.fda.gov/media/184467/download?attachment=&utm_medium=email&utm_source=govdelivery
EVUSHELD (tixagevimab co-packaged with cilgavimab)
https://www.fda.gov/media/184468/download?attachment=&utm_medium=email&utm_source=govdelivery
sotrovimab.
https://www.fda.gov/media/184466/download?attachment=&utm_medium=email&utm_source=govdelivery
REGEN-COV (casirivimab and imdevimab administered together)
https://www.fda.gov/media/184465/download?attachment=&utm_medium=email&utm_source=govdelivery
Impact of Healthcare Worker Safety and Wellness: A Systematic Review
Impact of Healthcare Worker Safety and Wellness: A Systematic Review: The key psychosocial outcome of interest to this review is HCW burnout.
The Effective Health Care (EHC) Program is interested in receiving supplemental evidence and data (SEADs) for systematic reviews that are relevant to the questions in our evidence reports. To ensure that it has full access to relevant research, whether or not it is published, the EHC Program is interested in receiving SEADs containing detailed study-specific information. Opportunities to submit scientific information are available for:
Impact of Healthcare Worker Safety and Wellness: A Systematic Review
(Available for submission until January 13, 2025)
The key decisional dilemma for this systematic review is to identify the primary predisposing conditions that lead to healthcare worker (HCW) burnout, the organizational strategies that are effective in reducing HCW burnout, and the downstream benefits of preventing or minimizing burnout that may impact HCW’s patients, families, communities, healthcare organizations, and society.
(Section 944 (c) of the Public Health Service Act [42 U.S.C. 299c 3(c)] requires that information collected for research conducted or supported by AHRQ that identifies individuals or establishments be used only for the purpose for which it was supplied unless they consent to the use of the information for another purpose.)