jueves, 17 de abril de 2025
‘The same Bobby Kennedy’: How RFK Jr.’s vaccine criticism came rushing back The health secretary is questioning vaccines and downplaying measles, once again
https://www.statnews.com/2025/04/16/robert-kennedy-moderate-for-hhs-confirmation-returns-to-anti-vaccine-roots/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--cnY2SJLUIPiVZnKCH2E5376Ar8qqpCXDdU7PpU5IUn_-IJxIuRZEnnYoUV_l1uqi47dSEobqWb0rXMyen8akLfNfVqQ&_hsmi=357118970&utm_content=357118970&utm_source=hs_email
‘The same Bobby Kennedy’
Robert F. Kennedy Jr. says that HHS will determine the cause of autism by September. And at a press conference yesterday, he said the agency will announce a series of new studies investigating the disorder’s rising numbers “within three weeks, probably — we’re hoping two weeks.” But who is “we”?
https://www.statnews.com/2025/04/15/rfk-jr-says-rising-autism-rates-an-epidemic-researchers-disagree/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9N6wM5E78zMyVNhgQSNF9Z8ooQZlLxl7nymjDTKs1DqTXO1B9-pgXF-QQQWQt6nfyG15LTMxK0H7dGhozvbUeQQ_HQWA&_hsmi=357118970&utm_content=357118970&utm_source=hs_email
There’s little sign that Kennedy has a team in place yet, STAT’s Isabella Cueto reports. Nearly two dozen prominent voices from both mainstream autism research and the anti-vaccine world said they have not been approached by Kennedy, and have no details about the proposed studies. Read more in Isa’s status update.
https://www.statnews.com/2025/04/16/rfk-jr-cause-of-autism-study-by-september-prominent-scientists-not-involved-so-far/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--ar8Tf8hReE4zQlb6Wz5v0spxQBKcSMvcYf6-uA5cAF_OU8fmgsBtqtllXxAExG7k0RJ340GcowLfvKwg14ss5_BaaXg&_hsmi=357118970&utm_content=357118970&utm_source=hs_email
Kennedy’s recent comments on autism are just one example of how he has frequently returned to old anti-vaccine talking points. “He’s the same Bobby Kennedy, 100%,” said Mary Holland, CEO of Children’s Health Defense, the anti-vaccine advocacy group Kennedy founded. The return to old rhetoric comes after months of downplaying his past criticism of vaccines as he sought to become the nation’s health secretary. Read more from Daniel Payne about how the vaccine criticism came rushing back.
Supreme Court to hear challenge to ACA rule requiring free preventive care, cancer screenings Braidwood case has potential to change prevention strategy no matter which side wins
https://www.statnews.com/2025/04/17/kennedy-v-braidwood-affordable-care-act-challenge-could-upend-preventive-health-care/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--zFEDg7GIxqkUhF2-2vKkZRCNkM8E0kPrwnrAyPFPGqJpDOmZUl7vDq-lq9IQ4AWIzkWvPJQcm6fjARXubQ25hq_hthw&_hsmi=357118970&utm_content=357118970&utm_source=hs_email
The health care at stake in Monday’s Supreme Court arguments
For a decade and a half, health insurers have been required to fully cover certain preventive care services that are given an A or B rating by the U.S. PreventiveServices Task Force. Think mammograms, statins, many vaccinations, PrEP, and screening for lung and colorectal cancers. But that could be about to change. On Monday, the Supreme Court will hear a challenge to the Affordable Care Act provision that ensures this care be given free of charge.
Either way the court decides, legal and medical experts told STAT’s Angus Chen, the ruling could have profound ramifications for the future of preventive health care in the United States
Morning Briefing: Today's News Summaries Thursday, Apr 17 2025 8:45 AM ++++++
Morning Briefing: Today's News Summaries
Thursday, Apr 17 2025 8:45 AM
Trump Administration May Cut A Third Of HHS' Discretionary Budget
https://kffhealthnews.org/morning-breakout/trump-administration-may-cut-a-third-of-hhs-discretionary-budget/
Facing Tariffs, Abbott To Invest $500 Million In US Manufacturing Facilities
https://kffhealthnews.org/morning-breakout/facing-tariffs-abbott-to-invest-500-million-in-us-manufacturing-facilities/
RFK Jr. Leans Into 'Environmental Toxins' As Source Of Increased Autism
https://kffhealthnews.org/morning-breakout/rfk-jr-leans-into-environmental-toxins-as-source-of-increased-autism/
ACA Case At Supreme Court Next Week Likely To Profoundly Affect Health Care
https://kffhealthnews.org/morning-breakout/aca-case-at-supreme-court-next-week-likely-to-profoundly-affect-health-care/
FDA Directs Knockoff Weight Loss Drugmakers To Halt Operations
https://kffhealthnews.org/morning-breakout/fda-directs-knockoff-weight-loss-drugmakers-to-halt-operations/
Arkansas Companies Now Must Choose Between PBMs And Pharmacies
https://kffhealthnews.org/morning-breakout/arkansas-companies-now-must-choose-between-pbms-and-pharmacies/
10 Things to Know About Rural Hospitals Scott Hulver, Zachary Levinson, Jamie Godwin, and Tricia Neuman Published: Apr 16, 2025
https://www.kff.org/health-costs/issue-brief/10-things-to-know-about-rural-hospitals/?utm_medium=email&_hsenc=p2ANqtz-99NuyHUmXgbjkdlMFYKkMXOv2heOzY7idCYUk3EVqoYJdVHPyNie1rax5iBrySBrFEq8Gb5q6zIVusSx3URDvuGq8fvg&_hsmi=356855655&utm_content=356855655&utm_source=hs_email
KFF Examines Variations in Rural Hospitals’ Financial Health as Congress Weighs Budget Cuts
A new KFF analysis explores data about rural hospitals’ financial health and stability at a time when Congress is considering potential federal budget cuts that could affect Medicaid and other health care funding. The findings include:
Rural hospitals are more likely than urban ones to have negative operative margins, but there is quite a bit of diversity in their finances, as most rural hospitals had positive margins in 2023 (the most recent year of data available), and nearly one fifth had margins of at least 10%.
Rural hospitals in states that have not adopted the Affordable Care Act (ACA) Medicaid expansion were more likely to have negative margins than those in expansion states. In addition, about two thirds of rural hospital closures since 2014 occurred in states that had not expanded Medicaid at the time.
Among rural hospitals, those in the most remote areas were most likely to report negative margins, while positive margins were more common among those that had more beds, higher occupancy, were affiliated with a health system, and were not government-owned in 2023.
10 Things to Know About Rural Hospitals is part of KFF’s expanding work examining hospital finances and business practices and their impact on costs and affordability
miércoles, 16 de abril de 2025
SOPS Ambulatory Surgery Center Survey
https://www.ahrq.gov/sops/surveys/asc/index.html
June 2 to 20: Data Submission Opens for AHRQ Surveys on Patient Safety Culture® Ambulatory Surgery Center
Voluntary data submission for AHRQ’s Surveys on Patient Safety Culture® (SOPS®) Ambulatory Surgery Center (ASC) Database will be open June 2 - 20 for ASCs that have administered and collected data for AHRQ’s Ambulatory Surgery Center Survey on Patient Safety Culture between Jul. 2023 and Jun. 2025. Participating ASCs will receive feedback reports, comparing their results to aggregated, de-identified data from all database participants.
States Push Medicaid Work Rules, but Few Programs Help Enrollees Find Jobs By Sam Whitehead and Phil Galewitz and Katheryn Houghton April 15, 2025
AHRQ Public Listening Session on Opportunities to Update the Patient Safety Indicators Fecha y hora7 may 2025 02:00 p. m.
https://mitre.zoomgov.com/webinar/register/WN_ncZveqf9SpWpza_fmgcoYQ#/registration
AHRQ Public Listening Session on Opportunities to Update the Patient Safety Indicators
Webinar on PSI Gap Analysis Findings, May 7, 2025, 1-2:30 p.m. EDT
AHRQ is conducting a gap analysis to identify opportunities for future Patient Safety Indicator (PSI) measurement, including opportunities to expand PSIs to new care settings and populations. This gap analysis will also consider criteria for assessing new measurement opportunities (e.g., feasibility, impact, administrative burden).
AHRQ will share the interim findings from this analysis during a webinar on May 7th and welcomes feedback from interested stakeholders, including patients and patient advocacy groups, healthcare organizations, clinicians, patient safety experts, trade associations, health plans, and state and local health departments. During the webinar, Sue Sheridan and Dr. Peter Pronovost provide their initial reactions on opportunities to improve the PSIs.
martes, 15 de abril de 2025
NIST Updates Privacy Framework, Tying It to Recent Cybersecurity Guidelines
https://www.nist.gov/news-events/news/2025/04/nist-updates-privacy-framework-tying-it-recent-cybersecurity-guidelines
How can society benefit from the use of personal data while also protecting individual privacy? Five years after debuting guidelines that can help organizations balance these goals, the National Institute of Standards and Technology (NIST) has drafted a new version of the NIST Privacy Framework intended to address current privacy risk management needs, maintain alignment with NIST’s recently updated Cybersecurity Framework, and improve usability.
The draft release, NIST Privacy Framework 1.1 Initial Public Draft, is broadly intended to help organizations manage the privacy risks that arise from personal data flowing through complex information technology systems. Failure to manage these risks effectively can directly affect individuals and society, potentially damaging organizations’ brands, bottom lines and prospects for growth.
Measure Criteria for the Agency for Healthcare Research and Quality’s National Healthcare Quality and Disparities Report
Measure Criteria for the Agency for Healthcare Research and Quality’s National Healthcare Quality and Disparities Report: This technical brief was commissioned to inform AHRQ’s work related to the NHQDR. The last time the criteria to prioritize measures for the NHQDR were reviewed in detail was in 2010, i.e., over a decade ago. The last decade saw many changes in the U.S. healthcare landscape (e.g., a major healthcare reform), the U.S. population health (e.g., the COVID-19 pandemic emphasizing disparities, the opioid crisis), and the U.S. healthcare delivery system (e.g., implementation of electronic health records, expansion of telehealth). The objective of this technical brief was to review the criteria for prioritizing measures to be included in the NHQDR to ensure that the criteria align with current priority areas as well as focus areas of equity and social drivers of health.
lunes, 14 de abril de 2025
Vesicular Stomatitis virus (VSV)-based Vaccine against Sudan Virus
https://www.techtransfer.nih.gov/tech/tab-4865?utm_campaign=+64739365&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=
In December 2019, the U.S. Food and Drug Administration approved ERVEBO for use as a vaccine against Ebola virus disease, caused by the Zaire ebolavirus species. However, this vaccine is not effective against disease caused by the Sudan ebolavirus (SUDV) species, due to significant variations in structure between the two species.
Researchers at the National Institute of Allergy and Infectious Diseases (NIAID) have developed a vaccine candidate for SUDV with a vesicular stomatitis virus (VSV) backbone similar to that used for ERVEBO. The new candidate has shown promise in efficacy studies conducted in nonhuman primates. The VSV platform also has the potential to enhance the safety of the vaccine while inducing a strong, rapid immune response.
To learn more about this collaboration opportunity, visit https://www.techtransfer.nih.gov/tech/tab-4865 or contact Terrence Joyce at terrence.joyce@nih.gov and reference E-002-2023.
#Ebola #NIAID #NIAIDTechTransfer
Alcohol Now: The Latest Evidence Changes How You Deal with Patients Tue, Apr 29, 2025 8:00 PM - 9:00 PM -03
https://register.gotowebinar.com/register/3004750220688384352?source=email1
Stay Ahead: Alcohol’s Evolving Impact on Patient Health
New research is reshaping the way we approach alcohol in patient care. Are you updated on the latest findings? From its role in cancer and chronic diseases to its underestimated effects on mental health, alcohol’s impact extends further than we’ve realized.
Join us for a free, live event on April 29 at 7 PM, where leading experts will break down the latest evidence and help you refine your patient counseling approach.
Why it matters for your patients:
• Hidden Risks: Alcohol’s link to cancer, fatty liver disease, obesity, and sleep disorders.
• Moderate Drinking: Even light alcohol use fuels anxiety, depression, and cognitive decline.
• AUDIT Screening: Refine your approach with GLP-1s and craving deterrents for alcohol use disorder.
Can’t make it live? Register today, and we’ll send you the event recording
Morning Briefing: Today's News Summaries Monday, Apr 14 2025 UPDATED 9:09 AM ++++++
Morning Briefing: Today's News Summaries
Monday, Apr 14 2025 UPDATED 9:09 AM
Kennedy's Comments Alarm FDA Employees During Friday's Visit
https://kffhealthnews.org/morning-breakout/kennedys-comments-alarm-fda-employees-during-fridays-visit/
President Trump Touts Physical, Cognitive Health After Medical Exam
https://kffhealthnews.org/morning-breakout/president-trump-touts-physical-cognitive-health-after-medical-exam/
Oz Tells States Not To Use Medicaid For Gender-Affirming Care
https://kffhealthnews.org/morning-breakout/oz-tells-states-not-to-use-medicaid-for-gender-affirming-care/
CMS Proposes Hospital Pay Hike For 2026
https://kffhealthnews.org/morning-breakout/cms-proposes-hospital-pay-hike-for-2026/
Drug Tariffs Will Affect Millions Of Americans And Could Complicate Care
https://kffhealthnews.org/morning-breakout/drug-tariffs-will-affect-millions-of-americans-and-could-complicate-care/
Idaho Judge Orders State To Expand Exemptions In Near-Total Abortion Ban
https://kffhealthnews.org/morning-breakout/idaho-judge-orders-state-to-expand-exemptions-in-near-total-abortion-ban/
domingo, 13 de abril de 2025
Registration for Measuring and Responding to Safety Culture across Healthcare (Session 3), April 15 12-1 PM ET
https://cma.ahrq.gov/cma/registration.jsp;jsessionid=T3tsuKOshrMuzBN-XId9W1nrDds48NrSNqW2ga9EahbRaXz70FNB!607974124?eventid=341
Register for April 15 Webinar on Safety Culture: Measuring and Responding
By assessing the experiences of our frontline teams, we can identify areas for improvement and implement effective strategies to foster a safer environment for both patients and staff. Join AHRQ’s National Action Alliance on April 15, 12:00–1:00 PM ET, for the last of a three-part series on Safety Culture in Healthcare.
The session will feature research and evidence-based strategies discussed by:
Bryan Sexton, PhD, Director of the Duke Center for the Advancement of Well-being Science;
Jonathan Bakdash, PhD, Social Science Analyst at the Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality (AHRQ); and
Joann Sorra, PhD, Industrial-Organizational Psychologist and Vice President for Behavioral Health and Health Policy at Westat.
These experts will explore key strategies for assessing and strengthening safety culture, providing an in-depth look at the AHRQ Surveys on Patient Safety Culture (SOPS) and sharing real-world examples of how organizations have used them to drive meaningful change. They will also highlight the latest pulse version of the Hospital Survey on Patient Safety Culture (HSOPS) and discuss how tracking data over time can inform quality improvement efforts. Don't miss this opportunity to gain valuable insights and enhance patient safety in your organization. Register today!
From nuclear energy to chemicals to vaccines to GMO crops and food, conspiracy theories and disinformation are as rampant on the political left as the far right William Reville | Irish Times | April 10, 2025From nuclear energy to chemicals to vaccines to GMO crops and food, conspiracy theories and disinformation are as rampant on the political left as the far right William Reville | Irish Times | April 10, 2025
sábado, 12 de abril de 2025
PEPFAR Reauthorization: Side-by-Side of Legislation Over Time Kellie Moss and Jennifer Kates Published: Apr 10, 2025 ++++
https://www.kff.org/global-health-policy/issue-brief/pepfar-reauthorization-side-by-side-of-legislation-over-time/
5 Key Facts About Medicaid Coverage for Adults with Chronic Conditions
Heather Saunders, Alice Burns, and Robin Rudowitz
Published: Apr 10, 2025
https://www.kff.org/medicaid/issue-brief/5-key-facts-about-medicaid-coverage-for-adults-with-chronic-conditions/
How Does Health Spending in the U.S. Compare to Other Countries?
https://www.kff.org/slideshow/health-spending-in-the-u-s-as-compared-to-other-countries-slideshow/
Published: Apr 10, 2025
Health Spending Issues to Watch This Year
Emma Wager, Lynne Cotter, Cynthia Cox, Sarah Berk, Mairin Mancino, and Julia Harris
Published: Apr 10, 2025
https://www.kff.org/health-costs/issue-brief/health-spending-issues-to-watch-this-year/
194 Rural Hospital Closures and Conversions since January 2005
https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-8uEhL1hRX7wYdRaCArfMG8MhWvwD3pfoMwykr-hDRrBv-8TOePQtIng_sQO3CotGOqdn0mq_dl3pRMLBuIZkrjPkSXzA&_hsmi=356324422&utm_content=356324422&utm_source=hs_email
Hello from the beautiful Black Hills of South Dakota. I’m Arielle Zionts, a rural health care correspondent based in Rapid City. Send me tips at azionts@kff.org.
By Arielle Zionts
Rural hospital leaders are questioning whether they can continue to afford to do business with Medicare Advantage companies, and some say the only way to maintain services and protect patients is to end their contracts with the private insurers.
Medicare is the main federal health insurance program for people 65 or older. Participants can enroll in traditional, government-run Medicare or in a Medicare Advantage plan run by a private insurance company.
The private plans offer lower premiums and out-of-pocket costs for some patients. Nearly all offer extra benefits, such as vision, hearing, and dental coverage. Many also offer perks, such as gym memberships, nutrition services, and allowances for over-the-counter health supplies.
But in recent years, average Medicare Advantage reimbursements to rural hospitals were about 90% of what traditional Medicare paid, according to a new report from the American Hospital Association. And traditional Medicare already pays hospitals much less than private plans, according to a recent study by Rand Corp., a research nonprofit.
“The vast majority of our rural hospitals are not in a position where they can take further cuts to payment,” said Carrie Cochran-McClain, chief policy officer at the National Rural Health Association. “There are so many that are just really in a precarious financial spot.”
Nearly 200 rural hospitals have ended inpatient services or shuttered since 2005.
Jason Merkley (pictured above), CEO of Brookings Health System in rural South Dakota, worried reimbursement losses would spark staff layoffs and cuts to patient services. So last year, the system dropped all four contracts it had with major Medicare Advantage companies.
Great Plains Health, which serves parts of rural Nebraska, Kansas, and Colorado, has dropped all contracts with the private insurers. So has Kimball Health Services, which is based in two small towns in Nebraska and Wyoming.
https://kimballhealth.org/patient-resources/medicare-advantage-changes-in-2025/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-9uR-bJ4z5okSG7ZWGjyQM_2vXvoslC_mRGq1kppXKGYsDbmIPKKoNCq_SKCwHow5CtW4d0WQA3L5RgENQWoNPa0aR8kQ&_hsmi=356324422&utm_content=356324422&utm_source=hs_email
Rural hospital leaders are also concerned about Medicare Advantage payment delays and a resistance to authorizing patient care.
Susan Reilly, a spokesperson for the Better Medicare Alliance, said a recent report published by her group, which promotes Medicare Advantage, found that private plans are more affordable than traditional Medicare for rural beneficiaries. That analysis was conducted by an outside firm and based on a government survey.
https://bettermedicarealliance.org/wp-content/uploads/2024/04/BMA-Rural-Health-Databook_2024.pdf?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-8-cW8-ydAiOWrlRm081wp0L8WqkOSWZrP5yxE3tWrHkR8CSAUNOnIbK7NdI1n_9erdReu2-SNSwwUo2xtT5a_p1HZV_g&_hsmi=356324422&utm_content=356324422&utm_source=hs_email
Living Systematic Review on Cannabis and Other Plant-Based Treatments for Chronic Pain: 2025 Update
https://effectivehealthcare.ahrq.gov/products/plant-based-chronic-pain-treatment/draft-report
Living Systematic Review on Cannabis and Other Plant-Based Treatments for Chronic Pain: 2025 Update
(Available for comment until May 5, 2025)
The purpose of the systematic review is to evaluate the evidence on benefits and harms of cannabinoids and similar plant-based substances (e.g., kratom) to treat chronic or subacute pain on an ongoing basis.
Pharmacologic and Nonpharmacologic Treatments for Posttraumatic Stress Disorder: 2025 Update of the Evidence Base for the PTSD Trials Standardized Data Repository
Pharmacologic and Nonpharmacologic Treatments for Posttraumatic Stress Disorder: 2025 Update of the Evidence Base for the PTSD Trials Standardized Data Repository: This work is designed to provide a broad range of stakeholders with up-to-date, comprehensive data on PTSD treatment research. The evidence tables created for this project form the basis of the PTSD Repository, a publicly accessible clinical trials database maintained by the NCPTSD.
Pharmacologic and Nonpharmacologic Treatments for Posttraumatic Stress Disorder: 2025 Update of the Evidence Base for the PTSD Trials Standardized Data Repository
(Available for comment until May 5, 2025)
The purpose of the review is to identify and abstract data from randomized controlled trials examining treatment for posttraumatic stress disorder (PTSD) and comorbid PTSD/substance use disorder to update the previous Agency for Healthcare Research and Quality report on this topic and the National Center for PTSD (NCPTSD) PTSD Trials Standardized Data Repository with newly included trials.
Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients During Clinical Care
https://effectivehealthcare.ahrq.gov/products/clinical-care/rapid-research
Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients During Clinical Care
(Rapid Review, released on April 2, 2025)
This rapid review synthesizes the current literature on the effectiveness of programs used by healthcare organizations to respond after patients experience harm during their care. We focused on communication and resolution programs that included communication with the patient and family, event review, quality improvement, and in a qualifying subset of events, an apology for causing harm and an offer of compensation.
Assisted Home Dialysis in the United States: New Interest in an Old Idea
Assisted Home Dialysis in the United States: New Interest in an Old Idea: The initial nomination included questions about the comparative effects of staff-assisted and in-center hemodialysis and about the cost-effectiveness of staff-assisted home dialysis. We conducted an initial review of the literature and found marked clinical heterogeneity across programs. We also recognized that confounding due to patient selection would be a pervasive issue (the reasons patients choose home dialysis may be closely related to sociodemographic, functional status, and other health factors that also influence their clinical outcomes).
Assisted Home Dialysis in the United States: New Interest in an Old Idea
(Rapid Review, released on April 8, 2025)
The objectives of this report are to: (a) provide historical context for U.S. policy regarding assisted home dialysis; (b) determine whether the provision of assistance increases home dialysis uptake and, if so, what barriers this intervention addresses in order to do so; (c) compare the effectiveness and safety of assisted and unassisted home dialysis; and (d) synthesize lessons learned about the feasibility, acceptability, patient selection, and duration of assisted home dialysis programs from a review of the international and U.S. literature and from interviews with U.S. leaders in the report.
Pediatric Quality Measures Program 3.0: An Evidence Map of Measures for Vision, Hearing, and Developmental Screening and Followup
https://effectivehealthcare.ahrq.gov/products/pqmp/tech-brief
Technical Brief Now Available
Pediatric Quality Measures Program 3.0: An Evidence Map of Measures for Vision, Hearing, and Developmental Screening and Followup
(Technical Brief, released on April 7, 2025)
Early detection of vision, hearing, and developmental concerns with appropriate followup can lead to timely diagnosis and treatment and improve child and adult health outcomes. To assess what quality measures have been developed for children, this technical brief provides an evidence map for existing pediatric measures for vision, hearing, and developmental screening and followup.
Breastfeeding and Health Outcomes for Infants and Children
Breastfeeding and Health Outcomes for Infants and Children: The purpose of this systematic review was to provide a synthesis of the current evidence on the association between breastfeeding and the consumption of human milk and a range of health outcomes in infants and children in developed countries.
Breastfeeding and Health Outcomes for Infants and Children
(Systematic Review, released on March 31, 2025)
The purpose of this report is to review the evidence on the association between breastfeeding and infant and child health outcomes, including the extent to which these associations vary by the intensity, duration, mode, and source of breastmilk consumption. In this review, breastfeeding refers to feeding breastmilk whether directly from the breast or other means and includes breastmilk from pasteurized donor milk.
Implementing Recommended Mental Health and Substance Use Screening and Counseling Interventions in Primary Care Settings for Children and Adolescents
https://effectivehealthcare.ahrq.gov/products/behavioral-health-screening/research
Implementing Recommended Mental Health and Substance Use Screening and Counseling Interventions in Primary Care Settings for Children and Adolescents
(Systematic Review, released on April 9, 2025)
The purpose of the review is to assess the impact of implementation strategies for mental health and substance use screening and counseling for children and adolescents in primary care as recommended by the United States Preventive Services Task Force and Bright Futures Periodicity Schedule.
Management of Suicidal Thoughts and Behaviors in Youth: A Systematic Review
Management of Suicidal Thoughts and Behaviors in Youth: A Systematic Review: This systematic review aims to assess the effectiveness and harms of treatments for suicidal thoughts and behaviors in children, adolescents, and young adults. This review also aims to evaluate the effectiveness and harms of treatments for suicidal thoughts and behaviors in specific populations of youths deemed at risk, including youths from specific racial and ethnic groups.
Management of Suicidal Thoughts and Behaviors in Youth: A Systematic Review
(Systematic Review, released on April 10, 2025)
This systematic review aims to assess the effectiveness and harms of treatments for suicidal thoughts and behaviors in children, adolescents, and young adults. This review also aims to evaluate the effectiveness and harms of treatments for suicidal thoughts and behaviors in specific populations of youths deemed at risk, including youths from specific racial and ethnic groups.
viernes, 11 de abril de 2025
Morning Briefing: Today's News Summaries Friday, Apr 11 2025 9:02 AM ++++++
With Budget Plan In Hand, Congress Looks To Pare Health Care Spending
https://kffhealthnews.org/morning-breakout/with-budget-plan-in-hand-congress-looks-to-pare-health-care-spending/
RFK Jr. Decries Single-Antigen Vaccines; Scientists Say He's Wrong
https://kffhealthnews.org/morning-breakout/rfk-jr-decries-single-antigen-vaccines-scientists-say-hes-wrong/
What Is Causing Rising Autism Rates? RFK Jr. Vows To Find Out By September
https://kffhealthnews.org/morning-breakout/what-is-causing-rising-autism-rates-rfk-jr-vows-to-find-out-by-september/
NIH Allegedly Tells Workers To Ignore DOGE Emails About Their Productivity
https://kffhealthnews.org/morning-breakout/nih-allegedly-tells-workers-to-ignore-doge-emails-about-their-productivity/
Immigrants Aren't Dead, But Social Security Adds Them To Death Database
https://kffhealthnews.org/morning-breakout/immigrants-arent-dead-but-social-security-adds-them-to-death-database/
FDA Leans Into AI Models As Replacement For Animal Testing
https://kffhealthnews.org/morning-breakout/fda-leans-into-ai-models-as-replacement-for-animal-testing/
jueves, 10 de abril de 2025
AHRQ in the Professional Literature ++++ ++++
AHRQ in the Professional Literature
Association between hospital efficiency and quality of care among fee-for-service Medicare beneficiaries with prostate cancer: a retrospective cohort study. Chhatre S, Malkowicz SB, Vapiwala N, et al. Cancers. 2024 Dec 13;16(24):4154. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39766054/
Potential implications of using locally validated risk factors for drug-resistant pathogens in patients with community-acquired pneumonia in US hospitals: a cross-sectional study. Gasoyan H, Deshpande A, Imrey PB, et al. Clin Infect Dis. 2024 Nov 22;79(5):1277-82. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39226148/
Oregon community benefit reform influenced not-for-profit hospitals’ charity care and medical debt write-off. Santos T, Lindrooth RC, Lee SD, et al. Health Aff. 2025 Feb;44(2):196-205. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39899777/
Barriers to perioperative palliative care across Veterans Health Administration hospitals: a qualitative evaluation. Evans EE, Bradley SE, Vitous CA, et al. Am J Surg. 2025 Mar;241:116063. Epub 2024 Nov 8. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39549475/
Incidence of and risk factors for subsequent lower respiratory tract infection following an infant RSV hospitalization. Lee R, Ding T, Riddell CA, et al. Children. 2025 Feb 2;12(2):183. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/40003285/
An electronic health record metadata-mining approach to identifying patient-level interprofessional clinician teams in the intensive care unit. Yakusheva O, Khadr L, Lee KA, et al. J Am Med Inform Assoc. 2025 Mar;32(3):426-34. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39688513/
Nurse practitioner care environments and provider shortages among patients with multiple chronic conditions. McMenamin A, Turi E, Liu J, et al. Res Nurs Health. 2025 Apr;48(2):271-80. Epub 2025 Jan 30. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39888032/
Co-created improvement goals and strategies for implementing SBIRT and MAUD in primary care settings in a facilitator-supported, tailored implementation study. Kenzie ES, Weekley T, Barnes C, et al. Transl Behav Med. 2025 Jan 16;15(1):ibae059. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39438254/
Using patient journey mapping and provider workflows to understand process barriers to pediatric mental and behavioral health care in emergency departments
https://pubmed.ncbi.nlm.nih.gov/40157127/
An AHRQ-funded research project at four southeastern U.S. emergency departments (EDs) has identified 394 unique barriers to pediatric mental and behavioral healthcare in those EDs. The study, which was published in Applied Ergonomics, analyzed more than 5,500 pediatric behavioral health visits using a novel approach of mapping patient journey and caregiver workflow by tracking structural elements of healthcare delivery over the ED’s workflow timeline, observing the processes and interviewing the staff. When researchers categorized the visits into three core segments of patient engagement—arrival, evaluation and treatment plan and disposition—they identified 237 barriers that occurred during patient evaluation, 148 during delivery of treatment plans and disposition and just nine during patient arrival at the EDs, suggesting potential points for intervention.
AHRQ Safety Program for HAI Prevention
https://safetyprogram4hai-prevention.ahrq.gov/page/home
Recruitment for Safety Program for HAI Prevention Is Open Through June
AHRQ is recruiting adult intensive care units (ICUs) and non-ICUs to participate in a free nine-month program to reduce central line-associated bloodstream infection (CLABSI) rates in acute care hospitals. Participants in the AHRQ Safety Program for HAI Prevention: CLABSI will receive free expert consultation to promote infection prevention procedures and patient safety culture, learn how to enhance teamwork and communication and receive regular benchmarking reports comparing their progress with similar units. Participants also will receive continuing education (CEU/CME) credits. Recruitment for the CLABSI cohort is open through June 11, 2025. An informational webinar is scheduled for April 21 from noon to 12:30 p.m. ET.
Measuring and Responding to Safety Culture across Healthcare (Session 3), April 15 12-1 PM ET April 15, 2025 12:00 PM - 1:00 PM EDT
https://cma.ahrq.gov/cma/welcome.jsp?code=naaapr2025
Join us on April 15, 12:00–1:00 PM ET, for the final webinar in the Safety Culture in Healthcare series, "Safety Culture: Measuring and Responding". Bryan Sexton, PhD, Director of the Duke Center for the Advancement of Well-being Science, Jonathan Bakdash, PhD, Social Science Analyst at the Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality (AHRQ), and Joann Sorra, PhD, Vice President for Behavioral Health and Health Policy at Westat, will discuss strategies for assessing and strengthening safety culture. The session will provide an in-depth overview of AHRQ’s Surveys on Patient Safety Culture (SOPS) and real-world applications for driving improvement. Speakers will also highlight the latest pulse version of the Hospital Survey on Patient Safety Culture (HSOPS) and the role of data tracking in quality enhancement.
miércoles, 9 de abril de 2025
Morning Briefing: Today's News Summaries Wednesday, Apr 9 2025 8:52 AM ++++++
Morning Briefing: Today's News Summaries
Wednesday, Apr 9 2025 8:52 AM
'Major' Tariffs On Pharmaceutical Products Are Coming, Trump Vows
https://kffhealthnews.org/morning-breakout/major-tariffs-on-pharmaceutical-products-are-coming-trump-vows/
Trump Freezes Nearly $2B In Funding For 2 More Research Universities
https://kffhealthnews.org/morning-breakout/trump-freezes-nearly-2b-in-funding-for-2-more-research-universities/
As RFK Jr. Touts Flattening Of Measles Curve, Texas Reports Uptick In Cases
https://kffhealthnews.org/morning-breakout/as-rfk-jr-touts-flattening-of-measles-curve-texas-reports-uptick-in-cases/
Pennsylvania's Crozer Health Will Close Unless It Receives $9M By Today
https://kffhealthnews.org/morning-breakout/pennsylvanias-crozer-health-will-close-unless-it-receives-9m-by-today/
Alabama Lawmakers Pass PBM Rules To Help Curb Small Pharmacy Closures
https://kffhealthnews.org/morning-breakout/alabama-lawmakers-pass-pbm-rules-to-help-curb-small-pharmacy-closures/
Scientists ID Mixture Of Food Additives That May Increase Diabetes Risk
https://kffhealthnews.org/morning-breakout/scientists-id-mixture-of-food-additives-that-may-increase-diabetes-risk/
martes, 8 de abril de 2025
Public Health Risks of Urban Wildfire Smoke Prompt Push for More Monitoring By Katharine Gammon April 8, 2025 ++
https://kffhealthnews.org/news/article/fires-los-angeles-toxic-chemicals-air-quality-monitors/
Rural Hospitals Question Whether They Can Afford Medicare Advantage Contracts
By Arielle Zionts
April 8, 2025
https://kffhealthnews.org/news/article/rural-hospitals-private-medicare-advantage-contracts-reimbursements/
Morning Briefing: Today's News Summaries ++++++
Morning Briefing: Today's News Summaries
Tuesday, Apr 8 2025 8:45 AM
HHS Chief RFK Jr. Urges More States To Outlaw Fluoride In Drinking Water
https://kffhealthnews.org/morning-breakout/hhs-chief-rfk-jr-urges-more-states-to-outlaw-fluoride-in-drinking-water/
Trump Administration Bumps Payment Rates For Medicare Insurers By 5%
https://kffhealthnews.org/morning-breakout/trump-administration-bumps-payment-rates-for-medicare-insurers-by-5/
Federal Judge Blocks Nursing Home Staffing Mandate
https://kffhealthnews.org/morning-breakout/federal-judge-blocks-nursing-home-staffing-mandate/
CDC Again Sends Team To Texas To Assess Growing Measles Outbreak
https://kffhealthnews.org/morning-breakout/cdc-again-sends-team-to-texas-to-assess-growing-measles-outbreak/
Strict Abortion Laws In Louisiana, North Carolina Could Get More Severe
https://kffhealthnews.org/morning-breakout/strict-abortion-laws-in-louisiana-north-carolina-could-get-more-severe/
Invasive Group A Strep Infections Are Rising In US, CDC Study Shows
https://kffhealthnews.org/morning-breakout/invasive-group-a-strep-infections-are-rising-in-us-cdc-study-shows/
Clinical Trials in Global Health 2025
https://www.thelancet.com/series/clinical-trials?dgcid=hubspot_update_feature_langloclinicaltrials25&utm_campaign=update-langlo&utm_medium=email&_hsenc=p2ANqtz-8YT6LMnrCdzuUVcYYfqkFEuNqvoF4hi9DQ5PQSQwJ7W9YMeJOnfqJNYzfgz_-wZ52iZtJVcexgBS6zMBEKCfjxD1UCvA&_hsmi=355542770&utm_content=355488121&utm_source=hs_email
The landscape of clinical trials has undergone significant changes, as highlighted in the current Series of six papers published in The Lancet Global Health. The WHO guidance provides a comprehensive framework to enhance clinical trial infrastructure, focusing on patient and community engagement, especially for under-represented populations. Key barriers identified include poor trial design, lack of inclusivity, inadequate infrastructure in low and middle-income countries, and inefficient approval processes. The guidance advocates for risk-proportionate approaches and aims to support local policymakers. The Series aims to strengthen the clinical trial ecosystem, emphasizing ethical research, stakeholder collaboration, and quality improvement through strategic investments. This initiative seeks to promote equity, efficiency, inclusion, and engagement in clinical trials, ultimately improving global health outcomes.
Working Group Talk "Tackling Inequalities and Disparities in Cardiovascular Health: The Lancet Regional Health-Europe commission on inequalities and disparities in cardiovascular health" Live Online Event of the ESC Working Group on Coronary Pathophysiology & Microcirculation Tuesday, 15 April 2025 from 17:00 to 18:00 CEST
https://www.escardio.org/Working-groups/ESC-Working-Groups-Online-Events/working-group-talk-tackling-inequalities-and-disparities-in-cardiovascular-health-the-lancet-regional-health-europe-commission-on-inequalities-and-disparities-in-cardiovascular-health?utm_campaign=conferencealerts&utm_medium=email&_hsenc=p2ANqtz-9cwz_dhLQIIANLHg_0aCQIHwHXE4s3z_psAF5YdzcEQ2QqLzliiJ0rJDI3pH6VVKpCuPM5iBF4PXcmhoII4yf4XNhZoQ&_hsmi=355015960&utm_content=355015960&utm_source=hs_email
We are pleased to invite you to our virtual event for the Lancet Regional Health – Europe Commission on inequalities and disparities in cardiovascular health, hosted by the ESC Working Group on Coronary Pathophysiology & Microcirculation. Hear from our Commission authors as they discuss persistent disparities in cardiovascular health among disadvantaged populations and explore solutions for achieving equity in cardiovascular care.
lunes, 7 de abril de 2025
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