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RWJF Poll Gauges Awareness of Disparities in
Care
AHRQ to Develop Guide for Patient Registries
Hospital Compare Updated
AHRQ Video Gives Consumers Safe Medication
Tips
AHQA
Hosts Webcast to Discuss Early Issues with Part D
CMS Redesigns Website
AAFP to Fund Demonstration for Implementation
of EHRs
VNAA Adds Homecare Agencies in IA, MN, and
WI to CHAMP Program
CMS Adds Fifth State to ESRD Demo
HHS Secretary
Appoints QIO Leader to AHRQ National Advisory Council
RWJF Poll Gauges Awareness of Disparities in
Care
In a joint
briefing with the Alliance for Health Reform, the Robert Wood Johnson
Foundation (RWJF) released a new report that gauges American views
of health care disparities. The report found that although most Americans
are unaware of the gross disparities in the country’s
health care system, they do believe all Americans deserve equal care.
The poll, “Americans’ Views of Disparities in Health Care,” involved
interviews with more than 1,000 adults, including 107 African Americans
and 130 Hispanic Americans, in line with current Census demographics.
Findings include:
- The majority of Americans (68%) are unaware of the disparities in
health care.
- Only 25% of whites believe that racial and ethnic minorities received
inferior care.
- Almost half (44%) of African Americans and more than half of Hispanic
Americans (56%) thought racial and ethnic minorities received worse
care than whites.
“It will take everyone—from the federal government, health
care insurance providers, doctors and nurses, and even consumers themselves—to
improve the quality of health care all Americans receive,” said
Risa-Lavizzo-Mourey, MD, MBA, president and CEO of the RWJF.
For more
information: www.rwjf.org
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Organizations Launch Disparity Resources for Physicians
In November,
the American Medical Association (AMA) began offering a new resource
to help physicians address health care disparities. The resource, “Working Together to End Racial and Ethnic Disparities:
One Physician at a Time,” contains a DVD with peer interviews,
a CD-ROM with information on cultural competency and health literacy,
and a facilitation guide. For more information, www.ama-assn.org/ama/pub/category/7639.html
The AMA
action follows a Robert Wood Johnson Foundation announcement in October
of three new initiatives to address disparities: Expecting Success:
Excellence in Cardiac Care, Finding Answers: Disparities Research for
Change, and Leading Change: Disparities Solutions Initiative. For more
information: http://www.rwjf.org/newsroom/newsreleasesdetail.jsp?id=10368
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AHRQ to Develop Guide for Patient Registries
The Agency
for Healthcare Research and Quality (AHRQ) is developing a “how-to” reference
guide to help health care organizations create patient registries to
track the outcomes of medical treatments, including drugs. The guide
will be completed by the end of 2006 and will be available on both
the AHRQ and CMS Web sites.
As part
of AHRQ’s
new Effective Health Care program, the guide will help both government
and private-sector entities design and operate successful registries.
It will also provide criteria for evaluating registries and the quality
of their data as well as guidance on how registry data can be used
to conduct valid scientific research.
Outcome Science, Inc. of Cambridge, MA is managing the project under
contract to AHRQ. The company will use an inclusive process obtaining
the expertise of researchers and others who have successfully developed
and used patient registries. Experts will submit a series of papers to
inform the project and a national workshop will be conducted next spring.
Additional scientific advice will be provided by Duke University.
“A reference guide will help ensure high-quality results from
patient registries,” says Mark B. McClellan, MD, PhD, administrator
of the Centers for Medicare & Medicaid Services. The Medicare program
will use data from registries to help “rapidly extend coverage
for new treatments and assure that treatment is reasonable and necessary
while also helping health professionals obtain better evidence for patient
care,” he says.
Information about the Effective Health Care program is available at http://www.effectivehealthcare.ahrq.gov.
For more information, contact AHRQ Public Affairs: (301) 427-1922 or
(301) 427-1855.
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Hospital Compare Updated
The Hospital Quality Alliance has updated Hospital Compare, www.HospitalCompare.hhs.gov,
with the latest data from participating hospitals. Hospital Compare,
launched April 1, 2005, enables patients and families to compare the
performance of more than 4000 US hospitals that voluntarily report on
20 quality measures for heart attack, heart failure, pneumonia, and surgical
infections.
Results
of the HCAHPS survey also will be made available on Hospital Compare
next year pending final approval by the Office of Management and Budget.
HCAHPS is a national survey that collects patients’ perceptions
of hospital care.
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AHRQ Video Gives Consumers Safe Medication
Tips
The Agency
for Healthcare Research and Quality (AHRQ) has released a five minute
video available for download or viewing online called “Tips
for Taking Medicines Safely” to help educate consumers on safe
medication administration. The video augments existing AHRQ publications
on how to safely take medications available online.
The tips include asking questions if you have doubts or concerns about
your medicine, bringing a bag with all the medicines you take to your
medical appointments, and asking about side effects and what to avoid
while taking the medicine.
The video is being distributed to more than 4,500 Web sites in the Healthology
network, including those for ABC News, Chicago Sun-Times, iVillage, the
American Diabetes Association, and many others.
Experts
featured on the video include AHRQ Director, Carolyn M. Clancy, MD;
Gregg S. Meyer, MD, Medical Director, Massachusetts General Physicians'
Organization; David Bates, MD, Chief, Division of General Internal
Medicine, Brigham and Women’s Hospital; and Christine Kovner,
RN, PhD, Professor at the College of Nursing, New York University.
View the video at: http://www.ahrq.gov/consumer/chkmedvid.htm
AHQA Hosts Webcast to Discuss Early Issues
with Part D
AHQA joins the American Association of Colleges of Pharmacy (AACP),
the American Pharmacists Association (APhA), and the National Council
of State Pharmacy Association Executives (NCSPAE) in hosting a live,
interactive webcast examining early issues and critical questions about
the new Medicare prescription drug benefit, which took effect January
1.
“Medicare Prescription Drug Benefit – Early Lessons
and Next Steps in Implementation and Evaluation,” will be held
Monday, January 23, 2006 at 1-3 pm ET, 12-2 pm CT, 11am -1 pm MT, 10
am -12 noon PT.
Speakers include:
- Larry
Kocot, Senior Advisor to the Administrator, Centers for Medicare & Medicaid
Services (CMS)
- Anne Burns, Director of Practice Affairs, American Pharmacists Association
- Stephen Kogut, Assistant Professor, University of Rhode Island and
Consultant, Quality Partners of Rhode Island
Who should attend?
- Quality Improvement Organization staff and researchers interested
in quality measurement.
- Pharmacy and other health professions faculty and students. Whole
classes can watch and interact with the program from an Internet enabled
classroom.
- Pharmacists and other health care providers who prescribe, monitor,
and dispense medications to the Medicare population.
- State and national pharmacy and other health professions associations.
Registration is $100 per site. To register online go to: http://gateway.ilearning.com/aacp/ and
follow these directions:
- Select “New User” and
create a new login account
- Select
the “Catalogs” tab
- Select “Video
webcast”
- Select “Medicare Prescription Drug Benefit – Early
Lessons and Next Steps in Implementation and Evaluation”
- Select “Enroll” button
and complete registration and payment form
For more information, contact Lisa Croce at lcroce@ahqa.org.
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CMS Redesigns Website
The Centers
for Medicare & Medicaid Services (CMS) has launched
a redesigned website that promises to be more user-friendly and offers
one-stop shopping “centers” targeted to specific professionals
such as providers and partners.
Use of the CMS website increased from 125.9 million page views in 2003
to 325.7 million page views through November 2005. CMS worked with consumers,
providers, and other users on upgrading the original site, which now
contains many new features including consistent organization and navigation;
timely, relevant and accurate content; and an improved Google search
feature.
The site is organized on four levels, all navigable back to the first
level:
- Subject area (Medicare)
- Category (Health Plans)
- Section (Service Area)
- Page
To view an online demonstration, visit: http://www.cms.hhs.gov/AboutWebsite/12_Aboutthiswebsite.asp
To view a Macromedia Flash demonstration of the cms.hhs.gov website
redesign, visit: http://www.cms.hhs.gov/includes/cms_redesign_demo.asp
Note: No changes have been made to www.medicare.gov
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AAFP to Fund Demonstration for Implementation
of EHRs
TransforMED, a subsidiary of the American Academy of Family Physicians
(AAFP), will begin a process to select 20 family practices to participate
in a national demonstration program to test a patient-centered, evidence
based model of family practice that is based on electronic health records
(EHR). The demonstration program is expected to be active by June or
July of 2006. No fee will be charged to the pilot practices.
In 2004,
the report “Future of Family Medicine: A Collaboration
of the Family Medicine Community,” called for drastic changes in
family medicine to ensure its survival. “A standardized electronic
health record, adapted to the specific needs of family physicians and
the patients they serve, will constitute the central nervous system of
the New Model practice,” the report notes. The New Model of family
care also includes:
- A medical “home” for
patients that is patient-centered and evidence-based.
- Redesigned care practices to incorporate care provided by a multidisciplinary
team such as nurse practitioners, nutritionists, and behavioral scientists.
- Enhanced education of practitioners on evidence-based medicine and
practice management.
- Continuous quality improvement of patient care.
- Elimination of barriers to patient access.
TransforMED is a resource center established by AAFP to help family
practitioners adopt this new model of family medicine in their practices.
AAFP is investing $8 million in the effort. According American Medical
News, a financial analysis undertaken as part of the Future of Family
Medicine project indicated that a practitioner who adopts the new model
could increase income by 26%. The report also estimated transition costs
will range from $23,442 to $90,650 per physician depending on productivity
loss associated with EHR implementation.
For more information, contact ndp@transformedinc.com
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VNAA Adds Homecare Agencies in IA, MN, and
WI to CHAMP Program
The Visiting Nurse Associations of America (VNAA) has announced the
acceptance of 11 homecare agencies from Iowa, Minnesota, and Wisconsin
into the VNAA Curricula for Homecare Advances in Management and Practice
(CHAMP) program. CHAMP, funded by The Atlantic Philanthropies, is a ground-breaking
national practice improvement program designed by renowned homecare,
nursing and geriatric health experts.
These agencies,
from Iowa , Minnesota and Wisconsin , are the third of three teams
that will be trained in 2006. The two other teams
comprise fifteen homecare providers from New England and ten homecare
providers from California .
The VNAA CHAMP program will use a train-the-trainer model to embed in
homecare agencies the capacity for continuous practice improvement. This
10-month multimode training program includes an E-Learning program, a
web-based E-measurement system, face-to-face workshops, and group coaching
calls. The first program topic is Medication Management.
For more information on CHAMP and a list of homecare agencies involved,
visit: www.vnaa.org/champ
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CMS Adds Fifth State to ESRD Demo
The Centers
for Medicare and Medicaid Services (CMS) announced the addition of
Evercare of Georgia as a third participant in a new demonstration project
that will increase the opportunity for Medicare beneficiaries with
end stage renal disease (ESRD) to join managed care plans. The
project, which began on October 31, 2005, partners Medicare Advantage
organizations and dialysis providers to test the effectiveness of disease
management models and to increase quality of care for ESRD patients while
ensuring that care is provided more effectively and efficiently. The
health plans will provide all Medicare covered benefits with an emphasis
on disease management and care coordination.
Evercare
of Georgia will partner with DaVita, a dialysis provider, to offer
a Medicare Advantage Special Needs plan in DeKalb and Fulton counties
in Georgia. Evercare
of Georgia joins CMS demonstration sites in four other states: California,
Massachusetts, Pennsylvania, and Texas. For more information on those
sites, see the CMS website: http://www.cms.hhs.gov/media/press/release.asp?Counter=1703
QI and P4P
Quality
improvement and pay-for-performance are emphasized in the demonstration.
CMS will reserve 5% of the capitation payment rates for incentive payments
related to quality improvement. In addition, participating organizations
will receive payment for improvement on past performance and performing
above the national averages for quality measures related to dialysis.
Enrollment began on November 15, with coverage beginning January 1,
2006. Additional information on other Medicare demonstrations is available
at http://www.cms.hhs.gov/researchers/demos/.
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HHS Secretary Appoints QIO Leader to AHRQ National
Advisory Council
Former AHQA president, Dale W. Bratzler, DO, MPH, Principal Clinical
Coordinator at the Oklahoma Foundation for Medical Quality, Inc, the
Oklahoma QIO, is one of five new members appointed by Department of Health
and Human Services Secretary Mike Leavitt to serve on the National Advisory
Council for the Agency for Healthcare Research and Quality (AHRQ). The
Council, which consists of 21 members from the private sector and seven
ex-officio members from other federal health agencies, provides advice
to the Secretary and to the Director of the AHRQ.
The four additional new Council members are:
- Patricia Flatley Brennan, RN, PhD, Moehlman Professor of Nursing
and Industrial Engineering, University Wisconsin-Madison, WI
- Ada Sue Hinshaw, PhD, RN, Dean and Professor of Nursing, University
of Michigan, Ann Arbor, MI
- Carlos Roberto Jaen, MD, PhD, Professor and Chairman, Department
of Family and Community Medicine, University of Texas Health Science
Center, San Antonio, TX
- Munr Kazmir, MD, Founder and CEO of Direct Meds, Inc., Leonia, NJ
Appointments were extended for two current Council members:
- Brent C. James, MD, Vice President of Medical Research and Executive
Director, Institute for Health Care Delivery Research, Intermountain
Health Care, Salt Lake City, UT.
- The Honorable Newt Gingrich, PhD, Senior Fellow, American Enterprise
Institute, Washington, DC.
For more information, contact AHRQ Public Affairs: (301) 427-1866 or
(301) 427-1855.
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