Lance's Corner

AHRQ Issues Regulatory Update

Jun 18, 2024

The Agency for Healthcare Research and Quality has issued its weekly regulatory update, which can be read below.

June 18, 2024, Issue #917

 

AHRQ Stats: Adverse Drug Events Involving Hypoglycemic Agents

chartbookIn 2021, 7.5 percent of Hispanic patients, 6.6 percent of Black patients, 6.2 percent of patients with an “other” or unknown race, and 4.0 percent of White patients experienced adverse inpatient events involving hypoglycemic agents, which are used to control blood sugar levels in diabetic patients. (Source: AHRQ 2024 Chartbook on Patient Safety.)

 

Today's Headlines:

 

AHRQ Study Highlights Caregiver Needs in Mobile Health App Adoption

appFamily caregivers who assist people living with multiple chronic conditions often lack sufficient support, but caregiver apps can help by enhancing care coordination and planning among patients, caregivers and clinicians, according to a scoping review in the Journal of Medical Internet Research. The research, authored by AHRQ researchers and other experts, identified important caregiver needs for information, support and care coordination for caregiving and self-care as well as desired app functionalities and features. Findings can inform developers and researchers in the design and implementation of mHealth apps to improve communication and outcomes of care. More research is needed to address the lack of studies about the specific needs of caregivers of people living with multiple chronic conditions, researchers asserted.

 

Register Now for July 25 Webinar on Using AHRQ Resources To Enhance Surgical Team Communication

surgeryRegistration is open for a webinar on July 25 at 1 p.m. ET on using the AHRQ Surveys on Patient Safety Culture® (SOPS®) Hospital Survey and TeamSTEPPS® resources to improve patient safety culture and surgical team communication. The SOPS Program helps healthcare organizations understand, measure and improve patient safety culture in healthcare settings. TeamSTEPPS provides evidence-based tools to optimize patient outcomes by improving communication and teamwork skills among healthcare teams, patients and family caregivers. The webinar will highlight how the University of North Carolina Department of Surgery used the AHRQ resources to improve patient safety culture and team communication.

 

Highlights From AHRQ’s Patient Safety Network

AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:

Review additional new publications in PSNet’s current issue, including recent cases and commentaries and AHRQ’s WebM&M (Morbidity and Mortality Rounds on the Web).

 

Registration Open for June 27 Webinar Focused on Research on Person-Centered Care

Register now for an AHRQ webinar on June 27 from 2 to 3:15 p.m. ET on Research on Person-Centered Care. The webinar will highlight person-centered research techniques, models, tools and programs and their impact on patient health outcomes. Three presenters will discuss their research on the associations between shared decision-making and chronic care; ways primary care clinicians participate in models for connecting patients to community services; and implementation of a scalable, person-centered chronic pain management program. A Q&A session will follow the presentations. Advance registration is required.

 

New Coalition To Promote Greater Use of Preventive Services

preventionA new coalition of public and private health organizations, including AHRQ, has launched a campaign to promote the availability of no-cost preventive services under the Affordable Care Act. The Promoting Health Through Prevention campaign will use HHS’ Office of Disease Prevention and Health Promotion’s MyHealthfinder and other communications channels to highlight the importance of screenings for cancer, behavioral health conditions, heart disease and other preventive services. Additional participating organizations include AHIP, the American Academy of Family Physicians, the Blue Cross Blue Shield Association, the Centers for Disease Control and Prevention, Cigna Healthcare, Elevance Health, Florida Blue, Highmark Health, Humana, Kaiser Permanente, Mental Health America, the National Alliance of Healthcare Purchaser Coalitions, National Association of Community Health Centers, NCQA, Quartz Health Solutions and the VBID Center at the University of Michigan.

 

AHRQ Seeks Ideas on Sustaining the Agency’s CDS Connect Initiative

A Request for Information (RFI) from AHRQ solicits potential collaborators to develop a new model for enhancing CDS Connect, the agency’s web-based platform that allows for authoring, sharing and reusing clinical decision support (CDS) so healthcare systems and developers can build upon what has already been developed. A recent AHRQ challenge competition invited proposals on enhancing business models and platform enhancements for CDS Connect to evolve as a national CDS hub. Based on competition results, AHRQ has issued the RFI to identify possible collaborators to ensure CDS Connect's future operations.

AHRQ in the Professional Literature

 

Implementing nasal povidone-iodine decolonization to reduce infections in hemodialysis units: a qualitative assessment. Dukes KC, Hockett Sherlock S, Racila AM, et al. Infect Control Hosp Epidemiol. 2024 May 23:1-6. [Epub ahead of print.] Access the abstract on PubMed®.

Pediatric sepsis in general emergency departments: association between pediatric sepsis case volume, care quality, and outcome. Scott HF, Lindberg DM, Brackman S, et al. Ann Emerg Med. 2024 Apr;83(4):318-26. Epub 2023 Dec 7. Access the abstract on PubMed®.

Differences in provider approach to initiating and titrating guideline directed medical therapy in heart failure with reduced ejection fraction. Cordwin DJ, Guidi J, Alhashimi L, et al. BMC Cardiovasc Disord. 2024 May 11;24(1):247. Access the abstract on PubMed®.

Interdisciplinary videoconference model for identifying potential adverse transition of care events following hospital discharge to postacute care. Beiter ER, Shanbhag A, Junge-Maughan L, et al. BMJ Open Qual. 2024 May 24;13(2). Access the abstract on PubMed®.

Barriers and facilitators to end-of-life care delivery in ICUs: a qualitative study. Janczewski LM, Chandrasekaran A, Abahuje E, et al. Crit Care Med. 2024 Jun;52(6):e289-e98. Epub 2024 Feb 19. Access the abstract on PubMed®.

Improving methods of clinical practice guidelines: from guidelines to pathways to fast-and-frugal trees and decision analysis to develop individualised patient care. Djulbegovic B, Hozo I, Cuker A, et al. J Eval Clin Pract. 2024 Apr;30(3):393-402. Epub 2023 Dec 10. Access the abstract on PubMed®.

Identifying sources of inter-hospital variation in episode spending for sepsis care. Sankaran R, Gulseren B, Prescott HC, et al. Med Care. 2024 Jul;62(7):441-8. Epub 2024 Apr 16. Access the abstract on PubMed®.

Contact Information
For comments or questions about AHRQ News Now, contact Bruce Seeman, (301) 427-1998 or Bruce.Seeman@ahrq.hhs.gov.

 

USDOL Issues Comprehensive Employer Guidance on Long COVID

The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

Supporting Employees with Long COVID: A Guide for Employers

The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

Download the guide

Accommodation and Compliance: Long COVID

The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

Long COVID, Disability and Underserved Communities: Recommendations for Employers

The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

Read the brief

Long COVID and Disability Accommodations in the Workplace

The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

Download the report

Working with Long COVID

The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

Download the fact sheet

COVID-19: Long-Term Symptoms

This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

Outcomes

  • Investigations1 - 556
  • Indicted/Charged - 9
  • Convictions - 8
  • Civil Settlements/Judgments - 28
  • Recoveries2 - $73,204,518

Resources

  • MFCU Expenditures3 - $55,964,293
  • Staff on Board4 - 257

1Investigations are defined as the total number of open investigations at the end of the fiscal year.

2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

3MFCU and Medicaid Expenditures include both State and Federal expenditures.

4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

CMS Issues Latest Medicare Regulatory Activities Update

The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc