Lance's Corner

AHRQ Updates Health Services Research Initiatives

Jun 27, 2024

Per the notice below, the Agency for Healthcare Research and Quality (AHRQ) has issued an update on its health services research initiatives.

Arm in Arm with AcademyHealth, AHRQ is Poised to Build on Successes in Health Services Research

We are halfway through AHRQ’s 35th anniversary year, and in this third and final blog post about our commemoration, I would like to reflect on the role of AHRQ and our research investments, which have catalyzed major innovations in clinical care and healthcare delivery.

In my most recent blog post, I described the agency’s role among the three intertwining pathways—biomedical research, technology assessment, and health services research—essential to medical progress and delivering high-quality healthcare.  As an independent science agency, AHRQ has served as the federal home for the two latter pathways to achieve its singular mission to improve healthcare in our nation.  It has created a lasting body of work.  This blog is auspicious, because the 2024 AcademyHealth Annual Research Meeting officially begins on Saturday.  The conference theme, “Today’s research driving tomorrow’s outcomes,” is very similar to AHRQ’s 35th celebration theme: "Today's Research, Tomorrow's Healthcare."  For more than 35 years, AcademyHealth and AHRQ—and their predecessor organizations—have worked together to support the best and brightest in health services research to achieve future improvements in healthcare and patient outcomes.  AHRQ and AcademyHealth also share a leadership connection.  Dr. Lisa Simpson retired in March after 13 years as president and CEO of AcademyHealth, served as deputy director of AHRQ from 1996 to 2002, and helped oversee AHRQ’s transition from the Agency for Health Care Research and Policy.  Today, I welcome Dr. Aaron Carroll, the new president and CEO of AcademyHealth, who has been an AHRQ grantee.  Stay tuned for a joint blog post from Dr. Carroll and me in the next few weeks, when we’ll discuss our organizations’ relationship and how we’ll work together.  AHRQ’s efforts over the last 35 years have changed healthcare in many ways and in many areas.  Our work in data and analytics, health systems research, and practice improvement continues to resonate with patients, health system leaders, clinicians, researchers, caregivers, and others.  For example:

  • AHRQ’s research supported efforts to significantly reduce in-hospital adverse events in the decade before the onset of the COVID-19 pandemic.  In a JAMA article, researchers found that the relative risk of experiencing an adverse event diminished for five patient groups: 41 percent for heart attack patients, 27 percent for heart failure patients, 36 percent for pneumonia patients, 41 percent for major surgery patients, and 18 percent for patients with all other conditions.
  • AHRQ continues to help healthcare systems make great strides in improving patient safety.  Post-pandemic trends in patient safety improvement reversed course between 2020 and 2021.  To regain momentum, AHRQ, at the behest of Department of Health and Human Services (HHS) Secretary Xavier Becerra, launched the National Action Alliance for Patient and Workforce Safety as a public-private partnership effort to regain lost ground.  The good news is that 85 percent of hospitals have made progress on at least one healthcare-associated infection among the three tracked by our Alliance partners, LeapFrog, since November 2022.
  • At the height of the COVID-19 pandemic, AHRQ partnered with the University of New Mexico’s ECHO Institute in Albuquerque and the Institute for Healthcare Improvement in Boston to establish a National Nursing Home COVID Action Network.  The network provided free training and mentorship to nursing homes nationwide to increase the implementation of evidence-based infection prevention and safety practices to protect residents and staff.
  • In 2022, AHRQ released a primer to help healthcare organizations reduce their carbon footprint and protect communities from climate threats.  In alignment with HHS goals, Reducing Healthcare Carbon Emissions: A Primer on Measures and Actions to Mitigate Climate Change features a prioritized set of measures and potential interventions to reduce healthcare’s greenhouse gas emissions.
  • AHRQ created EvidenceNOW: Advancing Heart Health in Primary Care to help more than 5,000 primary care practices in urban and rural communities use the latest evidence to improve the heart health of nearly 8 million patients.  Launched in 2015, EvidenceNOW has expanded and now includes strategies to manage unhealthy alcohol use and urinary incontinence and build state capacity for additional advances in primary care.

I am eager to attend the AcademyHealth meeting to hear from our talented colleagues about their ongoing work and the future possibilities of health services research and technology assessment to make healthcare high-quality, no matter the setting.  In our 35th year, AHRQ continues to work with the best and brightest in health services research and policy to improve healthcare for all in our nation.  If you are attending the annual research meeting, drop by the AHRQ booth.  I look forward to seeing you there.

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