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��ƵResearch Studies

Research Studies is a compilation of published research articles funded by ��Ƶor authored by ��Ƶresearchers.

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1 to 25 of 96 Research Studies Displayed

O'Connor EA, Webber EM, Martin AM

Preventive services for food insecurity: evidence report and systematic review for the US Preventive Services Task Force.

This systematic review examined the benefits and harms of screening and interventions for food insecurity in health care settings as part of a final recommendation of the U.S. Preventive Services Task Force. The results indicated that brief screening tools have sufficient sensitivity to identify people with food insecurity, but most studies of interventions had high risk of bias, limiting the ability to draw firm conclusions.

AHRQ-funded; 75Q80120D00004.

Citation: O'Connor EA, Webber EM, Martin AM . Preventive services for food insecurity: evidence report and systematic review for the US Preventive Services Task Force. JAMA 2025 Apr 15; 333(15):1340-51. doi: 10.1001/jama.2024.22805.

Keywords: U.S. Preventive Services Task Force (USPSTF), Screening, Nutrition, Evidence-Based Practice, Guidelines, Primary Care

Kenzie ES, Weekley T, Barnes C

Co-created improvement goals and strategies for implementing SBIRT and MAUD in primary care settings in a facilitator-supported, tailored implementation study.

This study’s goal was to create improvement goals and and strategies for implementing screening, brief intervention, and referral to treatment (SBIRT) and medication-assisted treatment for alcohol use disorder (MAUD) in primary care settings in a facilitator-supported, tailored implementation study. The authors used practice facilitation to support the implementation of SBIRT and MAUD in 48 clinical practices across Oregon, Washington, and Idaho. They used clinic contact logs, individual interviews, group periodic reflections with practice facilitators, and exit interviews with clinic staff to inform qualitative analysis. Clinics identified goals spanning SBIRT, MAUD, reporting, targeted patient outreach, and quality improvement capacity. Goals addressed both the technical (e.g., data tracking) and social (e.g. staff training) aspects of SBIRT and MAUD. A decision tree was also created that summarized emergent findings into a tool to support future implementation of SBIRT in primary care settings.

AHRQ-funded; HS027080.

Citation: Kenzie ES, Weekley T, Barnes C . Co-created improvement goals and strategies for implementing SBIRT and MAUD in primary care settings in a facilitator-supported, tailored implementation study. Transl Behav Med 2025 Jan 16; 15(1). doi: 10.1093/tbm/ibae059..

Keywords: Primary Care, Implementation, Evidence-Based Practice, Alcohol Use, Substance Abuse, Behavioral Health, Screening

Geynisman-Tan J, Cherupally M, Alexandria SJ

Urinary incontinence in primary care-the gap between recommendations and real world.

This study aimed to describe the rate of incident urinary incontinence (UI) diagnosed at annual primary care provider (PCP) visits, the prevalence of UI in a large primary care population, and to estimate the rate of screening for UI during primary care preventive and annual wellness visits. Electronic health records were abstracted from adult female patients seen by PCPs within a regional health system with a diagnosis of UI before the study period and with a new diagnosis over a 2-year period. A chart review of an additional 824 representative charts added new diagnosis and screening practices. A total of 192,053 women primary care patients were seen over the 2-year study period. The diagnosis of UI was found in 5.7% of patients preceding the study period, and 3.4% had a UI diagnosis during the study period. Less then half (42%) of PCPs reported that they screen for UI at least half the time and none were completely satisfied with their ability to screen for UI. There was screening documentation for UI in 16% of annual wellness visits.

AHRQ-funded; HS028744.

Citation: Geynisman-Tan J, Cherupally M, Alexandria SJ . Urinary incontinence in primary care-the gap between recommendations and real world. Urogynecology 2024 Sep; 30(9):765-73. doi: 10.1097/spv.0000000000001471..

Keywords: Primary Care, Evidence-Based Practice, Guidelines

Dorr DA, Montgomery E, Ghumman AJ

Study protocol: Collaboration Oriented Approach to Controlling High blood pressure (COACH) in adults - a randomised controlled trial.

The authors created a patient-facing and provider-facing clinical decision support (CDS) application called the Collaboration Oriented Approach to Controlling High BP (COACH) to integrate home blood pressure (BP) data, guideline recommendations and patient-centered goals with primary care workflows. This article describes a multisite, two-arm hybrid type III implementation randomized controlled trial intended to measure the effectiveness of the COACH intervention and evaluate its adoption as part of BP management. Participants will be adults with high BP for whom home BP monitoring is indicated; the intervention arm of the trial will receive COACH. The trial is approved under a single IRB through the University of Missouri-Columbia.

AHRQ-funded; HS028579.

Citation: Dorr DA, Montgomery E, Ghumman AJ . Study protocol: Collaboration Oriented Approach to Controlling High blood pressure (COACH) in adults - a randomised controlled trial. BMJ Open 2024 Jul 8; 14(7):e085898. doi: 10.1136/bmjopen-2024-085898..

Keywords: Blood Pressure, Cardiovascular Conditions, Clinical Decision Support (CDS), Health Information Exchange (HIE), Patient-Centered Outcomes Research, Primary Care, Patient Self-Management, Patient and Family Engagement, Evidence-Based Practice, Patient-Centered Healthcare

Viswanathan M, Rains C, Viswanathan M

Primary care interventions to prevent child maltreatment: evidence report and systematic review for the US Preventive Services Task Force.

The purpose of this study was to examine the evidence on primary care-feasible or referable interventions to prevent child maltreatment to inform the US Preventive Services Task Force. The researchers reviewed PubMed, Cochrane Library, and trial registries through February 2, 2023; and references, experts, and surveillance through December 6, 2023. Twenty-five trials with a total of 14,355 participants were included. The study found that evidence from 11 studies representing 5,311 participants showed no differences in likelihood of reports to Child Protective Services within 1 year of intervention completion. Five studies representing 3,336 participants showed no differences in removal of the child from the home within 1 to 3 years of follow-up. The evidence reflected no benefit for emergency department visits in the short term and hospitalizations. Additional contextual evidence showed 1) a wide range of practices when screening, identifying, and reporting child maltreatment to Child Protective Services, 2) a wide range of accuracy of screening instruments; and 3) evidence that child maltreatment programs may be related with improvements in some social determinants of health.

AHRQ-funded; 75Q80120D00006.

Citation: Viswanathan M, Rains C, Viswanathan M . Primary care interventions to prevent child maltreatment: evidence report and systematic review for the US Preventive Services Task Force. JAMA 2024 Mar 19; 331(11):959-71. doi: 10.1001/jama.2024.0276..

Keywords: U.S. Preventive Services Task Force (USPSTF), Children/Adolescents, Primary Care, Evidence-Based Practice, Guidelines, Domestic Violence

Webel B, Villalobos G, Rockwell MS

Considering the environmental impact of practice-based research.

The purpose of this study was to examine the reduction in carbon footprint created by changing from in-person to virtual format for practice facilitation activities for Practice-based research networks (PBRNs) study activities. The researchers determined the total number of driving miles avoided by virtual facilitation, then used the Environmental Protection Agency Greenhouse Gases Equivalencies Calculator to determine the metric tons of carbon dioxide that were that were avoided. The study found that virtual facilitation avoided 32,574.8 drive miles and prevented the release of 12.7 metric tons of carbon dioxide. Practices reported that virtual facilitation generated higher levels of engagement and enabled improved attendance.

AHRQ-funded; HS027077.

Citation: Webel B, Villalobos G, Rockwell MS . Considering the environmental impact of practice-based research. J Am Board Fam Med 2024 Mar 11; 37(1):22-24. doi: 10.3122/jabfm.2023.230202R1..

Keywords: Primary Care, Evidence-Based Practice, Health Services Research (HSR)

Meyers D, Miller T, De La Mare J

��ƵAuthor: Meyers D, Miller T, De La Mare J, Makulowich G, Zhan C

What ��Ƶlearned while working to transform primary care.

The authors summarized the effects and lessons learned from AHRQ’s 3-year EvidenceNOW: Advancing Heart Health initiative. Results from an independent national evaluation demonstrated that the EvidenceNOW model successfully boosted capacity of primary care practices to improve quality of care. EvidenceNOW also showed that lasting practice transformation efforts need to be responsive to anticipated and unanticipated changes, relationship-oriented, and not tied to specific diseases or initiatives. The authors concluded that these results argue for a national primary care extension service that provides ongoing support for practice transformation.

AHRQ-authored; AHRQ-funded; 233201500013I.

Citation: Meyers D, Miller T, De La Mare J . What ��Ƶlearned while working to transform primary care. Ann Fam Med 2024 Mar-Apr; 22(2):161-66. doi: 10.1370/afm.3090..

Keywords: Primary Care, Evidence-Based Practice, Practice Improvement, Quality Improvement, Quality of Care

Huffstetler AN, Villalobos G, Brooks EM

The current state of alcohol screening and management in Virginia primary care practices: an evaluation of preventive service use.

This study used the recommendations of the US Preventive Services Task Force on screening and behavioral counseling for adults over 18 years for unhealthy alcohol use to examine the current state of alcohol screening and management in Virginia primary care practices. Clinicians were advised to use the following recommended screening instruments: the Alcohol Use Disorders Identification Test-Concise and or Single Alcohol Screening Question. Baseline data showed that clinicians appropriately screened only 10.8% of patients and only identified 9.6% as having risky drinking. However, 24% of patients reported risky drinking on a survey, demonstrating the implementation gap of the USPSTF recommendation and opportunity to improve health.

AHRQ-funded; HS027077.

Citation: Huffstetler AN, Villalobos G, Brooks EM . The current state of alcohol screening and management in Virginia primary care practices: an evaluation of preventive service use. Med Clin North Am 2023 Nov; 107(6s):e1-e17. doi: 10.1016/j.mcna.2023.07.001..

Keywords: U.S. Preventive Services Task Force (USPSTF), Alcohol Use, Screening, Substance Abuse, Behavioral Health, Primary Care, Evidence-Based Practice

Krefman AE, Ciolino Jd, Kan AK

Rationale and design for Healthy Hearts for Michigan (HH4M): a pragmatic single-arm hybrid effectiveness-implementation study.

The objective of the Healthy Hearts for Michigan (HH4M) study is to promote hypertension management and smoking cessation through practice facilitation and quality improvement efforts. This three-year research program evaluates rural and medically underserved primary care practices’ ability to implement the quality improvement model and tests whether the model improves blood pressure control and tobacco use screening and cessation. Primary care practices in rural and underserved areas of Michigan were recruited to join HH4M. HH4M is part of the multi-state EvidenceNOW: Building State Capacity initiative to provide external support to primary care practices to improve care delivery.

AHRQ-funded; HS027954.

Citation: Krefman AE, Ciolino Jd, Kan AK . Rationale and design for Healthy Hearts for Michigan (HH4M): a pragmatic single-arm hybrid effectiveness-implementation study. Contemp Clin Trials Commun 2023 Oct; 35:101199. doi: 10.1016/j.conctc.2023.101199..

Keywords: Heart Disease and Health, Cardiovascular Conditions, Evidence-Based Practice, Patient-Centered Outcomes Research, Primary Care

McHugh M, Heinrich J, Philbin S

Declining participation in primary care quality improvement research: a qualitative study.

This qualitative study’s aim was to identify factors leading primary care practices to decline participation in quality initiative (QI) projects, and strategies to improve the feasibility and attractiveness of QI projects in the future. The authors contacted 109 representatives of practices that had declined participation in 1 of 4 AHRQ-funded EvidenceNOW projects. The representatives were invited to either participate in a 15-minute interview or complete a 5-question questionnaire. Representatives from 31 practices responded. Reasons for declining included staff turnover, staffing shortages, and general time constraints, exacerbated by the pandemic, preventing participation in the QI projects. Secondary reasons included challenges with electronic health records, an expectation of greater financial compensation for participation, and confidence in the practices' current care practices. Tying participation to value-based programs and offering greater compensation were identified as strategies to facilitate recruitment. However, none of the respondents’ recommendations addressed the primary issues of staffing challenges and time constraints.

AHRQ-funded; HS027954.

Citation: McHugh M, Heinrich J, Philbin S . Declining participation in primary care quality improvement research: a qualitative study. Ann Fam Med 2023 Sep-Oct; 21(5):388-94. doi: 10.1370/afm.3007..

Keywords: Quality Improvement, Primary Care, Quality of Care, Practice Improvement, Organizational Change, Evidence-Based Practice

Roberts MM, Marino M, Wells R

Differences in use of clinical decision support tools and implementation of aspirin, blood pressure control, cholesterol management, and smoking cessation quality metrics in small practices by race and sex.

The objective of this cross-sectional study was to evaluate the association between population-based clinical decision support (CDS) tools and racial and sex disparities in the aspirin use, blood pressure control, cholesterol management, and smoking cessation (ABCS) care quality metrics among smaller primary care practices. Researchers used practice-level data from the EvidenceNOW initiative, from practices that submitted both survey data and electronic health record (EHR)-derived ABCS data stratified by race and sex. Their findings suggested that practices using CDS tools had small disparities but were not statistically significant; however, CDS tools were not associated with reductions in disparities. They concluded that more research was needed on effective practice-level interventions to mitigate disparities.

AHRQ-funded; HS023940.

Citation: Roberts MM, Marino M, Wells R . Differences in use of clinical decision support tools and implementation of aspirin, blood pressure control, cholesterol management, and smoking cessation quality metrics in small practices by race and sex. JAMA Netw Open 2023 Aug; 6(8):e2326905. doi: 10.1001/jamanetworkopen.2023.26905..

Keywords: Clinical Decision Support (CDS), Health Information Technology (HIT), Cardiovascular Conditions, Tobacco Use, Tobacco Use: Smoking Cessation, Primary Care, Evidence-Based Practice, Prevention

Lindner SR, Balasubramanian B, Marino M

Estimating the cardiovascular disease risk reduction of a quality improvement initiative in primary care: findings from EvidenceNOW.

The purpose of this study was to estimate decreases in 10-year atherosclerotic cardiovascular disease (ASCVD) risk associated with EvidenceNOW, an initiative spanning multiple states that sought to improve cardiovascular preventive care by providing supportive interventions such as practice facilitation to address the “ABCS”: (A)spirin for high-risk patients, (B)lood pressure control for hypertensive people, (C)holesterol management, and (S)moking screening and cessation counseling. The researchers conducted an analytic modeling study that combined 1) data from 1,278 EvidenceNOW practices collected from 2015 to 2017; (2) patient-level information of 1,295 individuals who participated in the 2015 to 2016 National Health and Nutrition Examination Survey; and (3) 10-year ASCVD risk prediction equations. The study found the average 10-year ASCVD risk of these patients before intervention was 10.11%. Improvements in ABCS due to EvidenceNOW reduced their 10-year ASCVD risk to 10.03% which would prevent 3,169 ASCVD events over 10 years and $150 million in 90-day direct medical costs.

AHRQ-funded; HS023940.

Citation: Lindner SR, Balasubramanian B, Marino M . Estimating the cardiovascular disease risk reduction of a quality improvement initiative in primary care: findings from EvidenceNOW. J Am Board Fam Med 2023 May 8; 36(3):462-76. doi: 10.3122/jabfm.2022.220331R1..

Keywords: Cardiovascular Conditions, Primary Care, Evidence-Based Practice, Patient-Centered Outcomes Research, Quality Improvement, Quality of Care, Blood Pressure

McHugh M, Philbin S, Carroll AJ

An approach to evaluating multisector partnerships to support evidence-based quality improvement in primary care.

This study’s goal was to describe an approach for evaluating the development and effectiveness of a multisector partnership using data from the first year of the Healthy Hearts for Michigan (HH4M) Cooperative, a multisector partnership of nine organizations tasked with designing and implementing evidence-based QI strategies for hypertension management and tobacco cessation in 50 rural primary care practices. A 49-item survey focused on factors that facilitate or hinder multisector partnerships, drawing on implementation science and partnership, engagement, and collaboration research was developed. All 44 members of the HH4M Cooperative (79.5% response rate) were surveyed, interviews conducted with 14 members. Having a clear purpose and trust and respect among members were the strengths reported. A need for common terminology, clarification of roles and functions, and improvement in communication across workgroups were areas for improvement. The Cooperative’s biggest challenge was the lack of engagement from physician practices due to capacity constraints, exacerbated by the COVID-19 pandemic.

AHRQ-funded; HS027954.

Citation: McHugh M, Philbin S, Carroll AJ . An approach to evaluating multisector partnerships to support evidence-based quality improvement in primary care. Jt Comm J Qual Patient Saf 2023 Apr;49(4):199-206. doi: 10.1016/j.jcjq.2023.01.002.

Keywords: Quality Improvement, Evidence-Based Practice, Primary Care, Quality of Care, Patient-Centered Outcomes Research

Sirkin JT, Flanagan E, Tong ST

��ƵAuthor: Tong ST, McNellis RJ, Bierman AS

Primary care's challenges and responses in the face of the COVID-19 pandemic: insights from AHRQ's learning community.

The purpose of this paper was to review the ��Ƶ’s (AHRQ) learning community organized to engage and support primary care in responding to COVID-19 and provide an opportunity for participants to communicate learning and peer support, improve understanding of the stressors and challenges faced by practices, determine needs, and identify possible solutions to challenges of the pandemic. The researchers identified challenges, responses, and innovations that occurred through the engagement and information sharing of the learning community and categorized them across 5 domains, including: patient-centeredness, clinician and practice, systems and infrastructure, community and public health; and health equity which cut across each of the other domains. The authors concluded that the learning community provided valuable insights for future research and policy, primary care delivery improvement, and ensuring greater preparedness for future challenges.

AHRQ-authored.

Citation: Sirkin JT, Flanagan E, Tong ST . Primary care's challenges and responses in the face of the COVID-19 pandemic: insights from AHRQ's learning community. Ann Fam Med 2023 Jan-Feb; 21(1):76-82. doi: 10.1370/afm.2904..

Keywords: COVID-19, Primary Care, Learning Health Systems, Health Systems, Evidence-Based Practice, Public Health

Viswanathan M, Wallace IF, Cook Middleton J

Screening for depression and suicide risk in children and adolescents: updated evidence report and systematic review for the US Preventive Services Task Force.

The authors sought to review the evidence on screening for depression or suicide risk in children and adolescents to inform the US Preventive Services Task Force. They found indirect evidence that suggested some screening instruments were reasonably accurate for detecting depression. Further, psychotherapy and pharmacotherapy were associated with some benefits and no statistically significant harms for depression, but the evidence was limited for suicide risk screening instruments and interventions.

AHRQ-funded; 290201500011I.

Citation: Viswanathan M, Wallace IF, Cook Middleton J . Screening for depression and suicide risk in children and adolescents: updated evidence report and systematic review for the US Preventive Services Task Force. JAMA 2022 Oct 18;328(15):1543-56. doi: 10.1001/jama.2022.16310..

Keywords: U.S. Preventive Services Task Force (USPSTF), Children/Adolescents, Depression, Behavioral Health, Screening, Primary Care, Guidelines, Evidence-Based Practice, Prevention

Kuzel AJ, Cuellar A, Nichols L

The EvidenceNOW practice support initiative: the Heart of Virginia Healthcare.

The purpose of this study was for The Heart of Virginia Health care (HVH) collaborative (one of the ��Ƶ's (AHRQ) Evidence Now project’s 7 collaboratives) to test different ways to improve performance and outcomes on ABCS clinical quality measures (appropriate Aspirin use, Blood pressure control, Cholesterol control, and Smoking cessation counseling) within small primary care practices. The researchers recruited 264 eligible practices and randomized them to 3 cohorts in a stepped wedge design, with 173, utilizing 16 different EHRs, participated through the entire initiative. Trained coaches delivered the practice support curriculum to improve performance on the ABCS measures. The program included an initial kickoff meeting, 3 months of focused support, 9 months of continued support, and access to online materials and faculty. The intervention phase was shortened due to difficulty in recruiting a sufficient number of practices. The study found that the short HVH intervention had a small but statistically significant positive average effects on appropriate use of aspirin and other anti-thrombotics, small negative effects on blood pressure control, except for those practices which did not attend the kickoff, and small negative effects on smoking cessation counseling. The researchers concluded that the truncation of the intervention contributed to the lack of substantial improvements in the ABCS.

AHRQ-funded; HS023913.

Citation: Kuzel AJ, Cuellar A, Nichols L . The EvidenceNOW practice support initiative: the Heart of Virginia Healthcare. J Am Board Fam Med 2022 Oct 18;35(5):979-89. doi: 10.3122/jabfm.2022.05.210021..

Keywords: Heart Disease and Health, Cardiovascular Conditions, Evidence-Based Practice, Primary Care, Patient-Centered Outcomes Research, Quality Improvement, Quality of Care, Healthcare Delivery

Viswanathan M, Wallace IF, Cook Middleton J

Screening for anxiety in children and adolescents: evidence report and systematic review for the US Preventive Services Task Force.

The purpose of this paper was to review the evidence on screening for anxiety in children and adolescents to inform the US Preventive Services Task Force. Indirect evidence of findings suggested that some screening instruments were reasonably accurate. Cognitive behavioral therapy and pharmacotherapy were associated with benefits; no statistically significant association with harms was reported.

AHRQ-funded; 290201500011I, 75Q80120D00007.

Citation: Viswanathan M, Wallace IF, Cook Middleton J . Screening for anxiety in children and adolescents: evidence report and systematic review for the US Preventive Services Task Force. JAMA 2022 Oct 11;328(14):1445-55. doi: 10.1001/jama.2022.16303..

Keywords: U.S. Preventive Services Task Force (USPSTF), Children/Adolescents, Anxiety, Behavioral Health, Primary Care, Screening, Guidelines, Evidence-Based Practice, Prevention

Balasubramanian BA, Lindner S, Marino M

Improving delivery of cardiovascular disease preventive services in small-to-medium primary care practices.

The EvidenceNOW initiative evaluated quality improvement interventions in 1,278 smaller primary care practices focusing on cardiovascular disease prevention. The program implemented external support interventions including practice facilitation, health information technology support, performance benchmarking, learning collaboratives, and community linkages. The study measured improvements in four key areas: aspirin use for ischemic vascular disease risk, blood pressure management in hypertensive patients, statin prescriptions for elevated cholesterol or cardiovascular risk, and smoking cessation screening and counseling. The initiative demonstrated improvements across these metrics when comparing pre- and post-intervention measurements.

AHRQ-funded; HS023940.

Citation: Balasubramanian BA, Lindner S, Marino M . Improving delivery of cardiovascular disease preventive services in small-to-medium primary care practices. J Am Board Fam Med 2022 Sep/Oct; 35(5):968-78. doi: 10.3122/jabfm.2022.AP.220038..

Keywords: Cardiovascular Conditions, Primary Care, Evidence-Based Practice, Prevention, Patient-Centered Outcomes Research

Kowitt SD, Goldstein AO, Cykert S

A heart healthy intervention improved tobacco screening rates and cessation support in primary care practices.

This study investigated the outcomes of an evidence-based cardiovascular disease risk reduction tool called Heart Health Now to improve rates for tobacco cessation screening and counseling in small primary care practices in North Carolina. This tool was developed as part of AHRQ’s EvidenceNow initiative. This stepped wedge, stratified, cluster randomized trial looked at 28 practices that were staffed by 10 or fewer clinicians and had an electronic health record. Heart Health Now consisted of education tools, onsite practice facilitation for a year, and a practice-specific cardiovascular population management dashboard that included monthly, measure-specific run charts to help guide quality improvement. The practices included in their analyses consisted of 78,120 patients, and 17,687 smokers. From pre- to post-intervention, screening rates significantly increased from 82.7 to 96.2%. Cessation support rates also significantly increased from 44.3% to 50.1%. Some of the practices associated with improvement included being in an academic health center or faculty, having more clinicians, and having a lower percentage of White patients.

AHRQ-funded; HS023912.

Citation: Kowitt SD, Goldstein AO, Cykert S . A heart healthy intervention improved tobacco screening rates and cessation support in primary care practices. J Prev 2022 Jun;43(3):375-86. doi: 10.1007/s10935-022-00672-5..

Keywords: Tobacco Use, Tobacco Use: Smoking Cessation, Screening, Primary Care, Evidence-Based Practice, Heart Disease and Health, Cardiovascular Conditions

Richardson JE, Rasmussen LV, Dorr DA

Generating and reporting electronic clinical quality measures from electronic health records: strategies from EvidenceNOW cooperatives.

This study’s goal was to characterize strategies that seven regional cooperatives participating in the EvidenceNOW initiative developed to generate and report electronic health record (EHR)-based electronic clinical quality measures (eCQMs) for quality improvement (QI) in small-to-medium-sized practices. Findings showed that cooperatives ultimately generated and reported eCQMs using hybrid strategies because they determined that neither EHRs alone nor centralized sources alone could operationalize eCQMs for QI. In order to attain this goal, cooperatives needed to devise solutions and utilize resources that often are unavailable to typical small-to-medium-sized practices.

AHRQ-funded; HS023921.

Citation: Richardson JE, Rasmussen LV, Dorr DA . Generating and reporting electronic clinical quality measures from electronic health records: strategies from EvidenceNOW cooperatives. Appl Clin Inform 2022 Mar;13(2):485-94. doi: 10.1055/s-0042-1748145..

Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Quality Indicators (QIs), Quality Measures, Quality of Care, Evidence-Based Practice, Primary Care

Bierman AS, Tong ST, McNellis RJ

��ƵAuthor: Bierman AS, Tong ST, McNellis RJ

Realizing the dream: the future of primary care research.

In this article, the authors discussed the primary care research central to successful primary care transformation and to realizing the vision of a high-performing US health system to serve effectively all Americans and their communities while advancing health equity.

AHRQ-authored.

Citation: Bierman AS, Tong ST, McNellis RJ . Realizing the dream: the future of primary care research. Ann Fam Med 2022 Mar-Apr;20(2):170-74. doi: 10.1370/afm.2788..

Keywords: Primary Care, Healthcare Delivery, Evidence-Based Practice, Health Systems, Learning Health Systems, Patient-Centered Healthcare

Hysong Hysong, Arredondo K, Hughes AM

An evidence-based, structured, expert approach to selecting essential indicators of primary care quality.

The purpose of this article was to illustrate the application of an evidence-based, structured performance measurement methodology to identify, prioritize, and generate new measures of health care quality, using primary care as a case example. Subject matter experts identified three fundamental objectives: access, patient-health care team partnerships, and technical quality. The authors indicated that their article provides an actionable guide to applying their Productivity Measurement and Enhancement System, which can be adapted to the needs of various industries, including measure selection and modification from existing data sources, and proposing new measures.

Citation: Hysong Hysong, Arredondo K, Hughes AM . An evidence-based, structured, expert approach to selecting essential indicators of primary care quality. PLoS One 2022 Jan 18;17(1):e0261263. doi: 10.1371/journal.pone.0261263..

Keywords: Primary Care, Evidence-Based Practice, Quality Improvement, Quality Indicators (QIs), Quality Measures, Quality of Care

Ibemere SO, Tanabe P, Bonnabeau E

Awareness and use of the sickle cell disease toolbox by primary care providers in North Carolina.

The authors developed a decision support tool for sickle cell disease (SCD) for SCD management (SCD Toolbox) based on the National Heart, Lung, and Blood Institute's SCD guidelines. Using data from primary care providers (PCPs) in North Carolina, they found that PCPs rarely co-managed with a specialist, had low awareness and use of the SCD Toolbox, and requested multiple formats for the toolbox.

AHRQ-funded; HS024501.

Citation: Ibemere SO, Tanabe P, Bonnabeau E . Awareness and use of the sickle cell disease toolbox by primary care providers in North Carolina. J Prim Care Community Health 2021 Jan-Dec;12:21501327211049050. doi: 10.1177/21501327211049050..

Keywords: Sickle Cell Disease, Primary Care, Chronic Conditions, Shared Decision Making, Evidence-Based Practice

Davidson KW, Krist AH, Tseng CW

��ƵAuthor: Mills J, Borsky A

Incorporation of social risk in US Preventive Services Task Force Recommendations and identification of key challenges for primary care.

The authors assessed how social risks have been considered in USPSTF recommendation statements and identified current gaps in evidence needed to expand the systematic inclusion of social risks in future recommendations. They concluded that their report serves as a benchmark and foundation for ongoing work to advance the goal of ensuring that health equity and social risks are incorporated into USPSTF methods and recommendations.

AHRQ-authored.

Citation: Davidson KW, Krist AH, Tseng CW . Incorporation of social risk in US Preventive Services Task Force Recommendations and identification of key challenges for primary care. JAMA 2021 Oct 12;326(14):1410-15. doi: 10.1001/jama.2021.12833..

Keywords: U.S. Preventive Services Task Force (USPSTF), Primary Care, Social Determinants of Health, Risk, Evidence-Based Practice, Research Methodologies, Guidelines

Bierman AS, Wang J, O'Malley PG

��ƵAuthor: Bierman AS, Wang J, O'Malley PG, Moss DK

Transforming care for people with multiple chronic conditions: ��Ƶ's research agenda.

This article describes issues addressing the needs of those with multiple chronic conditions and discusses the ��Ƶresearch agenda.

AHRQ-authored.

Citation: Bierman AS, Wang J, O'Malley PG . Transforming care for people with multiple chronic conditions: ��Ƶ's research agenda. Health Serv Res 2021 Oct;56(Suppl 1):973-79. doi: 10.1111/1475-6773.13863..

Keywords: Chronic Conditions, Health Services Research (HSR), Healthcare Delivery, Quality of Care, Primary Care, Guidelines, Evidence-Based Practice

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