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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> > <a href="idsrn.htm" class="crumb_link">Integrated Delivery System Research Network (IDSRN)</a> > IDSRN Project Awards, FY 2001</span></p>
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<td><h1><a name="h1" id="h1"></a> IDSRN Project Awards </h1>
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<p>This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information. </p>
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<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
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<a id="top" name="top"></a><a name="01"></a>
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<h2>Field Partnerships to Conduct and Use Research</h2>
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<h3>Awards in Fiscal Year 2001</h3>
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<a id="top" name="top"></a>
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<p><a href="#improving">Improving Patient Safety</a><br />
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<a href="#information">Information Technology in Integrated Delivery Systems</a><br />
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<a href="#working">Working Conditions and Quality of Care</a><br />
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<a href="#health">Health Care for Minority Populations, Women, and Children</a><br />
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<a href="#financial">Financial Incentives and Costs of Care</a></p>
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<a id="improving" name="improving"></a>
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<h3>Improving Patient Safety</h3>
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<p><strong>Integrated Delivery System Solutions for Transferring Medication Data across Patient Care Settings</strong><br />
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<strong>Partner:</strong> Research Triangle Institute <br />
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<strong>Description:</strong> RTI examined how integrated delivery systems manage information transfer, a potential cause of medical errors. One study goal was to develop tools to evaluate the usefulness of technological solutions for this problem. A tool developed in this study is being evaluated in a <a href="idsrnproj03.htm#implementing">follow-on study</a>.<br />
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<strong>Period:</strong> 10/01-10/02<br />
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<strong>Funding:</strong> $200,000</p>
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<p><strong>Relationship of Nursing Home Policies and Quality</strong><br />
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<strong>Partner:</strong> University of Minnesota <br />
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<strong>Description:</strong> The goal of this task order was to assess the frequency of negative events such as patient falls, hip fractures and pressure ulcers, and to determine the extent to which the variation in occurrence of these could be explained by the characteristics of the nursing home and its clinical and administrative practices.<br />
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<strong>Period:</strong> 10/01-9/03<br />
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<strong>Funding:</strong> $295,000</p>
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<p><strong>Increasing Patient Safety by Improving Compliance to Clinical Practice Guidelines for Diabetes Management through Electronically Generated Reminders on Patient Interval Reports and Day Sheets in a Multispecialty Group Practice Setting</strong><br />
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<strong>Partner:</strong> Marshfield Medical Foundation<br />
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<strong>Description:</strong> This study was conducted to determine if low-cost electronic alerts or prompts could increase compliance among physicians to conform with evidence-based practice guidelines for physicians who treat patients with diabetes. <br />
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<strong>Period:</strong> 10/01-4/03<br />
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<strong>Funding:</strong> $138,000</p>
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<p><strong>Validating the AHRQ Patient Safety Indicators</strong><br />
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<strong>Partner:</strong> Research Triangle Institute <br />
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<strong>Description:</strong> RTI is assessing the latest generation of AHRQ Quality Indicators, the Patient Safety Indicators, using clinical data from its partners, Intermountain Health Care, UPMC Health Systems and Providence Health System. These indicators are screening tools for flagging potential quality-of-care problems.<br />
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<strong>Period:</strong> 10/01-6/04<br />
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<strong>Funding:</strong> $300,000</p>
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<p class="size2"><a href="#top">Top of Page</a></p>
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<a id="information" name="information"></a>
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<h3>Information Technology in Integrated Delivery Systems</h3>
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<p><strong>Impact of EpiCare on the Management of Diabetes in the Geisinger Health System</strong><br />
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<strong>Partner:</strong> Abt Associates <br />
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<strong>Description:</strong> A randomized controlled experiment was conducted among patients of the Geisinger Health System in Pennsylvania to determine the effect of electronic medical system automated reminders on compliance with standards of care for diabetes.<br />
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<strong>Period:</strong> 10/01-7/03<br />
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<strong>Funding:</strong> $214,000</p>
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<p><strong>Use of Encoded Guidelines in an Electronic Medical Record System for Targeted Tuberculin Testing and Treatment of Latent Tuberculosis</strong><br />
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<strong>Partner:</strong> Denver Health<br />
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<strong>Description:</strong> This Denver Health study analyzed the effects of using computerized decision support systems on appropriate screening for latent tuberculosis, by encoding the CDC's guideline for this disease in the electronic medical record. The rules technology that was developed to encode the guideline is transferable to other information systems that have clinical decision support technology. This technology can also be used to encode the numerous other clinical guidelines that have been developed by various agencies and organizations.<br />
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<strong>Period:</strong> 1/02-7/03<br />
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<strong>Funding:</strong> $154,097</p>
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<p><strong>Effect of Using Rules Technology with Provider Order Entry in Medication Error Reduction</strong><br />
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<strong>Partner:</strong> Denver Health<br />
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<strong>Description:</strong> Denver Health studied the effectiveness of using computerized order entry systems to reduce medication errors. The project focused on adverse events related to medication use that can lead to hyper- and hypokalemia, nephrotoxicity, thrombocytopenia, and hepatic inflammation. In addition, the investigators assessed provider satisfaction with the computerized decision support system within CPOE.<br />
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<strong>Period:</strong> 1/02-7/03<br />
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<strong>Funding:</strong> $244,760</p>
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<p class="size2"><a href="#top">Top of Page</a></p>
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<a id="working" name="working"></a>
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<h3>Working Conditions and Quality of Care</h3>
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<p><strong>Association of Working Conditions with Prescribing Errors in Primary Care Settings</strong><br />
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<strong>Partner:</strong> HMO Research Network<br />
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<strong>Description:</strong> Kaiser Permanente Georgia and HealthPartners Health Plan examined whether primary care practice workload and organizational culture were related to rates of risky prescribing events, such as potentially dangerous drug combinations and the failure to monitor with laboratory tests, when warranted.<br />
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<strong>Period:</strong> 10/01-04/03<br />
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<strong>Funding:</strong> $198,000</p>
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<p><strong>Relationship of Provider Group Characteristics to Quality of Care and Medication Errors in Ambulatory Care Settings</strong><br />
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<strong>Partner:</strong> HMO Research Network<br />
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<strong>Description:</strong> HealthPartners Health Plan and Albuquerque-based Lovelace Health Systems studied the effect of selected medical group practice characteristics on quality of care and patient safety. Two medication safety issues were targeted: drug-drug interactions and recommended laboratory monitoring of drug therapy. Rates of screening for breast cancer, cervical cancer, and cholesterol were calculated as measures of quality of care.<br />
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<strong>Period:</strong> 10/01-06/03<br />
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<strong>Funding:</strong> $300,000</p>
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<p class="size2"><a href="#top">Top of Page</a></p>
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<a id="health" name="health"></a>
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<h3>Health Care for Minority Populations, Women, and Children</h3>
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<p><strong>Capacity to Conduct Studies on the Impact of Race/ethnicity on Access, Use, and Outcomes of Care</strong><br />
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<strong>Partner:</strong> Denver Health<br />
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<strong>Description:</strong> Denver Health collaborated with the Research Triangle Institute and Weill Medical College of Cornell University to assess the extent to which data from integrated delivery systems could be used to determine the impact of race/ethnicity on access to, and use of, health care and associated clinical outcomes. The study also yielded information on strategies that might be adopted to improve capacity to examine the health consequences of minority disparities.<br />
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<strong>Period:</strong> 01/01-10/01<br />
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<strong>Funding:</strong> $163,427</p>
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<p><strong>Model Culturally and Linguistically Appropriate Service (CLAS) Quality Assessment and Performance Improvement Projects (QAPI) for Medicare+Choice Organizations</strong><br />
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<strong>Partner:</strong> HMO Research Network<br />
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<strong>Description:</strong> Two guides were developed at Lovelace Clinic Foundation to help managed care organizations plan for and provide culturally and linguistically appropriate services to Medicare+Choice patients. The study was funded CMS through an interagency agreement with AHRQ.<br />
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<strong>Period:</strong> 10/01-9/02<br />
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<strong>Funding:</strong> $250,000</p>
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<p><strong>Use of Linked Databases to Assess Selected Quality Indicators for Maternal Health</strong><br />
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<strong>Partner:</strong> HMO Research Network<br />
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<strong>Description:</strong> Kaiser Permanente Northern California assessed the usefulness of selected quality indicators for predicting health outcomes for pregnant women and children. The study also examined whether variations exist in patterns of care among subpopulations of pregnant women and children.<br />
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<strong>Period:</strong> 10/01-12/02<br />
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<strong>Funding:</strong> $193,000</p>
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<p><strong>Does Differential Diffusion of New Innovations Contribute to Disparities in Health Care?</strong><br />
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<strong>Partner:</strong> Center for Health Care Policy and Evaluation (CHCPE)<br />
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<strong>Description:</strong> CHCPE and RAND assessed whether differential diffusion of cardiac technologies over time contributed to observed racial, ethnic and socioeconomic disparities in health care. The study included 7 years of claims data from commercial managed care plans affiliated with UnitedHealthcare. Eight cardiac technologies in varying stages of diffusion were assessed.<br />
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<strong>Period:</strong> 10/01-1/03<br />
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<strong>Funding:</strong> $200,000</p>
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<p><strong>Addressing the Impact of Racial and Ethnic Disparities on Access, Use and Outcomes of Care</strong><br />
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<strong>Partner:</strong> Denver Health<br />
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<strong>Description:</strong> Denver Health collaborated with Weill Medical College of Cornell University to compare diabetic outcomes for patients from two major healthcare systems: the Denver Health System and the New York Presbyterian Healthcare System. The major objectives of this study were: (1) to assess whether racial or ethnic disparities in access and use of care related to diabetes are present within and between the two hospital systems; (2) to describe efforts in both health systems to address disparities; (3) to propose approaches to mitigating disparities in these health systems; and (4) where one or more of these approaches is being implemented, to evaluate the impact of each approach in reducing disparities.
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The study was funded by the Office of Minority Health/Office of the Secretary of the Department of Health and Human Services through an interagency agreement with AHRQ.<br />
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<strong>Period:</strong> 11/01-10/02<br />
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<strong>Funding:</strong> $225,000</p>
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<p class="size2"><a href="#top">Top of Page</a></p>
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<a id="financial" name="financial"></a>
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<h3>Financial Incentives and Costs of Care</h3>
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<p><strong>Incidence of Reduced Use of Prescribed Medication in Response to Out-of-Pocket Costs Among Medicare Beneficiaries</strong><br />
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<strong>Partner:</strong> Center for Health Care Policy and Evaluation (CHCPE)<br />
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<strong>Description:</strong> This Minneapolis-based division of UnitedHealth Group examined data for a sample of Medicare+Choice enrollees to examine how different out-of-pocket requirements affected their prescription medicine-taking behavior.<br />
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<strong>Period:</strong> 10/01-8/03<br />
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<strong>Funding:</strong> $190,000</p>
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<p><strong>Effects of Financial Incentives in Medical Group Practices and the Work Environment on the Quality of Care</strong><br />
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<strong>Partner:</strong> The University of Minnesota <br />
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<strong>Description:</strong> This study included three separate analysis to assess: (1) the influence of the structure and culture of the group practices and practice and physician level financial incentives on per member per year (PMPY) costs, (2) the effects of these same variables (but in a restricted model) on prescription drug errors, and (3) the influence of the variables in the restricted model on mammography and Pap smear rates in the practices. The study included data on over 70,000 enrollees who received care in 136 practices during the study year (2001) and 250,490 prescriptions filled for those enrollees.<br />
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<strong>Period:</strong> 10/01 - 03/03<br />
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<strong>Funding:</strong> $242,000</p>
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<p class="size2"><a href="#top">Top of Page</a><br />
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<a href="idsrnproj00.htm">Proceed to Next Section</a></p>
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<p class="size2"><em>Current as of February 2005</em></p>
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<p class="size2"><strong>Internet Citation:</strong></p>
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<p class="size2"><em>IDSRN Project Awards: Field Partnerships to Conduct and Use Research: Awards in Fiscal Year 2001</em>. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/research/idsrnproj01.htm</p>
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