EvidenceNOW - An AHRQ Initiative

EvidenceNOW is focusing on helping primary care practices use the latest evidence to improve the heart health of Americans, and it is one of the largest initiatives funded by the Agency for Healthcare Research and Quality (AHRQ).

ESCALATES is the national evaluation for EvidenceNOW. The ESCALATES team is studying which practice supports and quality improvement strategies are most effective across the seven regional cooperatives participating in this initiative.

MOST RECENT BRIDGECENTER POSTS

Unintended consequences: a qualitative study exploring the impact of collecting implementation process data with phone interviews on implementation activities

Background Qualitative data are crucial when studying implementation processes, and thus necessary for understanding implementation trial outcomes. Typical methods for capturing such data include observations, focus groups, and interviews. However, little consideration has been given to how such methods create interactions between researchers and study participants which could affect participants’ engagement in study-related implementation activities,…

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Lessons learned about the effective operationalization of champions as an implementation strategy: results from a qualitative process evaluation of a pragmatic trial

Background Implementation strategies are methods used to help clinics adopt new practices. The knowledge base on these strategies is growing, but much still remains unknown about how best to select and enact strategies designed to promote practice change in different contexts. For example, evidence clearly shows that having a ‘champion’ of a given practice change…

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Assessing cancer history accuracy in primary care electronic health records through cancer registry linkage

Background The majority of cancer survivors transition from oncological care to primary care settings several years after their diagnosis, and awareness of patient’s cancer history is important for providing optimal care for cancer survivors. Community health centers (CHC) provide healthcare to patients regardless of their insurance status, and CHC patients from with low socioeconomic status…

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New hypertension and diabetes diagnoses following the Affordable Care Act Medicaid expansion

Background The Affordable Care Act (ACA) Medicaid eligibility expansion aimed to improve access to healthcare and reduce disparities for patients in the US. There is growing evidence that the ACA benefitted patients with low income and led to a decreased number of uninsured and increased preventive health screenings, but little is known about the impact…

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Prevalence of Preexisting Conditions Among Community Health Center Patients With COVID-19: Implications for the Patient Protection and Affordable Care Act

Background  Short- and long-term effects of COVID-19 will likely be designated preexisting conditions. We describe the prevalence of preexisting conditions among CHC patients overall, and those with COVID-19 by race/ethnicity. This cross-sectional study used electronic health record (EHR) data from OCHIN, a network of 396 community health centers across 14 states. Useful Findings Among all…

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Role of health insurance and neighborhood-level social deprivation on hypertension control following the Affordable Care Act health insurance opportunities

Background One in three Americans suffers from hypertension, a major risk factor for cardiovascular disease. Treatment and control of hypertension are important to prevent cardiovascular events and death. One of the important factors influencing hypertension medical care and control is access to health insurance. Many patients, especially patients with low-income, obtained health insurance coverage and…

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