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.


Disparities in Biomarkers for Patients with Diabetes after the Affordable Care Act

Background Racial and ethnic minorities are at higher risk for poor diabetes-related outcomes [such as high hemoglobin A1c (HbA1c) and low-density lipoprotein (LDL)] than non-Hispanic whites, yet minorities are less likely to receive diabetes-related services due to multiple factors including insufficient access to health insurance coverage. The Affordable Care Act (ACA) aimed to improve access…

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Using Electronic Health Records in Longitudinal Studies

Background Electronic health records (EHRs) can provide a wealth of information about patient health making them an attractive source for longitudinal research. However, critical information about attrition rates in EHR data is missing. This study assessed patient attrition rates at community health centers (CHCs) serving medically underserved populations. Authors estimated the percent of patients returning…

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Evaluating Primary Care’s Response to COVID-19 in a PBRN of Community Health Centers

This commentary, published ahead of print in the Journal of the American Board of Family Medicine, presents a research agenda for studying changes to primary care in community health centers as a result of the COVID-19 pandemic. COVID-19 uncovered the holes in our fragmented healthcare system and the inequities in our society; PBRNs and the…

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Cancer Survivors in Community Health Centers see Improvements in States that Expanded Medicaid with the Affordable Care Act

Background The Affordable Care Act (ACA) gave States the option to expand Medicaid eligibility criteria. Health insurance plays a notable role in health care access and receipt of services, but we know little about coverage rates for low-income cancer survivors and their receipt of cardiovascular-related preventive screenings. This study was conducted to assess the impact…

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Dedicated Workforce Required to Support Large Scale Practice Improvement

Shannon Sweeney, PhD, MPH, ESCALATES Qualitative Team Project Manager and Analyst Practice facilitation is a widely used and effective strategy to assist primary care practices with implementing changes that improve quality. If you are about to embark on a large-scale quality improvement initiative that includes facilitators, here is what you can do to ensure that…

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Dissemination and Implementation Science: Building on Primary Care’s Rich History of Practice-Based Research

This piece was originally published in the Oregon Academy of Family Physicians Winter 2020 magazine. Reprinted with permission from the authors. Dissemination and Implementation (D&I) Research is an emerging new scientific field, but its focus is familiar: how to get evidence into practice. New evidence that informs clinical practice is generated and synthesized into new…

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