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.


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 patients…

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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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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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