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.


Prescriptions of New Generation of Diabetes Medication Increased More in Medicaid Expansion States Compared to Non-expansion States Following Implementation of the ACA

Background Most patients with diabetes mellitus are prescribed medications to control their blood glucose. The implementation of the Affordable Care Act (ACA) led to improved access to healthcare for patients with diabetes. However, the impact of the ACA on medication use among patients with diabetes is less clear. This study assessed if long-acting insulin and…

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Focus on Families to Improve Child Health During the COVID-19 Pandemic and Beyond

Background Policies such as the State Children’s Health Insurance Program and the Vaccines for Children Program of the Centers for Disease Control and Prevention help millions of children access recommended healthcare and reduce racial and ethnic health disparities. While children gained access to healthcare from these programs, the COVID-19 pandemic is a significant threat. Healthy…

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Creation of a linked cohort of children and their parents in a large, national electronic health record dataset

Background Electronic health record (EHR) data provide a unique opportunity to assess connections between parent and child healthcare and health outcomes without self-report biases. EHR data also have potential to facilitate a better understanding of multi-level influences (i.e., individual, parent, family, and community-level) on children’s receipt of recommended healthcare. Linking children to their parents within…

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Community health centers’ performance in cancer screening and prevention

Background Community Health Centers (CHCs) typically serve low-income and underrepresented patient populations. Introduced in 2010, one of Healthy People 2020’s many goals aimed to reduce health disparities. This included providing delivery rates of the following three cancer preventive care interventions: cervical cancer screenings (93% screening rate), colorectal cancer screenings (70.5% screening rate), and tobacco cessation…

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Rates of Undiagnosed Hypertension and Diagnosed Hypertension Without Anti-hypertensive Medication Following the Affordable Care Act

Background Uncontrolled hypertension is the largest single contributor to all-cause and cardiovascular mortality. Access to health insurance is a critical aspect of hypertension detection, treatment, and control and a lack of insurance can greatly exacerbate barriers to successful hypertension care and management. The Affordable Care Act (ACA) Medicaid expansion led to better access to health…

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A Taxonomy for External Support for Practice Transformation

Background There is no commonly accepted comprehensive framework for describing the practical specifics of providing external support for practice change. Our goal was to develop such a taxonomy that could be used by both external groups or researchers and health care leaders. This paper reports on a taxonomy developed by the leaders of Agency for…

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