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.


Burden of Complications for CHC Patients with Diabetes

Background Diabetes-related complications may lead to greater health problems or death in patients with diabetes. Economically and socially vulnerable patients often receiving care at community health centers are at an increased risk for developing diabetes and diabetes complications. Understanding the prevalence of acute and chronic complications among these patients with diabetes, and the risk factors…

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Association of Parent Preventive Care with their Child’s Recommended Well-Child Visits

Background Yearly well-child visits are recommended, yet many children do not receive well-child care as advised. This study estimated the association of parental preventive service receipt on their child’s well-child visits among patients seen in community health centers. Useful Findings Children had a 6% greater rate of yearly well-child visits when their mother received preventive…

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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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