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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/mhs-IV-epc-grand-rounds-slides.pptx
January 01, 2023 - Vice President, Health Systems Improvement – AcademyHealth
3
Funding Disclosures
This project … Systematic review Hospital mortality 7 of 13 studies showed improvement Adults
McGaughey et al. … Systematic review Hospital mortality No improvement Adults
Girotra et al. … Primary study Hospital mortality No improvement Adults
Winterbottom et al. … Systematic review Incidence of cardiorespiratory arrest No improvement Adults
Winterbottom et al.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/rheumatoid-arthritis-medicine_surveillance.pdf
March 01, 2013 - Infliximab:
Greater
improvement in disease activity for abatacept,
but no difference in remission … sulfasalazine:
Greater
improvement
in
functional
capacity
for
leflunomide.
… (Low;
Insufficient)
Faster
improvement
in
quality
of
life
with
etanercept … (Low)
Leflunomide vs. sulfasalazine: Greater improvement in
functional capacity for leflunomide. … (Low; Insufficient) Faster
improvement in quality of life with etanercept than MTX.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/rheumatoid-arthritis-medicine_surveillance.pdf
March 01, 2013 - Infliximab:
Greater
improvement in disease activity for abatacept,
but no difference in remission … sulfasalazine:
Greater
improvement
in
functional
capacity
for
leflunomide.
… (Low;
Insufficient)
Faster
improvement
in
quality
of
life
with
etanercept … (Low)
Leflunomide vs. sulfasalazine: Greater improvement in
functional capacity for leflunomide. … (Low; Insufficient) Faster
improvement in quality of life with etanercept than MTX.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-end-of-life-measures-framework_research.pdf
April 01, 2010 - to implement, and supported
by evidence might help to identify areas and settings most in need of improvement … They are intended to be used routinely, can provide feedback to guide short-term
quality improvement … The concept of importance
informs inclusion of indicators for quality improvement or reporting programs … Medicare quality improvement community
(MedQIC - Hospice). … Improvement in oncology practice performance
through voluntary participation in the Quality
Oncology
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-quality-indicator-framework_research.pdf
April 01, 2010 - to implement, and supported
by evidence might help to identify areas and settings most in need of improvement … They are intended to be used routinely, can provide feedback to guide short-term
quality improvement … The concept of importance
informs inclusion of indicators for quality improvement or reporting programs … Medicare quality improvement community
(MedQIC - Hospice). … Improvement in oncology practice performance
through voluntary participation in the Quality
Oncology
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/urinary-incontinence-treatment_surveillance.pdf
October 29, 2012 - • >50% improvement versus baseline in urgency in 65% patients on 100 U; p=0.086
• >50% improvement … Improvement in UI
One RCT reported greater rates of
significant improvement in UI (>75
percent decrease … Placebo
>50% improvement versus
baseline in urgency in 65%
patients on 100 U; p=0.086
>50% improvement … Placebo
>50% improvement versus baseline in urgency in 65%
patients on 100 U; p=0.086
>50% improvement … Significant
improvement in UI with fesoterodine compared to placebo
was dose responsive.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/dyspnea_research.pdf
April 01, 2010 - as part of the American
Medical Association, Physician Consortium for Performance Improvement (PCPI … category 3 instruments might be better for palliative care program
evaluation or episodic quality improvement … The current field of dyspnea quality measurement and improvement is young and
most proposed dyspnea … Medicare quality improvement community
(MedQIC-Hospice). 2008. … PCPI = Physician Consortium for Performance Improvement (American Medical Association)
PEACE = Palliative
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/renal-artery-stenosis_executive.pdf
October 01, 2006 - Most authorities consider the goals of
therapy to be improvement in uncontrolled
hypertension, preservation … or salvage of
kidney function, and improvement in
symptoms and quality of life. … Renal artery revascularization
may provide immediate improvement in kidney
function and blood pressure … This may require
quality improvement and other types of studies. … in blood pressure, and 1 found better improvement in kidney
function than patients with unilateral
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/gerd_executive.pdf
September 01, 2011 - For these
individuals with chronic GERD, most
authorities consider the goals of therapy to
be an improvement … Three of five studies found significant
improvement in GERD symptoms at a mean followup
of 5 years. … Significant improvement of quality of life as measured
by the GERD-HRQL scale was reported by two of … However, another meta-analysis within the same
systematic review showed a significant improvement in … One cohort study did
not find a significant difference between men and
women in symptom improvement.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0407_01-20-2011.pdf
January 01, 2011 - cardiovascular events; bleeding risks; contrast nephropathy; poor wound
healing; amputation; lack of improvement … in walking distance; lack of improvement in
quality of life
Key Questions
from Nominators:
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-1-year-final-report-updated-title_0.pdf
May 01, 2024 - Director
Center for Evidence and Practice
Improvement
Agency for Healthcare Research and Quality … Evidence-based Practice Center Division
Liaison
Center for Evidence and Practice
Improvement
Agency … Director, General Patient Safety Program
Center for Quality Improvement and Patient
Safety
Agency … Director of The Healthcare Improvement Studies Institute
University of Cambridge
Cambridge, UK … areas2-6 have realized improvements, health care continues to
struggle with improvement rates that
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effectivehealthcare.ahrq.gov/sites/default/files/ebc_challenge_final_submission_planning_worksheet1.pdf
May 29, 2025 - ______________________________
Can you refine or focus your idea on one key opportunity for improvement
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effectivehealthcare.ahrq.gov/sites/default/files/nonopioid-chronic-pain-summary.pdf
April 01, 2020 - Primary pain response
was defined as ≥30 percent improvement
(reduction) in pain score. … Secondary pain response
criteria included >30 percent improvement
4
(e.g., ≥50% improvement), condition-specific … Duloxetine resulted
in a small improvement in pain severity,
moderate improvement in pain response, … Topical diclofenac showed
small improvement in pain in the short term. … on pain improvement, function,
and quality of life.
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-library-asthma.pdf
April 01, 2019 - Director Director
Agency for Healthcare Research and Quality Center for Evidence and Practice
Improvement … Evidence-based Practice Center Program Center for Evidence and Practice
Center for Evidence and Practice Improvement … Improvement
Agency for Healthcare Research and Quality Agency for Healthcare Research and Quality … templates, whereas this project is based on FHIR
version 1.8.0 objects.c The HL7 Clinical Quality Improvement … Change from not well controlled to controlled OR change
representing minimal important difference (MID) improvement
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-265-radiation-bone-disease-summary.pdf
August 01, 2023 - radiation therapy (EBRT) probably slightly
increases the likelihood of overall pain response (pain improvement … Overall pain response is used to reflect pain improvement. … findings suggest that MF EBRT probably slightly
increases the likelihood of overall pain response (pain improvement … EBRT combined with surgery may confer more improvement in neurologic
outcomes related to spinal cord
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-end-of-life-indicators-symposium_research.pdf
April 01, 2010 - rapid evaluation using
quality improvement and benchmarking methodologies. … Medicare quality improvement community
(MedQIC - Hospice). Available at:
http://www.medqic.org. … Improvement in oncology practice
performance through voluntary participation
in the Quality Oncology … Distinguish the use of pain indicators in
quality improvement versus performance
measurement
• Focus … the use of indicators for quality
improvement;
• Understand clinical triggers in the process of
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/antipsychotics-children_executive.pdf
February 01, 2012 - Studies were required to
report at least one outcome of interest including
symptom improvement, other … The findings for symptom improvement are
presented for each condition in Table B. … Eleven bipolar studies reported symptom improvement. … Five studies provided evidence on symptom
improvement in Tourette syndrome. … Four studies examined improvement for behavioral
issues.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/fecal-incontinence_clinician.pdf
July 01, 2016 - PFMT-BF alone*
2 109 Severity No significant difference was found between groups in improvement in the … compared with the sham group (1.7 days, SD 3.5).
���
Severity There was no significant difference in improvement … 12.5] vs. sham group: 3.0 episode
reduction [IQR 0.0–8.9]).
���
Quality
of life
Percent change (improvement … electrostimulation
1 126 Severity No significant difference was found between groups in Vaizey score**
improvement … mg/
day) vs. placebo
1 44 Severity No significant difference was found between groups in FICA score improvement
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0765-150129.pdf
November 03, 2014 - non-surgical treatments or no intervention
Outcome(s): Reduction in the prevalence of middle ear effusion; improvement … of
hearing levels (HLs); speech and language improvement; health-related quality of life
(HRQoL) … considered for tympanostomy
tubes
Intervention(s): Hearing testing
Comparator(s): No test
Outcome(s): Improvement
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/surveillance-report-1-nonopioid-pharm-chronic-pain.pdf
April 01, 2022 - THC/CBD
versus placebo
short-term
Cannabis was associated with a
moderate improvement in short … -
term pain response versus
placebo but no effect on pain
improvement in neuropathic pain
• SOE: … Low, based on 2
RCTs
1 new RCT (n=339) found no
difference in pain response or
pain improvement … Desipramine
versus active
placebo short-
term
No overall improvement in pain
with desipramine, … (47.5% vs. 32.7%, p=0.004) and 50 percent or more pain improvement
(27.2% vs. 17.0%, p=0.019) versus