To determine optimal doses, routes of administration, and dosing strategies of naloxone for suspected opioid overdose in out-of-hospital settings, and whether transport to a hospital following successful opioid overdose reversal with naloxone is necessary.
In The News
Management of Suspected Opioid Overdose with Naloxone by Emergency Medical Services Personnel
Data from landmark NIH blood pressure study supports important part of new AHA/ACC hypertension guidelines
The new high blood pressure guidelines illustrate the utility and impact of NHLBI scientific studies.
[ Full article ]
AHRQ’s EvidenceNOW Practices Named 2017 Million Hearts® Hypertension Control Champions
Five primary care practices participating in AHRQ’s EvidenceNOW project have been named as 2017 Million Hearts® Hypertension Control Champions. The award winners – three in New York, one each in Oklahoma and Wisconsin – are among 24 honorees that include primary care practices, individual clinicians and health systems. The honorees were recognized for achieving blood pressure control for at least 70 percent of their patients through innovations in health information technology and electronic health records, patient communication, and teamwork. EvidenceNOW, launched in May 2015, provides support services to 1,500 small and medium primary care practices with the objective of improving patients’ blood pressure and addressing other risk factors to improve heart health. Access more information about EvidenceNOW and the Million Hearts® Hypertension Control Champions here.
Learn more about AHRQ research to transform primary care. Visit AHRQ’s National Center for Excellence in Primary Care Research here.
Advancing the Practice of Pain Management Under the HHS Opioid Strategy
By: Christopher M. Jones, PharmD, MPH and Vanila M. Singh, MD, MACM
Over the past 15 years, communities across America have been devastated by increasing prescription and illicit opioid abuse, addiction, and overdose.
In 2016, 11 million Americans misused prescription opioids, nearly 1 million used heroin, and 2.1 million had an opioid use disorder due to prescription opioids or heroin. And every day, an estimated 90 Americans die from an opioid overdose—resulting in more than 300,000 deaths since 2000. Meanwhile, an estimated 25 million Americans experience pain every day. For many of these individuals, this pain interferes with their physical and mental health, work productivity, and ability to engage in social activities.
Alzheimer’s assessment and management tools for primary care clinicians
Primary care clinicians are often the first to see older adults with memory loss or other signs of cognitive impairment. Three brief, online guides from NIA can help healthcare providers assess, manage, and support their patients with memory complaints or impairment:
- Assessing Cognitive Impairment in Older Patients: A Quick Guide for Primary Care Physicians—read about the benefits of early screening and learn how to screen quickly and accurately.
- Managing Older Patients with Cognitive Impairment: A Quick Guide for Primary Care Physicians—get practical advice on planning and care strategies for patients with mild cognitive impairment, Alzheimer’s, or a related dementia.
- Now What? Next Steps After a Diagnosis of Alzheimer’s Disease—give this checklist of resources and referrals to newly diagnosed patients. Available in English and Spanish.
Want more information and tools? See a list of practice tools, training curricula, publications, and other resources.
Back Pain: The Latest in Diagnosis and Management
Two rheumatologists review the latest in assessing and treating diseases of the spine.
[ Full article ]
EHC Program Update: Draft Report on Lower Limb Prosthesis; Final Report on Understanding Health-Systems’ Use of and Need for Evidence To Inform Decisionmaking
The Effective Health Care Program has posted the following on its Web site:
This draft report is available for comment until November 15, 2017.
Effective Health Care Program https://effectivehealthcare.ahrq.gov/
New AHRQ Report Reviews Promising Strategies for Implementing Medication-Assisted Treatment for Opioid Use Disorder in Rural Primary Care
A new AHRQ report, Implementing Medication-Assisted Treatment for Opioid Use Disorder in Rural Primary Care: Environmental Scan examines factors that may limit access to medication-assisted treatment (MAT) for opioid use disorder (OUD) in rural primary care settings. Three innovative models of care, including the Vermont Hub and Spoke model, Project ECHO (Extension for Community Health Care Outcomes) from New Mexico, and the Office-Based Opioid Treatment with Buprenorphine (OBOT-B) Collaborative Care Model from Massachusetts, may help overcome a number of the challenges faced when implementing MAT services in rural primary care. Peer-reviewed articles and grey literature on implementing MAT for OUD were examined. The report also includes links and descriptions to nearly 250 tools and resources to support the delivery of MAT in rural primary care settings. Visit AHRQ’s Academy for Integrating Behavioral Health and Primary Care to download the report.
Other AHRQ Related Opioid Use Disorder Research
- Providing a State-by-State Picture of the Nation's Opioids Crisis
- New AHRQ Report Shows Sharp Rise Among Women for Opioid
- Shining a Spotlight on the Opioid Crisis Through the Power of Data
- Medication-Assisted Treatment Models of Care for Opioid Use Disorder in Primary Care Settings. Technical Brief No. 28
NIH to fund Centers of Excellence on Minority Health and Health Disparities
Twelve specialized research centers designed to conduct multidisciplinary research, research training, and community engagement activities focused on improving minority health and reducing health disparities will launch. The centers, to be funded by the National Institute on Minority Health and Health Disparities (NIMHD), part of the National Institutes of Health, will share approximately $82 million over five years, pending the availability of funds. [ FULL ARTICLE ]
Warner’s CHRONIC Care Act Unanimously Passes Senate
The U.S. Senate unanimously passed bipartisan legislation introduced by Senator Mark R. Warner (D-VA), a member of the Senate Finance Committee, to improve health outcomes for Medicare beneficiaries living with chronic conditions. [ FULL ARTICLE ]