Lance's Corner

AHRQ Issues Regulatory Update

Apr 9, 2025

The Agency for Healthcare Research and Quality (AHRQ) has issued its weekly regulatory update, which can be read below.

April 8, 2025, Issue #952

 

AHRQ Stats: Rates of Ventilator-Associated Pneumonia

The rate of ventilator-associated pneumonia during inpatient stays increased by 20.1 percent between 2016 and 2019. (Source: AHRQ Healthcare Cost and Utilization Project Statistical Brief #313, Prevalence and Burden of Healthcare-Associated Infections (HAIs), 2016-2021.)

Today's Headlines:

AHRQ Celebrates National Public Health Week

During National Public Health Week, AHRQ is highlighting research, tools and resources that will improve public health by increasing access and effectiveness across health systems.

  • AHRQ’s patient tools aim to reduce healthcare-associated infections and other harms, enhance outcomes and improve healthcare quality and safety across all settings.
  • AHRQ’s digital healthcare research leverages technology to transform healthcare delivery, integrating digital tools to enhance patient care, streamline operations and improve safety.

Visit AHRQ’s website to learn more about how the agency’s work has contributed to public health in the United States.

 

AHRQ-Funded Researchers Identify Barriers to Pediatric Mental Health Care in Emergency Department Workflows

An AHRQ-funded research project at four southeastern U.S. emergency departments (EDs) has identified 394 unique barriers to pediatric mental and behavioral healthcare in those EDs. The study, which was published in Applied Ergonomics, analyzed more than 5,500 pediatric behavioral health visits using a novel approach of mapping patient journey and caregiver workflow by tracking structural elements of healthcare delivery over the ED’s workflow timeline, observing the processes and interviewing the staff. When researchers categorized the visits into three core segments of patient engagement—arrival, evaluation and treatment plan and disposition—they identified 237 barriers that occurred during patient evaluation, 148 during delivery of treatment plans and disposition and just nine during patient arrival at the EDs, suggesting potential points for intervention. Explore the full list of actionable pain points.

 

Recruitment for Safety Program for HAI Prevention Is Open Through June

AHRQ is recruiting adult intensive care units (ICUs) and non-ICUs to participate in a free nine-month program to reduce central line-associated bloodstream infection (CLABSI) rates in acute care hospitals. Participants in the AHRQ Safety Program for HAI Prevention: CLABSI will receive free expert consultation to promote infection prevention procedures and patient safety culture, learn how to enhance teamwork and communication and receive regular benchmarking reports comparing their progress with similar units. Participants also will receive continuing education (CEU/CME) credits. Recruitment for the CLABSI cohort is open through June 11, 2025. An informational webinar is scheduled for April 21 from noon to 12:30 p.m. ET. Visit the website for more information about the program and upcoming informational webinars.

 

New Research and Evidence From AHRQ

 

Register for Upcoming National Action Alliance Webinar

The “Safety Culture: Measuring and Responding” webinar is the final installment in the National Action Alliance Safety Culture in Healthcare series, taking place April 15 from noon to 1 p.m. ET. This session will explore strategies for assessing and strengthening safety culture using AHRQ’s Surveys on Patient Safety Culture® (SOPS®) and real-world applications. Attendees will gain insights into the latest pulse version of the Hospital Survey on Patient Safety Culture (HSOPS) and the role of data tracking in quality improvement. Register today to advance patient safety in your organization.

AHRQ in the Professional Literature

 

Association between hospital efficiency and quality of care among fee-for-service Medicare beneficiaries with prostate cancer: a retrospective cohort study. Chhatre S, Malkowicz SB, Vapiwala N, et al. Cancers. 2024 Dec 13;16(24):4154. Access the abstract on PubMed®.

Potential implications of using locally validated risk factors for drug-resistant pathogens in patients with community-acquired pneumonia in US hospitals: a cross-sectional study. Gasoyan H, Deshpande A, Imrey PB, et al. Clin Infect Dis. 2024 Nov 22;79(5):1277-82. Access the abstract on PubMed®.

Oregon community benefit reform influenced not-for-profit hospitals’ charity care and medical debt write-off. Santos T, Lindrooth RC, Lee SD, et al. Health Aff. 2025 Feb;44(2):196-205. Access the abstract on PubMed®.

Barriers to perioperative palliative care across Veterans Health Administration hospitals: a qualitative evaluation. Evans EE, Bradley SE, Vitous CA, et al. Am J Surg. 2025 Mar;241:116063. Epub 2024 Nov 8. Access the abstract on PubMed®.

Incidence of and risk factors for subsequent lower respiratory tract infection following an infant RSV hospitalization. Lee R, Ding T, Riddell CA, et al. Children. 2025 Feb 2;12(2):183. Access the abstract on PubMed®.

An electronic health record metadata-mining approach to identifying patient-level interprofessional clinician teams in the intensive care unit. Yakusheva O, Khadr L, Lee KA, et al. J Am Med Inform Assoc. 2025 Mar;32(3):426-34. Access the abstract on PubMed®.

Nurse practitioner care environments and provider shortages among patients with multiple chronic conditions. McMenamin A, Turi E, Liu J, et al. Res Nurs Health. 2025 Apr;48(2):271-80. Epub 2025 Jan 30. Access the abstract on PubMed®.

Co-created improvement goals and strategies for implementing SBIRT and MAUD in primary care settings in a facilitator-supported, tailored implementation study. Kenzie ES, Weekley T, Barnes C, et al. Transl Behav Med. 2025 Jan 16;15(1):ibae059. Access the abstract on PubMed®.

Contact Information
For comments or questions about AHRQ News Now, contact Karen Fleming-Michael, (301) 427-1798 or Karen.FlemingMichael@ahrq.hhs.gov

 

USDOL Issues Comprehensive Employer Guidance on Long COVID

The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

Supporting Employees with Long COVID: A Guide for Employers

The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

Download the guide

Accommodation and Compliance: Long COVID

The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

Long COVID, Disability and Underserved Communities: Recommendations for Employers

The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

Read the brief

Long COVID and Disability Accommodations in the Workplace

The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

Download the report

Working with Long COVID

The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

Download the fact sheet

COVID-19: Long-Term Symptoms

This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

Outcomes

  • Investigations1 - 556
  • Indicted/Charged - 9
  • Convictions - 8
  • Civil Settlements/Judgments - 28
  • Recoveries2 - $73,204,518

Resources

  • MFCU Expenditures3 - $55,964,293
  • Staff on Board4 - 257

1Investigations are defined as the total number of open investigations at the end of the fiscal year.

2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

3MFCU and Medicaid Expenditures include both State and Federal expenditures.

4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

CMS Issues Latest Medicare Regulatory Activities Update

The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc