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´óÏóÊÓƵStats: Disparities in Insurance Coverage Among Mothers at Time of Birth

The percentage of Hispanic mothers who were uninsured at the time of birth decreased by 9.9 percentage points between 2008-2013 and 2014-2019. Uninsured rates dropped by 4.6 percentage points among non-Hispanic Black mothers and 2.8 percentage points among non-Hispanic White mothers in that same time frame. (Source: ´óÏóÊÓƵMedical Expenditure Panel Survey Statistical Brief #547, .)

Today's Headlines:

• ´óÏóÊÓƵViews Blog: Proposed 2024 Budget Prepares ´óÏóÊÓƵTo Tackle Critical Healthcare Challenges.
• Article Considers Adoption of ‘Precision Medicine’ in Practice.
• ´óÏóÊÓƵSignals Plan To Fund Research on Substance Use Disorders.
• White House Welcoming Support for Health Sector Climate Pledge.
• New Research and Evidence From AHRQ.
• ´óÏóÊÓƵin the Professional Literature.

´óÏóÊÓƵViews Blog: Proposed 2024 Budget Prepares ´óÏóÊÓƵTo Tackle Critical Healthcare Challenges

AHRQ’s proposed fiscal year 2024 budget positions the agency to improve healthcare delivery systems by reducing fragmentation and realigning incentives that can improve the quality of care, according to the new blog post by ´óÏóÊÓƵDirector Robert Otto Valdez, Ph.D., M.H.S.A. ´óÏóÊÓƵfunding, part of the budget proposal on March 9, would allow ´óÏóÊÓƵto focus on improving care for racial and ethnic minorities and people who live in underserved rural communities across the country. If adopted, the budget also would improve care for patients suffering from Long COVID; help prevent errors and delays in diagnosis; increase the healthcare system’s ability to mitigate the effects of climate change; enhance efforts to address opioid and multiple substance abuse disorders; and support the administration’s initiative to improve maternal healthcare. Access the blog post.

Article Considers Adoption of ‘Precision Medicine’ in Practice

A new article by ´óÏóÊÓƵexperts in the journal Precision Medicine considers factors needed for the widespread adoption of precision medicine in clinical practice to realize its benefits and minimize harms, especially among people living with multiple chronic conditions. The authors call for a person-centered approach to precision medicine to inform care delivery by taking multimorbidity, functional status, values, goals, preferences and social and societal context into account. They also discuss how effective real-world adoption of precision medicine can be advanced by partnerships across the research enterprise; among researchers, practice and policymakers; with patients, caregivers and communities; between clinical medicine and public health; and across sectors. Access the .

´óÏóÊÓƵSignals Plan To Fund Research on Substance Use Disorders

A recent Funding Opportunity Notice, , seeks proposals to support the development of scalable knowledge on how to increase the uptake of evidence-based interventions to prevent, diagnose and treat substance use disorders. The initiative will fund up to four projects to produce evidence on effective models of care and strategies to implement effective treatments that will lead to sustainable changes in care delivery and develop lasting partnerships between primary care and other care settings. The application deadline is April 14. Access information about additional funding opportunities from AHRQ.

White House Welcoming Support for Health Sector Climate Pledge

In advance of Earth Day, April 22, the White House and HHS are to the . Signing organizations voluntarily agree to cut greenhouse gas emissions by 50 percent by 2030 and achieve net zero emissions by 2050. In 2022, 102 organizations representing 837 hospitals signed the Pledge. Stakeholders also include health centers, suppliers, insurance companies, group purchasing organizations and pharmaceutical companies. Organizations can , and those that sign by April 12 will be recognized in an Earth Day announcement. AHRQ’s Reducing Healthcare Carbon Emissions, a primer to guide healthcare delivery organizations to take action and measure their efforts to reduce their carbon emissions, can help healthcare systems get started.

New Research and Evidence From AHRQ

• Technical brief (draft open for comment): .

´óÏóÊÓƵin the Professional Literature

Evaluation of a transitions clinic to bridge emergency department and primary care. Zhang A, Spiegel T, Bundy A, et al. J Hosp Med 2023 Mar;18(3):217-23. Epub 2023 Feb 3. Access the on PubMed®.

Cumulative social disadvantage associated with childhood arthritis: a cross-sectional analysis of the National Survey of Children's Health. Soulsby WD, Lawson E, Pantell MS. Arthritis Care Res 2023 Jan;75(1):3-8. Epub 2022 Sep 20. Access the on PubMed®.

Differences in care between special needs plans and other Medicare coverage for dual eligibles. Roberts ET, Mellor JM. Health Aff 2022 Sep;41(9):1238-47. Access the on PubMed®.

Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Liberman AL, Holl JL, Romo E, et al. Acad Emerg Med 2023 Mar;30(3):187-95. Epub 2023 Jan 27. Access the on PubMed®.

Primary care video and telephone telemedicine during the COVID-19 pandemic: treatment and follow-up health care utilization. Huang J, Gopalan A, Muelly E, et al. Am J Manag Care 2023 Jan;29(1):e13-e17. Access the on PubMed®.

Leadership behavior associations with domains of safety culture, engagement, and health care worker well-being. Tawfik DS, Adair KC, Palassof S, et al. Jt Comm J Qual Patient Saf 2023 Mar;49(3):156-65. Epub 2022 Dec 23. Access the on PubMed®.

Association of Medicaid expansion with postpartum depression treatment in Arkansas. Steenland MW, Trivedi AN. JAMA Health Forum 2023 Feb 3;4(2):e225603. Epub 2023 Feb 24. Access the on PubMed®.

Clinical characteristics of children with severe neurologic impairment: a scoping review. Nelson KE, Finlay M, Huang E, et al. J Hosp Med 2023 Jan;18(1):65-77. Epub 2022 Dec 8. Access the on PubMed®.