This collection
shall be conducted in compliance with Federal, state, and local
guidelines related to COVID-19.
Inventory as of this Action
Requested
Previously Approved
10/31/2023
36 Months From Approved
60
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0
60
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The Affordable Care Act established
the Patient-Centered Outcomes Research Trust Fund (PCORTF) and
authorized AHRQ to broadly disseminate the research findings
published by the Patient-Centered Outcomes Research Institute
(PCORI) and other government-funded research relevant to
comparative clinical effectiveness research. AHRQ’s PCORTF-funded
initiative identifies research findings that could significantly
improve patient outcomes through broader implementation in clinical
practice. Under this initiative, in 2019 AHRQ launched a new
initiative, Managing Unhealthy Alcohol Use in Primary Care, in
order to promote the uptake of evidence-based practices for
unhealthy alcohol use (UAU). As part of this initiative, AHRQ
selected six grantees and funded a contractor to support and
evaluate the grantees. The grantees will collectively work with
more than 700 primary care practices over three years to implement
and evaluate strategies to increase the use of evidence-based
interventions such as screening for unhealthy alcohol use, brief
interventions for adult patients who drink too much, and
medication-assisted therapy (MAT) for patients with an alcohol use
disorder. The contractor will develop a resource center, convene a
technical expert panel, conduct an ongoing environmental scan,
support a learning community of grantees, and complete a multisite,
mixed methods evaluation. Unhealthy alcohol use, defined as
behaviors ranging from risky drinking to alcohol use disorders
(AUD), is estimated to be the third leading cause of preventable
death in the United States. Between 2006 and 2010, nearly one in
ten deaths were alcohol-related. In addition to early mortality,
UAU is associated with a host of adverse outcomes, including
unintentional injuries and the development or exacerbation of a
range of physical and behavioral health conditions. The Centers for
Disease Control and Prevention estimates suggest that excessive
alcohol consumption costs the United States $249 billion annually.
Under the UAU initiative, six AHRQ grantees will work to improve
the management of UAU in primary care by disseminating and
implementing evidence-based practices for screening and brief
intervention, referral to treatment (SBI/RT), and MAT in primary
care practices. The multi-site, mixed-methods evaluation will
include primary data collection by the evaluator, NORC at the
University of Chicago. The evaluation will also include secondary
data collected by the six grantee teams working with 750 primary
care practices. Collectively the data will allow the evaluator to
assess the implementation and impact of the six grants. The project
goals, as laid out in the AHRQ request for applications include: •
Success of recruitment and retention strategies across all six
grantees to engage primary care practices for implementation of
SBI/RT and MAT, across the initiative; • Effectiveness of the
grantees’ collective dissemination and implementation strategies,
and the factors associated with the success and/or failure of the
strategies as it relates to populations, settings and the influence
of contextual factors; • Success at the practice level in
increasing the number of patients screened, identified, and
treated; and • Overall impact on changes in processes or outcomes
that can be attributed to the initiative.
US Code:
42
USC 299 Name of Law: Agency for Healthcare and Quality Act of
1999
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.