Notice2022-26931
Supplemental Evidence and Data Request on Healthcare System Level Strategies To Address Racial/Ethnic and Related Disparities in Health and Healthcare
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Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
December 12, 2022
Issuing agencies
Health and Human Services DepartmentAgency for Healthcare Research and Quality
Abstract
The Agency for Healthcare Research and Quality (AHRQ) is seeking scientific information submissions from the public. Scientific information is being solicited to inform our review on Healthcare System Level Strategies to Address Racial/Ethnic and Related Disparities in Health and Healthcare, which is currently being conducted by the AHRQ's Evidence-based Practice Centers (EPC) Program. Access to published and unpublished pertinent scientific information will improve the quality of this review.
Full Text
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<title>Federal Register, Volume 87 Issue 237 (Monday, December 12, 2022)</title>
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[Federal Register Volume 87, Number 237 (Monday, December 12, 2022)]
[Notices]
[Pages 76044-76046]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-26931]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
Supplemental Evidence and Data Request on Healthcare System Level
Strategies To Address Racial/Ethnic and Related Disparities in Health
and Healthcare
AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS.
ACTION: Request for supplemental evidence and data submissions.
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SUMMARY: The Agency for Healthcare Research and Quality (AHRQ) is
seeking scientific information submissions from the public. Scientific
information is being solicited to inform our review on Healthcare
System Level Strategies to Address Racial/Ethnic and Related
Disparities in Health and Healthcare, which is currently being
conducted by the AHRQ's Evidence-based Practice Centers (EPC) Program.
Access to
[[Page 76045]]
published and unpublished pertinent scientific information will improve
the quality of this review.
DATES: Submission Deadline on or before January 11, 2023.
ADDRESSES:
Email submissions: <a href="/cdn-cgi/l/email-protection#92f7e2f1d2f3fae0e3bcfafae1bcf5fde4"><span class="__cf_email__" data-cfemail="d2b7a2b192b3baa0a3fcbabaa1fcb5bda4">[email protected]</span></a>.
Print submissions:
Mailing Address: Center for Evidence and Practice Improvement,
Agency for Healthcare Research and Quality, ATTN: EPC SEADs
Coordinator, 5600 Fishers Lane, Mail Stop 06E53A, Rockville, MD 20857.
Shipping Address (FedEx, UPS, etc.): Center for Evidence and
Practice Improvement, Agency for Healthcare Research and Quality, ATTN:
EPC SEADs Coordinator, 5600 Fishers Lane, Mail Stop 06E77D, Rockville,
MD 20857.
FOR FURTHER INFORMATION CONTACT: Jenae Benns, Telephone: 301-427-1496
or Email: <a href="/cdn-cgi/l/email-protection#4326332003222b31326d2b2b306d242c35"><span class="__cf_email__" data-cfemail="1f7a6f7c5f7e776d6e3177776c31787069">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION: The Agency for Healthcare Research and
Quality has commissioned the Evidence-based Practice Center (EPC)
Program to complete a review of the evidence for Healthcare System
Level Strategies to Address Racial/Ethnic and Related Disparities in
Health and Healthcare. AHRQ is conducting this systematic review
pursuant to section 902 of the Public Health Service Act, 42 U.S.C.
299a.
The EPC Program is dedicated to identifying as many studies as
possible that are relevant to the questions for each of its reviews. In
order to do so, we are supplementing the usual manual and electronic
database searches of the literature by requesting information from the
public (e.g., details of studies conducted). We are looking for studies
that report on Healthcare System Level Strategies to Address Racial/
Ethnic and Related Disparities in Health and Healthcare, including
those that describe adverse events. The entire research protocol is
available online at: <a href="https://effectivehealthcare.ahrq.gov/">https://effectivehealthcare.ahrq.gov/</a>.
This is to notify the public that the EPC Program would find the
following information on Healthcare System Level Strategies to Address
Racial/Ethnic and Related Disparities in Health and Healthcare helpful:
[ssquf] A list of completed studies that your organization has
sponsored for this indication. In the list, please indicate whether
results are available on <a href="http://ClinicalTrials.gov">ClinicalTrials.gov</a> along with the
<a href="http://ClinicalTrials.gov">ClinicalTrials.gov</a> trial number.
[ssquf] For completed studies that do not have results on
<a href="http://ClinicalTrials.gov">ClinicalTrials.gov</a>, a summary, including the following elements: study
number, study period, design, methodology, indication and diagnosis,
proper use instructions, inclusion and exclusion criteria, primary and
secondary outcomes, baseline characteristics, number of patients
screened/eligible/enrolled/lost to follow-up/withdrawn/analyzed,
effectiveness/efficacy, and safety results.
[ssquf] A list of ongoing studies that your organization has
sponsored for this indication. In the list, please provide the
<a href="http://ClinicalTrials.gov">ClinicalTrials.gov</a> trial number or, if the trial is not registered, the
protocol for the study including a study number, the study period,
design, methodology, indication and diagnosis, proper use instructions,
inclusion and exclusion criteria, and primary and secondary outcomes.
[ssquf] Description of whether the above studies constitute ALL
Phase II and above clinical trials sponsored by your organization for
this indication and an index outlining the relevant information in each
submitted file.
Your contribution is very beneficial to the Program. Materials
submitted must be publicly available or able to be made public.
Materials that are considered confidential, marketing materials, study
types not included in the review, or information on indications not
included in the review cannot be used by the EPC Program. This is a
voluntary request for information, and all costs for complying with
this request must be borne by the submitter.
The draft of this review will be posted on AHRQ's EPC Program
website and available for public comment for a period of 4 weeks. If
you would like to be notified when the draft is posted, please sign up
for the email list at: <a href="https://www.effectivehealthcare.ahrq.gov/email-updates">https://www.effectivehealthcare.ahrq.gov/email-updates</a>.
The technical brief will answer the following questions. This
information is provided as background. AHRQ is not requesting that the
public provide answers to these questions.
Guiding Questions
What is the current evidence for healthcare system-level strategies
(including components of multifaceted strategies) designed to reduce
racial, ethnic, and related socioeconomic disparities and improve
health outcomes?
a. What interventions have been studied?
b. What racial and ethnic populations have been studied?
c. What are the characteristics of the healthcare systems involved
in studies of interventions to reduce disparities (e.g., size,
location, private/public, etc.)?
d. What common (multiple and single) chronic conditions have been
studied?
e. What primary outcomes have been studied?
f. What are the reported effects of the strategies used in studies
of interventions to reduce disparities?
g. What are the reported unintended consequences, harms, or adverse
events of the strategies used in studies of interventions to reduce
disparities?
h. Within race/ethnic groups, what other intersectional influences
(e.g., disability status, income status, sexual identity and
orientation, income, geographic location, language e.t.c) have been
targeted in studies of interventions to reduce disparities?
i. What study designs have been used?
j. What information is available on the applicability and
sustainability of interventions?
k. What gaps exist in the current research?
Questions for Experts/Researchers/Advocacy Organizations/Provider
Organizations/Practicing Clinicians
a. What healthcare system-level efforts has your organization or
institution employed to reduce racial and ethnic disparities in health
and healthcare?
i. Can you describe the rationale for this effort, for instance
what was driving the decision of the problem and the solution/
intervention? Was the intervention successful or not? What were the
challenges? How are you measuring disparities and evaluating
interventions and outcomes? How are these efforts funded?
b. Do you engage community partnerships in your approach? If so,
how?
i. Are there similar approaches you are aware of? Which other
entity is trying similar approaches?
c. Are there concepts, or conceptual frameworks, that are important
in understanding the healthcare system-level interventions to reduce
racial/ethnic disparities in health and healthcare?
d. Are there elements of healthcare system-level interventions that
are important and/or preferred for reducing racial/ethnic disparities
in health and healthcare?
e. How do you identify social identity groups that are not being
served at all or not equally served, and how do you prioritize which
groups for designing interventions? What are the challenges?
f. How does your organization tailor the healthcare system-level
approach to reach racial and ethnic groups or minorities that may be
marginalized due
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to other factors (such as disability status, income status, sexual
identity and orientation, income, geographic location, language, etc.)?
Which of these factors have been most challenging to address and why?
Which factors are relatively easy to address and implement?
g. What concerns do you have about the sustainability of healthcare
system-level strategies/interventions intended to address racial and
ethnic disparities in health and healthcare?
h. Gray literature: What are prominent sources where you obtain
information on healthcare system-level strategies/interventions? Who
has conducted such interventions? Can you give examples of successful
interventions that have been identified from these sources?
i. What information and resources does your organization or
institution need to be more effective in incorporating healthcare
system-level interventions in reducing racial and ethnic disparities in
health and healthcare?
j. What are current gaps in the research and what future research
is needed most?
Questions for Patient Advocates, Families, Caregivers
a. Data clearly shows that racial and ethnic minority groups often
have worse health and care. Why do you think this is the case?
b. Have you or your loved ones experienced differences in care
received, are you aware of any healthcare organizational efforts to
rectify these differences? What are the efforts/programs?
c. Have you or your loved ones participated in (or are you aware
of) such program(s)? Was there any effort to consider your race and
other social factors (such as your disability status, income status,
sexual identity and orientation, income, geographic location, language
e.t.c) in the program(s)?
d. Are you aware of community collaboration efforts (such as social
service agencies, churches e.t.c) of such programs to rectify the
differences in your health and care? Should community organizations be
involved in these efforts? How? What are some barriers that community
organizations face in collaborating with healthcare organizations?
e. What types of efforts do you think a healthcare organization
could do that might reduce these differences in the care received by
racial and ethnic minority groups? What would be needed for them to
work?
f. Are there sources where you obtain information about these
efforts?
PICOTS (Populations, Interventions, Comparators, Outcomes, and Settings)
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Element Included Excluded
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Population............. <bullet> Racial and <bullet> Non-U.S
ethnic minority groups. populations.
<bullet> Healthcare
Systems providing
healthcare for racial
and ethnic minority
groups.
Interventions.......... <bullet> Healthcare <bullet> Exploratory
system strategies that sub-group analysis
are specifically where the aims of the
targeted to reduce studies are not
racial and ethnic relevant to racial/
minority health and ethnic health
healthcare disparities disparities.
at population-level <bullet> Public health/
with relevant links to policy-based
healthcare system. interventions without
<bullet> Strategies relevant links to
specifically targeted healthcare systems.
to reduce racial and <bullet> Interventions
ethnic minority health aimed at medical
and healthcare school students,
disparities at heath pharmacy students,
care organization- and other allied
level (e.g., structure health students.
of the organization).
<bullet> Strategies
with community
involvement with
relevant links to
healthcare system.
Comparators............ <bullet> Standard care.
<bullet> Alternative
strategy/intervention..
Outcomes............... <bullet> Health-related
outcome measures
(e.g., disease
specific morbidity and
mortality, BP control,
Hba1c levels).
<bullet> Process of
care measures..
<bullet> Care
utilization outcome
measures..
<bullet> Barriers to
care measures..
<bullet> Financial/re-
imbursement measures..
<bullet> Harms (e.g.,
unintended negative
consequences)..
<bullet> Stigma other
related experience of
discrimination..
Timing................. Any....................
Settings............... Any....................
Study design........... Randomized controlled Stand-alone
trial, non-randomized qualitative studies,
controlled trial, systematic reviews,
nonrandomized study narrative reviews,
designs, mixed methods. case reports, case
series protocols,
conference abstracts.
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Dated: December 5, 2022.
Marquita Cullom,
Associate Director.
[FR Doc. 2022-26931 Filed 12-9-22; 8:45 am]
BILLING CODE 4160-90-P
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