Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

A patient-informed approach to measuring and mitigating inequity in primary care

Award Number: K01HS029710
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 08/01/2024
PERIOD OF PERFORMANCE END DATE: 07/31/2029

Group Awards By:

View Award Description

A patient-informed approach to measuring and mitigating inequity in primary care - Project Summary/ Abstract Racial and ethnic health inequities persist despite decades of evidence showing how societal structures drove their development. Quality improvement (QI Initiatives, seemingly intended to promote equity, have great potential to exacerbate disparities if there is not intentional focus on benefitting the population(s) experiencing inequity. Attempts at equity-focused QI have underperformed by 1) focusing on improvement for all, rather than on erasing disparities, 2) deploying a top-down stakeholder approach, rather than a community-informed approach, 3) lacking a framework for considering quality measures through the contexts of systemic racism, and 4) prioritizing ease of measurement over measures that are a priority to patients and communities. Recent calls have been made for QI interventions that leverage partnerships between communities experiencing inequities, providers serving these populations, and QI researchers to reduce health care disparities using outcome measures that measure quality in ways meaningful to all stakeholders. Data and technology can be harnessed to improve health equity by stratifying electronic health record (EHR) data by race, ethnicity, and language (REaL) to create equity-focused QI dashboards to identify inequitable patterns in clinical processes and health outcomes and inform QI initiatives to reverse them. However, if dashboard metrics and the interventions to address them are not cooperatively designed by patients and providers, this limits their influence and effectiveness. The study proposed within this K-Award is intended to be a first step in a larger program of research that will serve to bridge health inequities research with medical informatics tools at the intersection of Quality Improvement and Implementation Science, by 1) Identifying healthcare quality measures using a community-informed, equity-focused approach, 2) Incorporate community-informed healthcare quality measures into QI dashboards, and 3) using community-engaged intervention mapping to design strategies to decrease health inequity. Equity-focused dashboards will provide concrete, real-time data to both inform strategies and measure improvement, whether they be advanced structural competency training for providers, changes to clinic policy and workflow, or interventions to address unmet social needs. This career development award is designed to provide critical training in the fundamentals of quality improvement, implementation science, community-engaged intervention design, and medical informatics that are necessary for developing community-informed, practical, and measurable approaches to decrease racial health inequities in primary care populations. This K01 will facilitate the development of patient-informed quality indicators and innovative implementation strategies to improve health equity in primary care. The proposed study is responding to the AHRQ Special Emphasis Notice for Health Services Research to Advance Health Equity (NOT-HS-23-013).


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $145,139 )
2024	2024	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	3901 RAINBOW BLVD	KANSAS CITY	KS	66160	WYANDOTTE	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	7/11/2024	NEW	$145,139
														Subtotal = $145,139

Grand Total All Awards = $145,139

Top

All Categories

About

Search

Reports

Data Submission

Award Information

A patient-informed approach to measuring and mitigating inequity in primary care

Award Number: K01HS029710

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 08/01/2024

PERIOD OF PERFORMANCE END DATE: 07/31/2029

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer