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Patient Engagement in Reporting Medication Events during Transitions of Care

Award Number: R01HS027846
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 07/01/2021
PERIOD OF PERFORMANCE END DATE: 12/31/2026

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Patient Engagement in Reporting Medication Events during Transitions of Care - Abstract: Transitions of care (TOC) for patients with cancer are complex situations that increase risks for poor patient outcomes and adverse events. Our proposal is built on the Chronic Care Model evidence that informed, activated patients could provide meaningful feedback on their experiences and perceptions of safety in the context of care transitions, promoting productive interactions through timely responses and support toward improved outcomes. To leverage self-management via the support of information technology systems, we propose a consumer- oriented patient safety event (PSE) platform to engage patients with cancer and their families to report medication adverse events during TOC and improve the understanding of the nature and causes of PSE. Despite the feasibility of consumer-oriented PSE reporting has been established, it remains largely unknown how to engage patients and families in using the reporting systems, especially how to mitigate the identified barriers such as patient factors, insufficient system design features, and mismatch between technology platform and objectives for patients and families to involve in PSE reporting during TOC. We chose the priority population who are under the treatment of oral anticancer agents (OAA) at home since they face specific medication safety and self- management challenges, including complex regimens and life-threatening toxicities, as well as high potentials for drug-drug and drug-food interactions. Application of the PSE reporting system is innovative in the OAA management process, which will improve care transitions by enhancing patient communication and care coordination, thereby reducing and mitigating adverse events. The platform built upon the AHRQ common formats is expected to defragment information and utilize community resources regarding OAA adverse events and self-management, interoperable with prevailing event reporting systems, and compatible with federal data sources in aggregating, trending events via patient safety organizations. Our approach based on rigorous theoretical frameworks for improving patient engagement is scalable to other chronic conditions during transitions of care. This proposal is focused on supporting patient self-management activities during care transitions back home, responding to the AHRQ priority of matching the technology platform to improve the quality of care and patient outcomes.


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: 2026 ( Subtotal = $0 )
2026	2025	REGENTS OF THE UNIVERSITY OF MICHIGAN	1109 GEDDES AVE STE 3300	ANN ARBOR	MI	48109	WASHTENAW	USA	Research on Healthcare Costs, Quality and Outcomes	000	5	4/1/2026	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $380,686 )
2025	2025	REGENTS OF THE UNIVERSITY OF MICHIGAN	1109 GEDDES AVE STE 3300	ANN ARBOR	MI	48109	WASHTENAW	USA	Research on Healthcare Costs, Quality and Outcomes	000	5	7/1/2025	NON-COMPETING CONTINUATION	$380,686
														Subtotal = $380,686

Issue Date FY: 2024 ( Subtotal = $383,897 )
2024	2024	REGENTS OF THE UNIVERSITY OF MICHIGAN	1109 GEDDES AVE, SUITE 3300	ANN ARBOR	MI	48109	WASHTENAW	USA	Research on Healthcare Costs, Quality and Outcomes	000	4	5/17/2024	NON-COMPETING CONTINUATION	$383,897
														Subtotal = $383,897

Issue Date FY: 2023 ( Subtotal = $391,481 )
2023	2023	REGENTS OF THE UNIVERSITY OF MICHIGAN	1109 GEDDES AVE, SUITE 3300	ANN ARBOR	MI	48109	WASHTENAW	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	6/20/2023	NON-COMPETING CONTINUATION	$391,481
														Subtotal = $391,481

Issue Date FY: 2022 ( Subtotal = $395,579 )
2022	2022	REGENTS OF THE UNIVERSITY OF MICHIGAN	503 THOMPSON ST	ANN ARBOR	MI	48109	WASHTENAW	USA	Research on Healthcare Costs, Quality and Outcomes	001	2	6/8/2022	NON-COMPETING CONTINUATION	$395,579
2022	2021	REGENTS OF THE UNIVERSITY OF MICHIGAN	503 THOMPSON ST	ANN ARBOR	MI	48109	WASHTENAW	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	6/8/2022	NEW	$0
														Subtotal = $395,579

Issue Date FY: 2021 ( Subtotal = $399,434 )
2021	2021	REGENTS OF THE UNIVERSITY OF MICHIGAN	503 THOMPSON ST	ANN ARBOR	MI	48109	WASHTENAW	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	6/18/2021	NEW	$399,434
														Subtotal = $399,434

Grand Total All Awards = $1,951,077

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Patient Engagement in Reporting Medication Events during Transitions of Care

Award Number: R01HS027846

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 07/01/2021

PERIOD OF PERFORMANCE END DATE: 12/31/2026

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