Agency for Healthcare Research and Quality
The Agency for Healthcare Research and Quality (AHRQ), located in Rockville, MD, a suburb of Washington, D.C., is one of 12 Agencies within the United States Department of Health and Human Services (HHS). The Agency was established as the Agency for Health Care Policy and Research (AHCPR) as a constituent unit of the Public Health Service (PHS) under the Omnibus Budget Reconciliation Act of 1989 (103 Stat. 2159), December 19, 1989, to enhance the quality, appropriateness, and effectiveness of health care services and access to care by conducting and supporting research, demonstration projects, and evaluations; developing guidelines; and disseminating information on health care services and delivery systems.
However, AHRQ became controversial when it produced several guidelines that some thought would reduce medical drugs and procedures. This included concern from ophthalmologists on a cataract guideline and concern by the pharmaceutical industry over a reduction in the use of new drugs. When the agency produced a guideline which concluded that back pain surgery was unnecessary and potentially harmful, a lobbying campaign aided by Congressmen whose backs had been operated on changed the name of the agency and scaled back the guidelines program, which now exists as the National Guideline Clearinghouse. AHCPR was reauthorized December 6, 1999, as the Agency for Healthcare Research and Quality (AHRQ) under the Healthcare Research and Quality Act of 1999, which amended Title IX of the Public Health Service Act (42 U.S.C. 299 et seq).
During its early years, the Agency for Healthcare Policy and Research implemented large multidisciplinary, multi-institutional projects that focused on patient results in certain medical conditions in an effort to improve clinical practice. This has included basic health IT research, patient safety research on wrong site surgery, medical teamwork, and hospital acquired conditions such as MRSA and VRE.
The 2015 budget for AHRQ is US$440 million, $24 million less than FY 2014. Within this total, the budget includes $334 million in Public Health Service (PHS) Evaluation Funds, a decrease of $30 million from FY 2014, and $106 million from the Patient-Centered Outcomes Research Trust Fund, an increase of $13 million above FY 2014.
The FY 2015 budget is intended to ensure the Agency continues its progress on health services research to improve outcomes, affordability, and quality. The budget also supports the collection of information on health care spending and use through the Healthcare Cost and Utilization Project (HCUP) and Medical Expenditure Panel Survey (MEPS).
The FY 2015 budget provides $73 million, an increase of $1 million from FY 2014, for AHRQ’s patient safety research and dissemination projects that prevent, mitigate, and decrease the number of medical errors, patient safety risks and hazards, and quality gaps. The budget includes $23 million, a $6 million decrease from FY 2014, for health information technology (health IT) research, and the development and dissemination of evidence and evidence-based tools to inform policy and practice on how health IT can improve the quality of American health care. In FY 2015, AHRQ will provide $20 million to support 40 grants for foundational health IT research to inform and support the meaningful use of health IT.
The current Director of AHRQ is Richard Kronick, PhD. Carolyn Clancy M.D. was the director from 2002- 2014.
The Agency has multiple offices and centers including the Center for Evidence and Practice Improvement, the Center for Financing, Access and Trends, the Center for Delivery, Organization and Markets, the Center for Quality and Patient Safety, the Office of Management Services, the Office of Extramural Research and Priority Populations, and the Office of Communications and Knowledge Transfer.
- "Agency for Healthcare Research and Quality home page". United States Department of Health and Human Services.
- "Healthcare Research and Quality Act of 1999". Agency for Healthcare Research and Quality. United States Department of Health and Human Services.
- Avorn J. Powerful Medicines: The Benefits, Risks, and Costs of Prescription Drugs, pp. 277–288. Random House.
- 2015 Department of Health and Human Services Budget-in-Brief, pg 10, United States Department of Health and Human Services, Accessed 2015-07-14