There and used (Mission, 2015). In its effort to

            There are a number of organizations that assist in
monitoring and setting standards in the healthcare industry and there are standards
that the healthcare industry must follow. Therefore, these agencies have a great
influence the management of healthcare information. Many of these agencies are
healthcare research organizations which help in the promotion and encourage the
spread of research throughout healthcare organizations. The Agency for
Healthcare Research and Quality (AHRQ) is one of these agencies that improve
the quality of healthcare with its investments in research and data collection.

            Research about healthcare delivery system and studies organizational
structures and systems as well as the effectiveness of care is called Health Services
Research (Sayles, 2016, p.187-189). The Agency for
Healthcare Research and Quality (AHRQ) is the most influential organization in
healthcare service information within the federal government. This
agency inspects problems pertaining to the healthcare delivery system, disease
protocols, and guidelines for enhancement of disease control and assesses their
rate of success (Sayles).

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            The AHRQ is a federal agency whose goal is to improve the
health care of Americans by making healthcare safer, more affordable and improving
the quality of healthcare. This lies within the U.S. Department of Health and
Humans Services and with many additional partners in efforts to make certain that
its suggestion and research is understood and used (Mission, 2015). In
its effort to fulfill its mission, the AHRQ supports heath services research
within its own organization as well as research from academic institutions, physician’s
offices, hospitals, health care systems and numerus additional settings
throughout the United States. The AHRQ has a team of supported
researchers whose efforts are to answer question pertaining to clinical
practice, effectiveness and outcomes of care, evidence-based medicine, care for
priority population and primary care, the quality of health care, patients
safety/medical errors, the organization and implementation of healthcare
resources and provision of care, the financing and cost of healthcare, the system
of healthcare and awareness of public health, as well as health information
technologies. Through these efforts, the primary objective is to spread the
results of AHRQ’s research in order to create a healthier, more productive population
and provide greater financial return on the United States’ huge investment in
healthcare.

             The organizational
structure of the AHRQ supports its mission and helps the organization operate efficiently.
The Office of Directors has the responsibility of directing the AHRQ to oversee
that the organization’s goals are being achieved. Working
in this department are three individuals: Gopal Khanna, The Director; Sharon B.
Arnold, The Deputy Director and Jeffery Toven, The Executive Officer.  Some of the specific roles of the Office of
Directors are to give the AHRQ leadership, maintain the organization’s extraordinary
standards for research and scientific integrity, and manage the National
Advisory Council. The office of Extramural Research,
Education and Priority Population, is responsible for reviewing scientific
programs to select funding of grants and contracts. This branch of the AHRQ is
responsible for managing the Agencies’ research training and career development
programs, and encourages the spread of health service research throughout the population.
The office of Communications is in charge of creating and managing platforms for
spreading the agencies’ research findings and messages to both internal and
external customers. The Office of Communications consist of three divisions:
The first is the Division of Print and Electronic Publishing which is in charge
of managing published information about the organization, such as website
posting. The AHRQ’s Office of Management Services, is in charge of leading and organizing
program plans throughout the entire agency and assesses and evaluates
administrative operations and activities.

            Another department within the AHRQ, is the Center for
Delivery, Organization and Marketing which uses research to develop the company’s
leading providers of healthcare delivery, organization and marketing advancements.
This branch has researchers that pinpoint the needs of developing research,
managing the collection of research contracts and grants, establishing which
peer-research are published and finally it creates databases and software tools
used within these databases. The Center for Financing, Access and Cost Trends, manages
the study of the cost, financing and access to healthcare and its services and associated
trends. This branch of the AHRQ also supports policy and behavioral analysis
and research by creating data sets.

            The Center for Evidence and Practice Improvement, helps
improve healthcare practices by producing new information, produces new
evidence, and establishes what works in the healthcare delivery system. There
are five divisions of this branch: The Evidence-Based Practice Center Program, The
U.S. Prevention Service Task Force Program, The Division of Decision Science
and Patient Engagement, Division of Healthcare Information Technology and The Division
of Practice Improvement. In addition, The Center for Quality Improvement and
Patient Safety uses research and evidence to improve our healthcare system’s
quality and safety. Some of the responsibilities of the Center for Quality
Improvement and Patient Safety are to back research that is
user-driven pertaining to the patient’s safety and the measure of quality of healthcare,
reporting and improvements. They are also responsible for creating and sharing
information and reports on healthcare quality measures and developments.
Overall,
the AHRQ’s organizational structure is successful in their efforts to share and
distribute their findings on patient safety.

           

            The AHRQ was first established on December 19, 1989 and was
originally named the Agency of Health Care Policy and Research (AHCPR). It was
recognized as a Public Health Service Agency in the U.S. Department of Health
and Humanities Services and was established under the Omnibus Budget
Reconciliation Act of 1989 (Info). The organization implemented its new name,
the Agency for Health Research and Quality on December 6, 1999, and was created
as a result of the Health Research and Quality Act of 1999 (Info,). The
National Center for Health Services Research was created on July 23, 1979. This
program, established by the United States Government, was responsible for
conducting research pertaining to health services which aided in paving the way
for the creation of the AHRQ (allgov). When it was first established in 1989,
the AHRQ had a ten-year life-span and its mission was to “Support research
designed to improve the quality, safety, efficacy and effectiveness of health
care for all Americans.”

            As a way to try to improve medical practices in its
beginning years of establishment, the AHRQ decided to carry out huge
multi-institutional, multidisciplinary jobs that looked at specific conditions
that patients had, and the effects they had on them. At
this time, the AHRQ indorsed a lot of criticism from medical professionals who
weren’t happy with the suggestions and recommendations the organization made and
didn’t like AHRQ interfering with the practice of medicine. As a result, the
organization decided to put its efforts on hold. However, the agency’s largest
mistake was made in the early 1990s, when it got involved in the healthcare
reform plan of Bill and Hillary Clinton. 
Representatives from the AHRQ worked very closely with the White House
on Clinton’s plan and as a result, when the Healthcare Reform effort failed,
the AHRQ was associated with this failure. 
Therefore, when Congress was taken control of by the Republicans in 1994,
they remembered the AHRQ’s involvement in these efforts.

            When the Republican Party gained control over Congress in
1995, as part of their proposal to reduce government spending, they debated
eliminating the AHRQ. Although the AHRQ was able to overcome
this obstacle, it continued to survive despite this threat and moving forward,
the organization’s officials gained a more cautious outlook regarding its work.
After facing this obstacle, the agency learned a very important lesson: “Of
avoiding activities that may generate negative political fallout.”

            The mandate of the AHRQ was due to expire in 1999, and Congress
was responsible in making the decision whether or not to renew it. Though
Congress eventually chose to renew the organization’s mandate, the agency sustained
after a few changes were made. The new legislation’s most important change was altering
the name of the agency. The name change that was made changed The Agency for
Health Care Policy and Research to its present day name, The Agency for
Healthcare Research and Quality (AHRQ). The removal of “Policy” from the name
was purposely changed to “Quality,” because of the idea that the agency’s
former name would continue to be associated with Clinton’s Healthcare Reforms
failure. The legislation’s name change also successfully stopped the AHRQ’s
development of practice guidelines and specified that the organization was not
a regulatory body. As a result of the agency’s mistakes, the AHRQ kept in mind
some significant ideas moving forward. One was “The value of engaging in
activities that are important to those in the administration and Congress who
affect the agency’s resources” and, “The need to make key constituencies aware
of the agency’s activities (ballotpedi).”  In conclusion, today the ARHQ’s
main focuses are on funding for research grants and funding, and up keeping the
quality of healthcare delivery services.

            The AHRQ provides research that helps improves the
quality of healthcare while also making it safer and more cost effective for
citizens of the Unites States. Individuals such as caregivers, patients, health
care physicians, federal organizations, researchers and policymakers depend on
the AHRQ and their efforts to fund, conduct and dispense a wide range of
healthcare service research findings which help improve decision making and
enhances healthcare facilities, services and financing. The AHRQ is in charge
of finding out and making sure that United States citizens’ yearly $3.0
trillion investment in healthcare can have a higher values, be more effective
and meet the specific needs of all Americans. The AHRQ reaches
its goals by participating in three different kinds of activities. The first is
by improving the quality, safety and accessibility of healthcare by investing
in research that aids in doing this. Another goal is to provide resources to
healthcare providers to teach and train professionals in making improvements in
healthcare. The final goal is to create measures that track and advance the
evaluation process and performance.

            The AHRQ’s initiative for Health Information Technology
(HIT) is a significant contributor in the Nation’s plan to help get information
technology established in healthcare. The addition of HIT into primary care is
comprised of multiple electronic methods that are used to manage data, research
and statistics regarding the public’s health and healthcare for both individuals
and groups of patients. In primary care, Health IT is comprised of: Clinical Decision
Support, Computerized Disease Registries, Computerized Provider Order Entry,
Consumer Health IT Applications, Electronic Medical Record Systems (EMRs, EHRs,
and PHRs), Electronic Prescribing, and Telehealth. The AHRQ’s National Resource
Center for Health Information IT, is the connection between health care for the
public and researchers and specialists that are on the forefront of Health
IT.  The National Resource Center
supports the acceptance and adoption of Health IT which provides the newest
equipment, tools, best practices and research outcomes from the unique true
laboratories. Some
of these Health IT resources include, Workflow Assessment for Health IT
Toolkit, Health IT Tools and Resources and Health IT Literacy Guide.

            The AHRQ is one of the twelve organizations in the
Department of Health and Human Services that works to improve the safety and
quality of health care for the citizens of the United States by investing in
data and research to help reach its mission. During the course of its existence,
AHRQ has improved and supported healthcare facilities and has helped healthcare
professionals in improving the quality of healthcare for patients.