This fact sheet summarizes child-relevant

studies in the areas of outcomes; quality;

and cost, use, and access—AHRQ’s three

strategic goals. It then summarizes

AHRQ’s fiscal year 2000 support for

capacity building in research and for

dissemination. In fiscal year 2000,

AHRQ announced support for $20

million in new research grants and

contracts and $1.1 in new research

training grants on children’s health care

issues.

Outcomes

AHRQ supports research designed to lead to

improvements in health outcomes.

Outcomes research examines the end results

of the structure and processes of health care

on the health and well-being of patients

and populations. A unique characteristic of

this research is the incorporation of the

patient’s perspective in the assessment of

effectiveness.

Barriers to Anti-Inflammatory Use in

Childhood Asthma. Principal

Investigator: Hannelore Yoos, Ph.D.,

CPNP, University of Rochester School of

Nursing, Rochester, NY. 3/01/00-

2/28/01. (Grant No. R03 HS10689).

The aim of this study is to identify

parental belief barriers to appropriate

anti-inflammatory use for childhood

asthma and to develop a survey

instrument that may be useful in both

research and health care settings to

identify at-risk populations and

circumstances.

*Project includes children or children’s

healthcare issues but does not focus

exclusively on children

Clinical Decision Rules in Pediatric

Pneumonia. Principal Investigator, E.

Melinda Mahabee-Gittens, Children’s

Hospital Medical Center, Cincinnati,

OH. 9/1/00-8/31/01. (Grant No. R03

HS11038). This study will develop

decision rules to predict radiographic

pneumonia(pneumonia detected by chest

x-ray) in patients aged 2-5 years old with

symptoms of lower respiratory infection.

Economic Impact of Breast-Feeding

Promotion Intervention. Principal

Investigator: Karen A. Bonuck,

Montefiore Medical Center, Bronx, NY.

9/1/00-11/30/03. (Grant No. R18

HS10900). This randomized controlled

trial at two community health centers

will compare the benefits of pre- and

post-natal breast-feeding promotions to

child health care costs, breast-feeding

practices, and child care outcomes.

Efficacy and Reliability of

Telemedicine in Routine Pediatric

Practice. Principal Investigator: Kenneth

M. McConnochie, University of

Rochester, School of Medicine &

Dentistry, Rochester, NY. 9/1/00-

8/31/01. (Grant No. R01 HS10753).

The aim of this study is to assess the

reliability and efficacy of telemedicine for

common, acute complaints of children to

the emergency department or primary

care office settings.

Harvard Pilgrim Health Care CERT.

Principal Investigator: Richard Platt,

M.D., Harvard Pilgrim Health Care, and

Brigham and Women’s Hospital, Boston,

MA. (Grant No. R01 HS10247).

9/1/00-8/31/03. This Center for

Education and Research in Therapeutics

www.ahrq.gov

AHRQ is the lead agency charged with 

supporting research designed to improve the

quality of health care, reduce its cost, address

patient safety and medical errors, and 

broaden access to essential services. AHRQ 

sponsors and conducts research that provides

evidence-based information on health care outcomes; quality; and cost, use, and access. The

information helps health care decisionmakers—

patients and clinicians, health system leaders,

and policymakers— make more informed 

decisions and improve the quality of health 

care services.

Research on Child

and Adolescent Health

New Starts—

Fiscal Year 2000

Agency for Healthcare Research and Quality • 2101 East Jefferson Street • Rockville, MD 20852

FACT SHEET

U.S. Department of Health 

and Human Services

Public Health Service
(CERT) will develop and test physician

and patient level interventions in entire

communities to determine if the

interventions reduce antibiotic

prescribing and the prevalence of

resistance among children and other

populations.

High Risk Periods for Child Injury

Among Siblings. Principal Investigator:

David C. Grossman, University of

Washington, Seattle, WA. (Grant No.

R03 HS10724). (3/00-2/01). Using data

from a large health maintenance

organization, the investigators will

conduct retrospective cohort study to

confirm and generalize previous work

that suggested a temporal association

between family injury events and

subsequent, additional childhood

injuries.

*Home Screening for Chlamydia

Surveillance. Principal Investigator:

Roberta B. Ness, University of

Pittsburgh, Pittsburgh, PA. 7/25/2000-

6/30/2005. (Grant No. R01 HS10592).

This randomized clinical trial will

evaluate the effectiveness of home

screening for chlamydia and gonorrhea

relative to office-based screening among

women 14-29 years old with a prior

diagnosis of chlamydia.

Hospital Reported Medical Injury in

Children. Principal Investigator:

Anthony D. Slonim, Children’s Research

Institute, Children’s Hospital National

Medical Center, Washington, DC.

9/1/00-8/31/01. (Grant No. R03

HS11022). This project will use AHRQ’s

Healthcare Cost and Utilization Project

(HCUP) to: (1) quantify the proportion

of pediatric discharges with hospitalreported medical injuries and (2) describe

the association of selected patient

characteristics with hospital-reported

medical injuries.

Otitis Media: Parent Education to

Avoid Antibiotic Use. Principal

Investigator: David P. McCormick, M.D.

University of Texas Medical Branch,

Galveston, TX. $1,149,167; 03/01/00 -

02/28/03. (Grant No. R01 HS10613).

The goal of this project is to establish the

safety, efficacy, cost, and acceptability of

withholding antibiotics from children

with mild acute otitis media and

substituting nonantibiotic, symptomatic

treatment, parent education, and careful

followup of children with this common

condition.

Outcomes in Spontaneous and

Latrogenic Multiple Pregnancy.

Principal Investigator: Anne M. Lynch,

Kaiser Foundation Research Institute,

Oakland, CA. (Grant No. R03

HS10700). This retrospective cohort

study will examine health care utilization

and maternal, neonatal, and infant health

outcomes associated with assisted

reproductive interventions versus

spontaneous conception.

PEAT: Pediatric Emergency Assessment

Tool. Principal Investigator: Marc

Gorelick, Jefferson Medical College,

Philadelphia, PA. 9/1/00-8/31/01.

(Grant No. R03 HS11028). This cohort

study aims to develop a multivariable

model to predict the probability of the

need for different levels of emergency

care.

A Perinatal Health Services Research in

Laboratory Pilot. Principal Investigator:

Douglas K. Richardson, Beth Israel

Deaconess Medical Center, Inc., Boston,

MA. (Grant No. R03 HS10824). 9/00-

9/01. This project aims to define new

outcomes related to perinatal morbidity

and their associated resource use, to

define sample and effect sizes for future

studies of perinatal morbidity, and

identify future research priorities in

perinatal care.

Regionalization, Market Forces, and

Neonatal Mortality. Principal

Investigator: Ciaran S. Phibbs, Ph.D.

Palo Alto Veterans Affairs Medical

Center, Menlo Park, CA. 04/01/00 -

03/31/04. (Grant No. R01 HD36914).

This study of neonatal intensive care

units (NICU) will use data from

California to assess neonatal mortality

differences over time, examine the

relationship between total NICU volume

and the volume of newborns in specific

high-risk groups, look at the relationship

between type of insurance coverage and

neonatal mortality over time, and

examine how competition and the

increased use of market forces to control

costs have affected the diffusion of

NICUs into community hospitals. Cofunded by the National Institute of Child

Health and Human Development.

Rural Emergency Departments as

Access Points for Teen Smoking

Intervention. Principal Investigator:

2 www.ahrq.gov
Kimberly Horn, West Virginia

University, Morgantown, WV. 2000-

2003(Grant No. R18 HS10736). This

project will deliver a theory-based brief

motivational interview with three followup phone calls is to randomly selected

14-18 year-olds who seek care in the

emergency department of a major

university hospital.

TennCare Gaps for Children: Asthma

Clinical Outcomes. Principal

Investigator: William O. Cooper,

Vanderbilt University, Nashville, TN.

9/1/00-2/28/02. (Grant No. R01

HS10249). This study seeks to quantify

the effect of gaps in Medicaid enrollment

on two outcomes relevant to children

with asthma: emergency department

visits and hospitalizations for asthma.

Unstudied Infants: Low Risk Babies in

a High Risk Place. Principal

Investigator: Douglas K. Richardson,

Beth Israel Deaconess Medical Center,

Inc., Boston, MA. (Grant No. R01

HS10131). 8/00-7/03. This project will

describe the epidemiology, treatment,

and outcomes of moderately premature

newborns who are admitted to an

intensive care setting during the birth

hospitalization.

Quality

AHRQ supports research to strengthen

quality measurement and improvement.

Achieving this goal requires developing and

testing quality measures and investigating

the best ways to collect, compare, and

communicate these data so they are useful

to decisionmakers. AHRQ’s research also

emphasizes studies of the most effective ways

to implement these measures and strategies

in order to improve patient safety and

health care quality.

Investigator-initiated studies:

Developing and Validating Quality

Measures for Children. Principal

Investigator: Mark Chassin, M.D.,

Mount Sinai School of Medicine, New

York, NY. (Grant No. R01 HS10302)

This study is designed to develop and

validate measures of quality to assess the

appropriateness of the use of

tympanostomy tubes in children.

Pediatric EBM-Getting Evidence Used

at the Point of Care. Principal

investigator: Robert L. Davis, University

of Washington, Seattle, WA.

09/01/2000-08/28/2003. (Grant No.

R01 HS10516). This study will examine

whether the provision of evidence at the

point of ambulatory pediatric care will

improve antibiotic use in specific

pediatric disorders, reduce duration of

therapy for acute sinusitis, reduce use of

bronchodilators in treatment of

bronchiolitis, and increase the use of

intranasal steroids for allergic rhinitis.

*Is Quality Care Cost-Effective?

HEDIS 2000 Evidence. Principal

Investigator: Peter J. Neumann, Harvard

University, Boston, MA, and Project

Hope, Bethesda, MD. (Grant No. R03

HS10709). This study will examine the

extent to which quality measures used in

the Health Employer Data and

Information Set (HEDIS) reflect costeffective practices. This project will

include examination of child-relevant

HEDIS effectiveness of care measures

such as childhood and adolescent

immunization status, as well as others

that could impact children and

adolescents: advising smokers to quit;

followup after hospitalization for mental

illness, and antidepressant medication

management.

Projects funded under the RFA

Understanding and Eliminating

Racial and Ethnic Disparities

This RFA sought projects that would

analyze causes and contributing factors for

the inequalities that are related to the

delivery and practice of health care, and

identify and implement strategies to

eliminate them.

*Access and Quality of Care for

Vulnerable Black Populations. Principal

Investigator: Robert Mayberry,

Morehouse School of Medicine. (Grant

No. P01 HS10875). This program

project grant includes one project related

to children. The project will look at

compliance with guidelines on content of

prenatal care and its effect on pregnancy

outcomes in southwest Atlanta.

*Improving the Delivery of Effective

Care to Minorities. Principal

Investigator: Mark R. Chassin, Mt. Sinai

School of Medicine, New York, NY.

(Grant No. P01 HS10859). 9/00-8/05.

This program project grant includes a

project on Assessing Variations in the

Management of Prematurity, in which

vital statistics from Manhattan will be

www.ahrq.gov3
used to determine the relationship

between newborn ethnicity, obstetric,

and NICU volumes of the hospital of

birth.

*Promoting Effective Communication

and Decision-Making in Diverse

Populations. Principal Investigator:

Eugene Washington, University of

California, San Francisco. (Grant No.

P01 HS10856). 9/00-8/05. Included in

this program project grant is a study on

Ethnic Disparities in Perinatal Outcomes

among multi-ethnic uninsured

childbearing women enrolled in a staff

model managed care organization. 

*UCLA/DREW/RAND Program to

Address Disparities in Health. Principal

Investigator: Martin Shapiro, UCLA.

(Grant No. P01 HS10858). 9/00-8/05.

This grant includes a project to address

racial and ethnic differences in infant

mortality using linked birth records,

death records and hospital discharge

abstract data for all births in California

between 1990 and 2000.

Projects Funded under the RFA

Translating Research Into Practice

II

The TRIP II RFA sought to support

cooperative agreement demonstration

projects which specifically focus on

evaluating strategies for translating research

into practice through the development of

partnerships between researchers and health

care systems and organizations.

*An Internet Intervention to Increase

Chlamydia Screening. Principal

Investigator: Jeroan J. Allison, University

of Alabama at Birmingham. (Grant No.

U18 HS11124). 9/00-9/03. Study

physicians will complete a year-long series

of Internet learning modules that

integrate case-based education with audit,

feedback, and benchmarking of practice

profiles The interventions are expected to

result in improved screening and

treatment rates, and lowered rates of

pelvic inflammatory disease among the

16-26 year-old patients who are the focus

of the study. 

Better Pediatric Outcomes Through

Chronic Care. Principal Investigator:

Judith Fifield, University of Connecticut

Health Center, Farmington, CT. (Grant

No. U18 HS11068). 9/00-9/03. This

quality improvement project will evaluate

the impact of a computerized client

server system that incorporates four

modules for screening, outreach, and

tracking pediatric asthma patients ages 5-

18 on community health centers.

Developing an Asthma Management

Model for Head Start Children.

Principal Investigator: Perla A. Vargas,

Arkansas Children’s Hospital. (Grant No.

U18 HS11062). 9/00-9/03. This multipart case-management intervention will

engage Head Start personnel in efforts to

improve the identification of asthma and

identification of barriers to treatment,

and to engage in problem-solving with

families of children ages 3-5 with asthma.

Implementing Adolescent Preventive

Guidelines. Principal Investigator:

Charles E. Irwin, Jr., M.D., University of

California-San Francisco School of

Medicine. (Grant No. U18 HS11095).

9/00-9/03. Study providers will attend

training sessions and bimonthly booster

sessions and receive feedback on

adolescent patients’ receipt of clinical

preventive services in 6 topic areas.

Providers will also receive tools including

an adolescent health screening

questionnaire and a customized charting

form that includes reminder prompts and

a format for documenting that services

were provided.

MCO Use of a Pediatric Asthma

Management Program. Principal

Investigator: Michelle M. Cloutier,

University of Connecticut Health Center

School of Medicine. (Grant No. U18

HS11147). 9/00-9/03. Study practices

will be provided with five tools intended

to simplify the asthma guidelines. One

physician and one nurse from each

practice will participate in a 5-hour

training session on how to use the

materials, followed by assistance with

program implementation, trouble

shooting, and patient-specific feedback. 

Project funded under the RFA,

Systems-Related Best Practices to

Improve Patient Safety 

This RFA sought cooperative agreements to

test the effectiveness of the transfer and

application of techniques or interventions to

improve patient safety through the

reduction of preventable systems-related

medical errors with high prevalence and

severe consequences.

Teamwork and Error in Neonatal

Intensive Care. Principal Investigator:

4 www.ahrq.gov
Eric J. Thomas, University of Texas

Health Sciences Center, Houston, TX.

(Grant No. U18 HS11164). 9/00-9/01.

This study will test the hypothesis that

specific behaviors in teamwork are

correlated with errors in delivering care to

preterm infants during their initial

resuscitation and during the first 90

minutes of care in the neonatal intensive

care unit (NICU).

Contracts

*Automated Decision Support Systems

and Clinical Data Collection.

Children’s Hospital, Boston, MA. The

purpose of this project is (1) to develop a

prototype database-backed website to

give clinicians the opportunity to report

suspicious trends of sentinel events

related to possible bioterrorism; and (2)

to develop prototypes for four types of

decision support systems for clinicians, to

give clinicians information and advice on

appropriate responses, including plans for

evaluation with mock scenarios.

Consumer Assessment of Health Plans

Survey for Children with Special

Health Care Needs Dissemination.

This contract with Westat, Inc. will

support a range of activities to further

develop and disseminate a Children with

Special Needs (CSN) survey module.

Implementation of Otitis Media

Practice Guidelines With Priority

Populations. Principal Investigator: Joe

V. Selby, Kaiser Permanente Division of

Research, Oakland, CA. Key Personnel:

Margaret J. Gunter, Ph.D., Vice

President and Executive Director,

Lovelace Clinic Foundation. This study

will evaluate the development and

implementation of evidence-based

guidelines for acute otitis media patients

using a quasi-experimental design and

comparing effects for Hispanic v. non

Hispanic and Medicaid v. privately

insured children.

Small Business Innovation

Research Attention Deficit Hyperactivity

Disorder (ADHD) Living Guide.

Clinical Tools, Inc., Chapel Hill, NC..

This SBIR project will develop a set of

tools for families with a child who has

ADHD. The ADHD Living Guide is a

communication tool to coordinate the

care of a child with ADHD and to

inform parents, teachers and health

providers. The project will also create “My ADHD Success Book,” a tool for

children.

Evidence Reports Begun in Fiscal

Year 2000

Under the Evidence-based Practice

Program of the Agency for Healthcare

Research and Quality, 12 five-year contracts

have been awarded to institutions in the

United States and Canada to serve as

Evidence-based Practice Centers (EPCs).

The EPCs will review all relevant scientific

literature on assigned clinical care topics

and produce evidence reports and

technology assessments, conduct research on

methodologies and the effectiveness of their

implementation, and participate in

technical assistance activities. Public and

private sector organizations recommend

topics and may use the reports and

assessments as the basis for their own

clinical guidelines and other quality

improvement activities. In fiscal year 2000,

the following topics relevant to children

were assigned to AHRQ’s EPCs.

Criteria to Determine Disability of

Infant/Childhood Impairments. New

England Medical Center.

Management of Allergic Rhinitis. New

England Medical Center.

Pediatric, Obstetric, and Computer

Based Interventions in Telemedicine.

Oregon Health Sciences University. 

Post-term Pregnancy Management.

Duke University.

Cost, Utilization, and Access

One of AHRQ’s Strategic Goals is to

identify strategies to improve access, foster

appropriate use, and reduce unnecessary

expenditures in health care.

Hospital Service Areas for Pediatrics.

Principal Investigator: Mark F.

Guagliardo, M.D., Children’s Research

Institute, Children’s Hospital National

Medical Center, Washington, DC. .

(Grant No. R03 HS11021). 9/1/00-

8/31/01. This exploratory project will

define Hospital Service Areas for

Pediatrics (HSAPs) using methodology

similar to that used for elderly adults.

The fit of the new HSAPs and the

original HSAs to the patient origin data

and their relative performance as a

www.ahrq.gov5
clustering variable for pediatric asthma

hospitalization will be compared.

Capacity Building

Planning Grants for Primary Care

Practice-Based Research Networks

Cincinnati Pediatric Research Group

Enhancement Project. Principal

Investigator: Michele Kiely, Children’s

Hospital Medical Center, Cincinnati,

OH. (Grant No. P20 HS11206).

9/30/00-9/29/01. This Practice-Based

Research Network (PBRN) is currently

composed of 16 pediatric practices that

serve a diverse group of 40,000 patients,

including African Americans and

underserved children in Appalachia. This

PBRN’s planning grant will expand the

provider base and the integration of

disparate data systems into a centralized

system for ongoing longitudinal data

collection, maintenance, analysis, and

reporting. 

Enhancing the Capacities of a National

Pediatric PBRN. Principal Investigator:

Richard C. Wasserman, American

Academy of Pediatrics, Chicago, IL.

(Grant No. P20 HS11192). 9/30/00-

9/29/01. This national PBRN’s planning

grant aims to increase involvement of

minorities and rural populations in the

network.

PPRG: Retooling for the 21st Century.

Principal Investigator: Katherine K.

Christoffel, M.D., MPH, Children’s

Memorial Hospital, Chicago. (Grant No.

P20 HS11248). This well-established

regional pediatric network involves 43

Chicago-area primary care practices in

urban, suburban, and rural areas. The

planning grant will enhance the PBRN’s

ability to enroll practices in low-income

areas and its data collection methods. 

*A Regional, Community-Health

Center PBRN. Principal Investigator:

George S. Rust, Morehouse School of

Medicine, Atlanta, GA. (Grant No. P20

HS11217). 9/00-9/01. This planning

grant will allow the Southeast Regional

Clinicians’ Network (SERCN) to assess

the resources and strategies needed to

move to a more sophisticated level of

research, particularly in the area of data

collection from widely varying

information systems. 

Faculty Development for General

Pediatrics Teaching in CommunityBased Setting.

In collaboration with the Health Resources

and Services Administration’s Bureau of

Health Professions, AHRQ continues to

support the Ambulatory Pediatric

Association’s (APA) Primary Care Pediatrics

Research Awards. This special projects

program facilitates in building the field of

child health services research. The three

awards funded in 2000 are:

Effects of Lactation on Lean Body

Mass, Growth and Subsequent Bone

Mineral Density in Teen Mothers.

Principal Investigator: Caroline J.

Chantry, UC Davis Medical Center,

Sacramento, CA. This study will perform

a thorough descriptive analysis of

adolescent breast-feeding mothers,

including their age, ethnicity, duration of

exclusive and total breast-feeding, as well

as health habits, diet, exercise,

contraception, smoking, alcohol and

drug consumption, compared to

adolescent mothers who do not breast

feed.

The Relationship between Poverty,

Dietary Intake, and Poor Growth

among Children in the United States

using the Third National Health and

Examination Survey (NHANES III).

Principal Investigator: Jennifer Kasper,

Boston Medical Center Department of

Pediatrics, Boston, MA. This project will

use NHANES III data to examine how

poverty and growth are associated among

children in the United States aged 2

months to 5 years, and how a substantial

portion of this variance is accounted for

by dietary intake (especially food, energy,

iron and zinc) and food insufficiency.

Factors Mediating the Transmission

and Development of Active

Tuberculosis in Children. Principal

Investigator: Anna M. Mandalakas, The

Rainbow Center for International Child

Health, Cleveland, OH. This study will

identify children who have an increased

risk of tuberculosis infection and disease,

and who should receive high priority for

screening and preventive therapy in

pediatric households in Kampala,

Uganda.

6 www.ahrq.gov
Training Grants

Alternative Healthcare Delivery

Models for Children. Christopher B.

Forrest, Johns Hopkins University

Department of Health Policy and

Management, Baltimore, MD. (Grant

No. K02 HS 000003). 12/00-12/03.

This Independent Scientist Award is

designed to assist Dr. Forrest in reaching

his long-term career goal to conduct

research that leads to improvements in

the delivery of healthcare services to

children and adolescents.

Improving Outcomes in US Latino

Children. Marielena Lara, M.D.,

UCLA, Los Angeles, CA. 7/01/00-

6/30/02. (Grant K08 HS 00008). The

long-term purpose of this Mentored

Clinical Scientist Development Award is

to support and facilitate Dr. Lara’s

development as a health services research

whose work will improve health

outcomes and quality of life in Latino

children with asthma through evidencebased health care and community

interventions.

Insuring Uninsured Children. Glenn

Flores, M.D., Boston Medical Center,

MA. (Grant No. K02 HS11305). 4/01-

3/06. The aims of the research project

funded by this grant are to (1) use focus

groups to identify the reasons why

parents are unable to obtain health

insurance for their uninsured children,

with an emphasis on Latino families; and

(2) conduct a randomized trial to

evaluate whether specially-trained

community-based case managers are

more effective than traditional methods

in reaching out to and enrolling

uninsured children in public insurance

programs.

Profiling the Needs of Dying Children.

John C. Feudtner, History and Sociology

of Science, University of Washington,

Seattle, WA. 8/1/2000-7/31/2005.

(Grant K08 HS00002). This Mentored

Clinical Scientist Award project includes

research to determine whether the

prevalence of terminal congenital

complex chronic conditions is rising and

to examine two markers of quality of care

for children with complex chronic

conditions: whether continuity of care

deteriorates during the last two years of

life and timing of referral to hospice.

The Role of a Regular Source of Care

for At-Risk Youth. Principal

Investigator: Tanisha V. Carino, Johns

Hopkins University School of Hygiene

and Public Health, Baltimore, MD.

(Grant No. F31 HS00150). 9/00-8/03.

This pre-doctoral minority fellowship

project seeks to (1) determine whether

there are disparities in the use of

physician services among adolescents

who differ in health-detracting and

health-promoting characteristics; (2)

better understand the possible mediating

role of having a usual source of care for

these adolescents; and (3) identify the

characteristics of the usual source of care

that lead to greater likelihood of use of

physician services and receipt of

preventive care. 

Validation of an EMS Triage Rule for

Children in MVAS. Craig Newgard,

Harbor-UCLA Research and Education

Institute. 9/1/00-6/30/02. (Grant F32

HS00148). The aim of this project is to

measure the sensitivity specificity, positive

and negative predictive values of a clinical

decision rule for use in the prehospital

triage of pediatric trauma patients injured

in motor vehicle crashes.

Family Influences on Children’s Health

and Healthcare. Principal Investigator:

Whitney P. Witt, Johns Hopkins

University. (Grant No. R03 HS11254).

9/00-8/01. This dissertation study will

explore the relationship of two major

family stressors, childhood disability and

maternal depression, on the health and

functioning of children and youth and

on children’s use of health, including

mental health, care.

Physician Cesarean Rates and RiskAdjusted Birth Outcomes. Principal

Investigator: Tong Li,, MS, MA.

University of Medicine and Dentistry,

Robert Wood Johnson Medical School,

New Brunswick, New Jersey. 6/15/00-

6/14/01. (Grant No. R03 HS10795).

This dissertation study will evaluate the

effectiveness of cesarean sections to

reduce perinatal mortality, and, if it is

effective, to estimate the cost per

infant/fetus saved as measured by

hospital charges.

Time to Neonatal and Postneonatal

Death, U.S. 1985-1995. Principal

Investigator: Amanda J. Liddle,

University of Alabama, Birmingham, AL.

(Grant No. R03 HS11259). 9/00-9/01.

www.ahrq.gov7
This dissertation grant supports a project

that aims to: (1) examine the temporal

variations in time to infant death

from perinatal related causes for each

birth weight group and race group;

(2) examine the association between

the length of stay for the initial

hospitalization of very low birth weight

infants, and the time to their death from

perinatal causes during infancy.

Dissemination

Small Conference Grants

National Congress on Childhood

Emergencies. Principal Investigator: Jane

Ball, Children’s Research Institute,

Washington, DC. 01/01/00-12/31/00.

(Grant No. R13 HS10084). The 2nd

National Congress on Childhood

Emergencies, held in March 2000,

provided an educational opportunity for

a diverse group of emergency medical

services professionals to advance the

concepts of continuous quality in

pediatric emergency care and pediatric

health care.

Building Bridges for Child Health

Research, Policy, and Practice. Principal

Investigator: Holly Grason, MA, Johns

Hopkins University School of Public

Health, Department of Population and

Family Health Sciences, Women’s and

Children’s Health Policy Center,

Baltimore, MD. 6/00-2/28/01. This oneday invitational meeting will bring

together State Maternal and Child

Health leaders working in the public

sector and national experts in child

health research to explore venues for

strengthening science-based practice and

policy through greater integration of

efforts. Partners in convening the

conference also include the Association of

Maternal and Child Health Programs,

the Academy for Health Services

Research and Health Policy, and the

Association of Teachers of Maternal and

Child Health. Cofunded by MCHB.

Dartmouth Symposium on Pediatric

Sedation. Principal Investigator: Joseph

P. Cravero, Dartmouth College, New

Hampshire. (Grant No. R13 HS10110).

8/00-8/01. This conference, organized by

the Dartmouth College Department of

Anesthesiology, will invite experts who

practice pediatric sedation to define the

most problematic issues in the field,

including patient safety issues, and

discuss future research endeavors.

Partners in Transition: Adolescents and

Managed Care Conference. Principal

Investigator: Lois Salisbury, Children

Now, Oakland, CA. (Grant No. R13

HS10109). 9/00-8/01. The purpose of

this conference is to engage health plans

in a practical, hands-on discussion about

why and how to implement a quality

initiative devoted to teen health. 

User Liaison Program Workshops

for Senior State Officials

AHRQ’s User Liaison Program disseminates

health services research findings in easily

understandable and usable formats through

interactive workshops and technical

assistance for policymakers and other health

services research users. Summaries of

workshops that have already been held are

available on AHRQ’s website at

http://www.ahrq.gov/news/ulpix.htm.

Children with Special Health Care

Needs: Developing Integrated Systems

of Care. November 3-5, 1999,

Independence, OH.

Improving the Care Delivered to

Children Served by State Agencies.

January 24-26, 2001, New Orleans, LA.

For further information about child

health projects at AHRQ:

http://www.ahrq.gov/child/

www.ahrq.gov

AHRQ Pub. No. 01-P019

March 26, 2001