-
cds.ahrq.gov/sites/default/files/cds/artifact/1066/2023_CDS_Connect_IG_T2DM_Part_Two_Counseling_0.pdf
January 01, 2023 - The USPSTF 2021 Gestational Diabetes
Mellitus, Screening recommendation addresses screening for diabetes … a revised
recommendation, “Prediabetes and Type 2 Diabetes: Screening.” … alone,
and it no longer embeds screening as part of cardiovascular risk assessment. … Clinicians should consider
screening earlier in persons with one or more of these.” … Screening for Abnormal Blood Glucose and Type 2
Diabetes Mellitus: Consumer Guide.
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cds.ahrq.gov/sites/default/files/cds/artifact/476/Pain%20Management%20Summary%20Clincial%20Decision%20Support%20Toolkit_for%20Repository.xlsx
January 01, 2003 - active) and depression (active)
Pain Assessment: Wong Baker FACES completed (within past 2 years)
Risk Screening … Baker FACES completed (within past 12 months)
- PEG completed (more than 12 months in the past)
Risk Screening … of mother
O28.5 Abnormal chromosomal and genetic finding on antenatal screening of mother … pregnancy
O28.0 Abnormal hematological finding on antenatal screening of mother
O28.4 … Abnormal radiological finding on antenatal screening of mother
O28.3 Abnormal ultrasonic finding
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cds.ahrq.gov/sites/default/files/cds/artifact/476/Pain%20Management%20Summary%20Clincial%20Decision%20Support%20Toolkit_for%20Repository_0.xlsx
January 01, 2003 - active) and depression (active)
Pain Assessment: Wong Baker FACES completed (within past 2 years)
Risk Screening … Baker FACES completed (within past 12 months)
- PEG completed (more than 12 months in the past)
Risk Screening … of mother
O28.5 Abnormal chromosomal and genetic finding on antenatal screening of mother … pregnancy
O28.0 Abnormal hematological finding on antenatal screening of mother
O28.4 … Abnormal radiological finding on antenatal screening of mother
O28.3 Abnormal ultrasonic finding
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cds.ahrq.gov/sites/default/files/workgroups/211/dec-2016-cholesterol-wg-notes.docx
January 01, 2016 - measures (eCQMs), ASCVD risk assessment tools, the Preventive Services Selector application that provides screening … aligning with current CPGs, therefore should be considered with caution and caveat:
· CMS 61 – LDL Screening … (although initially considered as up to date based on the concept of screening, the numerator of this … discussed the scope of CDS that may be developed in the area of cholesterol management (i.e. supporting the screening … Diabetics
· ABCS measures listed on Million Hearts website: here
CDS Artifact Caution List
· CMS 61 – LDL Screening
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cds.ahrq.gov/sites/default/files/workgroups/33746/CDS_Connect_WG_Presentation_September_2021.pdf
January 01, 2021 - metadata updated with the posted IG
• Abnormal Blood Glucose and Type 2 Diabetes Mellitus: Part One, Screening … https://cds.ahrq.gov/cdsconnect/artifact/abnormal-blood-glucose-and-type-2-diabetes-mellitus-part-one-screening
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/2022_Data_Requirements_Prediabetes_and_Type_2_Diabetes_Part_One.xlsx
January 01, 2022 - FHIR DSTU2 Data Requirements
FHIR DSTU2 Data Requirements: Prediabetes and Type 2 Diabetes: Part 1, Screening … -9
FHIR R4 Data Requirements
FHIR R4 Data Requirements: Prediabetes and Type 2 Diabetes: Part 1, Screening
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cds.ahrq.gov/sites/default/files/workgroups/13461/CDS_Connect_WG_June_2021_Summary_0.pdf
January 01, 2021 - Those reviews occur at the points of prescriber knowledge,
computer screening of electronic health records … (EHR), pharmacist screening, patient risk factors, drug
administration, patient education, and monitoring … CDS Connect artifact examined in this WG meeting
enhances risk identification during the computer screening
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_Data_Requirements_T2DM_Part_One.xlsx
January 01, 2024 - FHIR DSTU2 Data Requirements
FHIR DSTU2 Data Requirements: Prediabetes and Type 2 Diabetes: Part 1, Screening … -9
FHIR R4 Data Requirements
FHIR R4 Data Requirements: Prediabetes and Type 2 Diabetes: Part 1, Screening
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2019.pdf
January 01, 2019 - to as Abnormal Glucose: Screening in this document) is derived from the
USPSTF full recommendation … statement on Screening for Abnormal Blood Glucose and Type 2
Diabetes Mellitus. … searchresult=1
24
2.3.3 Screening for Abnormal Blood Glucose and Type 2 Diabetes Mellitus:
Part … Screening for Abnormal Blood Glucose and
Type 2 Diabetes Mellitus: U.S. … for Abnormal Blood Glucose and Type 2 Diabetes Mellitus: Part 1, Screening
2.3.3 Screening for Abnormal
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cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS%20for%20Repository.pdf
May 24, 2023 - lowest effective dose
§ Monitor PDMP
– ≤50 MME/day preferred
– ≥90 MME/day is high risk
§ Urine drug screening … factors for opioid-related harms
Pain Assessments
– Wong-Baker FACES Rating Scale
– PEG & STarT Back Screening … – MME amount
– Urine drug screen results
– Benzodiazepine medications
– Naloxone medications
– Risk screenings … Benzodiazepine medications – all within the past 2 years
§ Naloxone medications – ever prescribed
§ Risk screenings
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/2023_Data_Requirements_T2DM_Part_One.xlsx
January 01, 2023 - FHIR DSTU2 Data Requirements
FHIR DSTU2 Data Requirements: Prediabetes and Type 2 Diabetes: Part 1, Screening … -9
FHIR R4 Data Requirements
FHIR R4 Data Requirements: Prediabetes and Type 2 Diabetes: Part 1, Screening
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/ImplementationGuidePainManagementSummary50810012018.pdf
December 01, 2018 - Patient’s risk screenings that are relevant to pain management with their
overall scores and dates for … Data
limitations
Assessments and
Screenings
Much of the data in the Pain Management Summary … is comprised of assessments
and screenings (e.g., Wong-Baker FACES, PEG, PHQ-9). … Many EHRs, however,
do not yet support returning assessments and screenings via the FHIR API. … Decision aids for people facing health treatment
or screening decisions.
-
cds.ahrq.gov/sites/default/files/cds/artifact/106/Poster_AMIA_mid_atlantic_HWI_jm.pptx
February 08, 2012 - Actual EHR documentation rates:
Overweight – 13.30% Obese – 49.48%
85% of providers reported starting screening
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS_for%20Repository.pdf
September 21, 2018 - lowest effective dose
▪ Monitor PDMP
– ≤50 MME/day preferred
– ≥90 MME/day is high risk
▪ Urine drug screening … factors for opioid-related harms
Pain Assessments
– Wong-Baker FACES Rating Scale
– PEG & STarT Back Screening … MME amount
– Urine drug screen results
– Benzodiazepine medications
– Naloxone medications
– Risk screenings … Benzodiazepine medications – all within the past 2 years
▪ Naloxone medications – ever prescribed
▪ Risk screenings
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS_for%20Repository_0.pdf
September 21, 2018 - lowest effective dose
▪ Monitor PDMP
– ≤50 MME/day preferred
– ≥90 MME/day is high risk
▪ Urine drug screening … factors for opioid-related harms
Pain Assessments
– Wong-Baker FACES Rating Scale
– PEG & STarT Back Screening … MME amount
– Urine drug screen results
– Benzodiazepine medications
– Naloxone medications
– Risk screenings … Benzodiazepine medications – all within the past 2 years
▪ Naloxone medications – ever prescribed
▪ Risk screenings
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/ImplementationGuidePainManagementSummary508_with%202020%20updates%202.pdf
May 01, 2020 - Patient’s risk screenings that are relevant to pain management with their
overall scores and dates … Much of the data in the Pain Management Summary is comprised of assessments
and screenings [e.g., … Many EHRs, however, do not yet support returning
assessments and screenings via the FHIR API. … issue by implementing custom code to extend
their EHR's FHIR API to support returning assessments and screenings … Decision aids for people facing
health treatment or screening decisions.
-
cds.ahrq.gov/sites/default/files/Sharing_Lessons_Learned_With_CDSConnect_TEMPLATE.pdf
August 01, 2020 - Sharing Lessons Learned with CDS Connect Template
SHARING LESSONS LEARNED WITH CDS:
PROPOSED TOPICAL SERIES
1
508 Guidance: Quick Tips for Authors
• Turn on “Accessibility Check” in PowerPoint while authoring
► Commonly found under “Review” or ”Tools”.
• Gi…
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/2023_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2023 - Patient’s risk screenings that are relevant to pain management (e.g., AUDIT,
DAST-10, PHQ-9) with their … support encounters.
32
Decision
Category Concept Rationale
Data limitations Assessments and
Screenings … Much of the data in the Pain Management Summary is comprised of assessments and screenings
(i.e., … Many EHRs, however, do not yet support
returning assessments and screenings via the FHIR API. … Decision aids for people facing health treatment or
screening decisions.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - Screening for Abnormal Blood Glucose and Type 2 Diabetes Mellitus: This
recommendation statement was … divided into two distinct artifacts to enable
implementers to select the “screening” component of the … “Hemoglobin A1c” (HbA1c)
• Artifacts: Abnormal Glucose: Screening; Abnormal Glucose: Counseling. … “Gestational diabetes”
• Artifacts: Abnormal Glucose: Screening; Abnormal Glucose: Counseling. … “Polycystic ovary syndrome”
• Artifacts: Abnormal Glucose: Screening; Abnormal Glucose: Counseling
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/2019%20CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
January 01, 2019 - Screening for Abnormal Blood Glucose and Type 2 Diabetes Mellitus: This
recommendation statement was … divided into two distinct artifacts to enable
implementers to select the “screening” component of the … “Hemoglobin A1c” (HbA1c)
• Artifacts: Abnormal Glucose: Screening; Abnormal Glucose: Counseling. … “Gestational diabetes”
• Artifacts: Abnormal Glucose: Screening; Abnormal Glucose: Counseling. … “Polycystic ovary syndrome”
• Artifacts: Abnormal Glucose: Screening; Abnormal Glucose: Counseling