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cds.ahrq.gov/sites/default/files/workgroups/246/jul-2017-cholesterol-wg-notes.docx
January 01, 2017 - Option Year Clinical Domains
Next Steps and Close
·
SUMMARY
Welcome
CAMH welcomed the attendees to … One practice has a dyslipidemia tip sheet that is a living document changed every 6 months. … Option Year Clinical Domains
CAMH requested the WG’s feedback and experiences with numerous clinical … domains under consideration for the Option Year work:
Expand CVD prevention and treatment:
Consider … Focus on concepts or domains where CDS can make a difference.
0.
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cds.ahrq.gov/sites/default/files/workgroups/221/feb-2017-cholesterol-wg-notes.docx
January 01, 2017 - offered a few comments:
· Consider a sub-hierarchy, 2 layers of specification, or other means to present domains … LDL-c laboratory result, citing the 2013 ACC/AHA guideline recommendation to assess risk every 4 to 6 … may be data availability and/or query response issues when considering lookback periods longer than 6 … for the BP measurements, citing the 2013 ACC/AHA guideline recommendation to assess risk every 4 to 6 … Case Number 17-0975.
2017 The MITRE Corporation.
6
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cds.ahrq.gov/sites/default/files/reports/AHRQ_Final_Report_2017.pdf
January 01, 2017 - The term “artifacts” can apply to a variety of CDS
domains, including alerts, order sets, textual reports … Establish Stakeholder Work Groups
6. Host and Maintain Prototype Tools
7. … Task 6. … if appropriate to project
goals.
6. … if appropriate to project goals.
6.
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cds.ahrq.gov/sites/default/files/reports/AHRQ_Final_Report_2018.pdf
January 01, 2018 - Figure 6. … Topics: New artifacts spanning varied domains prompted MITRE to implement Topics
as a mechanism for … Task 6. … To support authoring CDS artifacts across a wide variety of clinical domains, the CDS
Authoring Tool … Maintain Stakeholder Working Group
Task 6.
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cds.ahrq.gov/sites/default/files/cds/artifact/1071/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - Commitment of designated point(s) of contact for technical, clinical, and
operational domains. … project team created research questions that
could be investigated during the pilot across the three domains … Develop the initial pilot analytic plan.
6. … It can be used within both the CDS and
electronic clinical quality measure domains. … Accessed June
4, 2019.
6. National Library of Medicine.
-
cds.ahrq.gov/sites/default/files/cds/artifact/71/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - Commitment of designated point(s) of contact for technical, clinical, and
operational domains. … project team created research questions that
could be investigated during the pilot across the three domains … Develop the initial pilot analytic plan.
6. … It can be used within both the CDS and
electronic clinical quality measure domains. … Accessed June
4, 2019.
6. National Library of Medicine.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1066/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - Commitment of designated point(s) of contact for technical, clinical, and
operational domains. … project team created research questions that
could be investigated during the pilot across the three domains … Develop the initial pilot analytic plan.
6. … It can be used within both the CDS and
electronic clinical quality measure domains. … Accessed June
4, 2019.
6. National Library of Medicine.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - Commitment of designated point(s) of contact for technical, clinical, and
operational domains. … project team created research questions that
could be investigated during the pilot across the three domains … Develop the initial pilot analytic plan.
6. … It can be used within both the CDS and
electronic clinical quality measure domains. … Accessed June
4, 2019.
6. National Library of Medicine.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - Commitment of designated point(s) of contact for technical, clinical, and
operational domains. … project team created research questions that
could be investigated during the pilot across the three domains … Develop the initial pilot analytic plan.
6. … It can be used within both the CDS and
electronic clinical quality measure domains. … Accessed June
4, 2019.
6. National Library of Medicine.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/2019%20CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
January 01, 2019 - Commitment of designated point(s) of contact for technical, clinical, and
operational domains. … project team created research questions that
could be investigated during the pilot across the three domains … Develop the initial pilot analytic plan.
6. … It can be used within both the CDS and
electronic clinical quality measure domains. … Accessed June
4, 2019.
6. National Library of Medicine.
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS%20for%20Repository.pdf
May 24, 2023 - Connect Pilot: Timeline
5
May June July Aug Sept
Integration, Testing, Quality Assurance Live Pilot
6/ … 14: Clinical Champion Training
6/18: Go Live 7/9 or so:
Clinician
Touchpoint
8/10 or so: Focus Group … Discussion
8/13: Pilot Ends
The Pain Management Summary
6
CDC Guideline for Prescribing Opioids … Non-pharmacologic treatments – over the past 2 years
– Stool softeners and laxatives – over the past 6 … months
§ An adjuvant analgesic
entered in their record in
the past 6 months
13
The Summary will
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/Pilot%20Report_Final_0.docx
March 01, 2018 - health IT standards, 4) clinician and clinical staff training, 5) workflow changes across staff roles, 6) … Table 1: Outcome Domains
Domains
Validation Questions
People
Do clinicians gain greater insight … Statements captured during the focus group provide answers to many of the proposed outcome domains and … [footnoteRef:6] At the heart of the CQL execution service is the open source JavaScript CQL execution … [footnoteRef:8] [6: https://nodejs.org/] [7: https://github.com/cqframework/clinical_quality_language
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cds.ahrq.gov/sites/default/files/cds/artifact/1141/Warfarin-NSAIDs%20MDIA%20Implementation%20Guide.docx
November 11, 2019 - Relationship Diagram 7
Figure 2: CDS Artifact Maturity Process 8
Tables
Table 1: Artifact Manifest 6 … Exclusion Tests b
Table 4: eCQM Inclusion Tests c
Table 5: Definitions of Shiffman’s Steps d
Table 6: … Therapy for the Prevention and Treatment of Cardiovascular Disease Electronic Clinical Quality Measure 6 … It can be used within both the CDS and CQM domains. … Decision Logs
Table 6: Decisions Based on "Atomized" Components of the Population Statements
Presence
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cds.ahrq.gov/sites/default/files/reports/CDS_Connect_Pain_Management_Environmental_Scan.pdf
December 01, 2017 - resources posted on government
and non-profit websites for work conducted in the CDS and pain management domains … Emotional support-relieving fear and anxiety
6. … interest; several published entire suites of CQMs in the pain management [68-70] and
opioid [71,72] domains … More
interactive tools are described in Section 6. … (2012) Journal of Opioid Management. 2012; 8(6): 351-62.
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cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS_for%20Repository.pdf
September 21, 2018 - Connect Pilot: Timeline
5
May June July Aug Sept
Integration, Testing, Quality Assurance Live Pilot
6/ … 14: Clinical Champion Training
6/18: Go Live 7/9 or so:
Clinician
Touchpoint
8/10 or so: Focus … 8/13: Pilot Ends
Internal Distribution Only—Not for Public Release
The Pain Management Summary
6 … Non-pharmacologic treatments – over the past 2 years
– Stool softeners and laxatives – over the past 6 … months
▪ An adjuvant analgesic
entered in their record in
the past 6 months
13
The Summary will
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS_for%20Repository_0.pdf
September 21, 2018 - Connect Pilot: Timeline
5
May June July Aug Sept
Integration, Testing, Quality Assurance Live Pilot
6/ … 14: Clinical Champion Training
6/18: Go Live 7/9 or so:
Clinician
Touchpoint
8/10 or so: Focus … 8/13: Pilot Ends
Internal Distribution Only—Not for Public Release
The Pain Management Summary
6 … Non-pharmacologic treatments – over the past 2 years
– Stool softeners and laxatives – over the past 6 … months
▪ An adjuvant analgesic
entered in their record in
the past 6 months
13
The Summary will
-
cds.ahrq.gov/cedar/AHRQ_CEDAR_Environmental_Scan_2020_508.pdf
January 01, 2020 - B-6
Table C-1. … E-6
Table E-4. … E-8
Table E-6. … into domains that are generally outcomes related and more broadly
health related to continually enhance … Common Criteria across Tools Similar measures demonstrate broader applications beyond specific
domains
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cds.ahrq.gov/sites/default/files/cds/artifact/476/CDSConnectPilotFinalReport508gel10012018.pdf
September 01, 2018 - Technical capability to implement the Pain Management Summary CDS
6. … Commitment of designated point(s) of contact for technical, clinical, and
operational domains
Pilot … In addition to the high-level pilot outcomes, MITRE created research questions across the three
domains—technology … Development of the initial pilot analytic plan
6. … Agile
Alliance. http://agilemanifesto.org/principles.html.
6 Quest Diagnostics.
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cds.ahrq.gov/cedar/AHRQ_CEDAR_Final_Pilot_Report_October_2022_508.pdf
January 01, 2022 - Research Questions Mapped to Objectives and Domains ....................................... 26
Appendix … These
questions aligned to three domains representing outcome areas of people, process, and
technology … • 6 think-aloud session summary notes. … Research Questions Mapped to Objectives
and Domains
Question
Number
Domain
(Who benefits?) … Research Questions Mapped to Objectives and Domains
Appendix C.
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cds.ahrq.gov/sites/default/files/cds/artifact/1146/Warfarin-Antidepressants%20MDIA%20Implementation%20Guide.docx
August 29, 2020 - Relationship Diagram 7
Figure 2: CDS Artifact Maturity Process 8
Tables
Table 1: Artifact Manifest 6 … Exclusion Tests b
Table 4: eCQM Inclusion Tests c
Table 5: Definitions of Shiffman’s Steps d
Table 6: … Therapy for the Prevention and Treatment of Cardiovascular Disease Electronic Clinical Quality Measure 6 … It can be used within both the CDS and CQM domains. … Decision Logs
Table 6: Decisions Based on "Atomized" Components of the Population Statements
Presence