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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 - of the app in Epic Release
§ Engaging patients with the Summary to facilitate shared decision making … & non-opioid therapies preferred
§ Establish treatment goals with patients
§ Assess and discuss risks … and awareness of
evidence-based guidelines to make the
best decision for each patient
CDS Summary … The Summary is intended for
patients ≥ 18 yrs. old with:
§ A condition associated with
chronic pain … App
17
Demo of App in Epic Release
18
Engaging Patients with the Summary Information
Premise
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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 - ▪ Demo of the app in Epic Release
▪ Engaging patients with the Summary to facilitate shared decision … ▪ Establish treatment goals with patients
▪ Assess and discuss risks and benefits
– Prescribe naloxone … and awareness of
evidence-based guidelines to make the
best decision for each patient
Internal … The Summary is intended for
patients ≥ 18 yrs. old with:
▪ A condition associated with
chronic … Internal Distribution Only—Not for Public Release
Engaging Patients with the Summary Information
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cds.ahrq.gov/cedar/AHRQ_CEDAR_Final_Outreach_Report_October_2022_508.pdf
January 01, 2022 - Agency for Health Research and Quality (AHRQ) disseminates patient-centered outcomes
research (PCOR … The
interview plan was also provided for review as evidence of compliance with all required IRB processes … • Collaborating with a clinical professional organization to deploy a client application using
CEDAR … , and it can be easy for audience members to
conflate the view of the user interface with the functionalities … Academic/Research Johns Hopkins Research Triangle Institute-University
of North Carolina
Patients
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cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - appropriate for the
patient. … This was a subjective decision that
weighed populating the Summary
for as many patients with chronic … For
instance, the treatment itself (e.g.,
physical therapy, yoga) does not
occur in a primary care … Testing on production with live
patient data did not elicit the need for additional enhancements. … and treatments rarely occur in a primary care setting; therefore, evidence of the
treatment being performed
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cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation%20Guide_Statin%20Therapy%20for%20the%20Prevention%20and%20Treatment%20of%20CVD%20eCQM%20Artifact.pdf
April 01, 2021 - Statin Therapy for the Prevention and Treatment of Cardiovascular Disease Electronic Clinical Quality … Measure (April 2021)
1
Implementation Guide
Statin Therapy for the Prevention and Treatment of … Statin Therapy for the Prevention
and Treatment of Cardiovascular Disease Electronic Clinical Quality … of the Statin
Therapy for the Prevention and Treatment of Cardiovascular Disease (CVD) eCQM artifact … (ID) CMS347v4, “Statin Therapy for the Prevention and Treatment of Cardiovascular
Disease”),2 which
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cds.ahrq.gov/sites/default/files/cds/artifact/81/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%20Risk_Final_0.docx
October 01, 2017 - presence of diabetes, and treatment for high blood pressure. … of therapies, and weigh this in the context of other considerations, including patient preferences for … be adjusted for patients with familial hypercholesterolemia, or patients who are not white or African-American … value sets created in support of PQRS#438 Statin Therapy for the Prevention and Treatment of CVD.
9. … "preventive therapies"
One or more of the following: smoking cessation, hypertension treatment, statin
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cds.ahrq.gov/sites/default/files/workgroups/231/apr-2017-cholesterol-wg-notes.docx
January 01, 2017 - of CVD in Adults and Aspirin Therapy for Primary Prevention of CVD and Colorectal Cancer. … · Providers prefer information on all sub-sets of patients, even if the strength of the recommendation … for the overall artifact, in that it ensures that a patient with a higher risk is not under-treated, … You might not want to trigger a recommendation to lower statin therapy if a patient was started on a … · Metrics allow for discussion and negotiation with the patient for softer contraindications.
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cds.ahrq.gov/sites/default/files/reports/CDS_Connect_Pain_Management_Environmental_Scan.pdf
December 01, 2017 - degree of compliance with the clinical practice guideline
(or standard of care) that a CQM is based … The VA/DoD Clinical Practice Guideline for Opioid Therapy for Chronic Pain contains four
bundled modules … [9] Department of Veterans Affairs, Department of Defense. (2017) VA/DoD Clinical Practice
Guideline … "Noninvasive Treatments for Acute, Subacute, and Chronic Low
Back Pain: A Clinical Practice Guideline … "American Society of Addiction Medicine (ASAM)
National Practice Guideline for the Use of Medications
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cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation%20Guide_Statin%20Therapy%20for%20the%20Prevention%20and%20Treatment%20of%20CVD%20eCQM%20Artifact_Updated%20Nov%202019.pdf
November 01, 2019 - Statin Therapy for the Prevention and Treatment of Cardiovascular Disease Electronic Clinical Quality … Measure.pdf
1
Implementation Guide
Statin Therapy for the Prevention and Treatment of
Cardiovascular … Statin Therapy for the Prevention
and Treatment of Cardiovascular Disease Electronic Clinical Quality … the development and implementation of the Statin
Therapy for the Prevention and Treatment of Cardiovascular … (ID) CMS347v3, “Statin Therapy for the Prevention and Treatment of Cardiovascular Disease”)2
which
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cds.ahrq.gov/sites/default/files/cds/artifact/1066/Abnormal_Glucose_Counseling_Intervention_Content_0.xlsx
January 01, 2012 - Example Intervention Text
Example Patient-Facing Intervention Text: Screening for Abnormal Blood Glucose … DISPLAY notification to patient: You may be at risk for (in other words, more likely to get) high blood … the Office of the Assistant Secretary for Health (OASH). … coverage for preventive services through the ACA with links. … for children, and includes a pdf of the tips.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1066/Abnormal_Glucose_Counseling_Intervention_Content.xlsx
January 01, 2012 - Example Intervention Text
Example Patient-Facing Intervention Text: Screening for Abnormal Blood Glucose … DISPLAY notification to patient: You may be at risk for (in other words, more likely to get) high blood … the Office of the Assistant Secretary for Health (OASH). … coverage for preventive services through the ACA with links. … for children, and includes a pdf of the tips.
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cds.ahrq.gov/sites/default/files/cds/artifact/476/ImplementationGuidePainManagementSummary50810012018.pdf
December 01, 2018 - should discuss with patients known risks and realistic benefits of opioid therapy and
patient and clinician … Echo, a scheduled patient with a
history of chronic pain with opioid therapy. Dr. … For example, patients younger than 18 may be
considered, or patients with any kind of pain.
2. … Artifact Development Team while translating the CDC clinical practice guideline and
developing the … : This summary is not
intended for patients receiving end-of-life care or cancer treatment.”
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cds.ahrq.gov/sites/default/files/cds/artifact/26/Implementation%20Guide_Aspirin%20Therapy%20for%20the%20Prevention%20of%20CVD%20and%20CRC_final_2.pdf
April 01, 2021 - implementation of
the USPSTF Aspirin Therapy for the Prevention of Cardiovascular Disease (CVD) and … and patients decide on the use of aspirin therapy to
mitigate the patient’s risk of developing CVD … In keeping with the guideline,
the recommendation is stronger for patients age 50 – 59 than those 60 … making with the patient, to include a review of the
benefits and harms of aspirin therapy (this is … If
the patient has CVD/ASCVD, then a different treatment may be indicated.
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2022_Intervention_Content_Statin_Patient.xlsx
January 01, 2022 - Example Intervention Text
Example Patient-Facing Intervention Text: Statin Use for the Primary Prevention … of CVD in Adults: Patient-Facing CDS Intervention
General Information
The example intervention text … Prevention of CVD in Adults: Patient-Facing CDS Intervention artifact. … Statin Use for the Primary Prevention of CVD in Adults: Patient-Facing CDS Intervention Text
DISPLAY … the Office of the Assistant Secretary for Health (OASH).
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/Implementation%20Guide_Statin%20Use%20for%20CVD%20Prevention%20in%20Adults_Patient%20Facing%20CDS%20Intervention_Final.pdf
September 01, 2019 - If a patient has CVD, different types of treatment and
counseling may be indicated. … Treatments and counseling for active CVD are outside the of
scope of this artifact. … Estimating Longitudinal Risks and Benefits
From Cardiovascular Preventive Therapies Among Medicare Patients … KDOQI Clinical Practice Guideline for
Hemodialysis Adequacy: 2015 Update. … KDIGO
Clinical Practice Guideline for Lipid Management in Chronic Kidney Disease.
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cds.ahrq.gov/cdsconnect/artifact/alcohol-screening-using-usaudit-alcohol-use-disorders-identification-test
June 04, 2020 - Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
-
cds.ahrq.gov/cedar/AHRQ_CEDAR_Environmental_Scan_2023_508.pdf
January 01, 2023 - repository from which the artifact was imported
• Title – the title of the artifact (e.g., “Treatments … goal of increasing the availability of data for use by clinicians,
patients, and others.35 ES20 found … for patients and clinicians who are engaged in making
decisions related to healthcare plans and treatment … management of patients with
chronic disease and for the
management of acute clinical
problem. … The additional Citation search parameters allow clients
to search for artifacts more accurately.
-
cds.ahrq.gov/sites/default/files/cds/artifact/171/NIOSH_Occupational%20Factors%20Impacting%20Diabetes_Decision%20Log_condensed.pdf
February 01, 2018 - If the patient answers “yes” to any of the
features, then the CDS would populate a menu of educational … The clinician could click on one or
more materials to be printed for the patient. … these job features within the past 6 months (as with HgbA1C level, this is the recommendation of the … any
“yes” answer is displayed for the provider’s selection
“as with HgbA1C level,
this is the … recommendation of the
SME’s but the time
frame may be altered
based on clinic
experience and patient
-
cds.ahrq.gov/sites/default/files/workgroups/221/feb-2017-cholesterol-wg-notes.docx
January 01, 2017 - for the Prevention and Treatment of CVD eCQM/CDS Artifact
· Discuss Next Artifacts for Development
· … on the approach to identify patients with a history of diabetes:
· Similar to the hypertension population … provider.
· A patient schedule review before patient encounters (e.g., in the morning before patients … Discuss Statin Therapy for the Prevention and Treatment of CVD eCQM/CDS Artifact
Quality Insights of … Discuss Statin Therapy for the Prevention and Treatment of CVD eCQM/CDS Artifact
Not discussed.
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cds.ahrq.gov/sites/default/files/workgroups/27826/CDS_Connect_WG_Slides_July_2021.pdf
January 01, 2021 - Immunotherapy in the Treatment of Allergic Asthma
5. Fractional Exhaled Nitric Oxide Testing
6. … , and
patient-centered
• Part of the overall implementation approach for guidelines
10
Collaborative … or persistent asthma with
level of severity
• Each Step identifies preferred and
alternative therapies … • Goal of Step therapy is control of
asthma symptoms, with escalation to
next Step of care only as … a new, second
preferred treatment to 1
step (Step 2)
• Adding in alternative
treatments in 2 steps