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cds.ahrq.gov/sites/default/files/workgroups/13461/CDS_Connect_WG_June_2021_Slides_0.pdf
January 01, 2021 - interact, regardless of
whether harm ensues
Clues About the Frequency of Harm
• Clinically important events … 14.3% of inpatients
► 231,000 US emergency department visits
• Hospital admissions associated with an adverse … Epidemiology and characteristics of adverse drug reactions caused by drug-drug interactions. … newly implemented commercial computerized provider order-entry system: Override appropriateness and adverse … drug events.
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_USPSTF%20Statin%20Use%20for%20the%20Primary%20Prevention%20of%20CVD%20in%20Adults_Final.docx
October 01, 2017 - USPSTF Grade Definition]
Although statin use may be beneficial for the primary prevention of CVD events … Patient has known adverse reactions to statins.
b. … Patient is likely to have adverse reactions to statins.
c. … respective health IT products to understand their readiness to implement CQL code and any potential adverse … Additionally, testing should be conducted to ensure that implementation of the artifact has no adverse
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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_Final.docx
October 01, 2017 - of the Clinical Statement
CMS347v1 measures the number of patients at high risk for cardiovascular events … Patient has known adverse reactions to statins.
b. … Patient is likely to have adverse reactions to statins.
c. … Additionally, testing should be conducted to ensure that implementation of the artifact has no adverse … DENOMINATOR EXCEPTIONS:
Patients with adverse effect, allergy, or intolerance to statin medication.
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cds.ahrq.gov/sites/default/files/cds/artifact/21/2024_CDS_Connect_IG_Statin_Therapy_CVD_eCQM.pdf
January 01, 2024 - Patient has known adverse reactions to statins.
ii. … Patient is likely to have adverse reactions to statins.
iii. … are using
statins (the numerator) divided by the number of patients at high risk for cardiovascular events … o Modifications to the health IT system such that it will:
Trigger RESTful events to call the CQL … patients who meet one or more of the following criteria (considered at “high risk” for cardiovascular events
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cds.ahrq.gov/sites/default/files/cds/artifact/1141/Warfarin-NSAIDs%20MDIA%20Implementation%20Guide.docx
November 11, 2019 - With the effectiveness of warfarin in preventing and reducing the occurrence of thromboembolic events … respective health IT products to understand their readiness to implement CQL code and any potential adverse … with the calculated results, and
· modifications to the EHR system such that it will
· trigger RESTful events … Additionally, testing should be conducted to ensure that implementation of the artifact has no adverse
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cds.ahrq.gov/sites/default/files/workgroups/13461/CDS_Connect_WG_June_2021_Summary_0.pdf
January 01, 2021 - weighs the risk factors to produce a risk array that visually represents the
estimated risk of an adverse … The team also runs usability testing with patients and clinicians
in separate events.
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cds.ahrq.gov/sites/default/files/cds/artifact/18/2024_CDS_Connect_IG_Statin_CVD_Clinician_Facing.pdf
January 01, 2024 - should consider, in consultation with the patient, prescribing a statin for the prevention of
CVD events … American Heart Association (AHA) Pooled Cohort Equations (PCE) to calculate the 10-
year risk of CVD events … Patient has known adverse reactions to statins.
b. … Patient is likely to have adverse reactions to statins.
c. … o Modifications to the health IT system so that it will:
Trigger RESTful events to call the CQL execution
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cds.ahrq.gov/sites/default/files/cds/artifact/1146/Warfarin-Antidepressants%20MDIA%20Implementation%20Guide.docx
August 29, 2020 - respective health IT products to understand their readiness to implement CQL code and any potential adverse … with the calculated results, and
· modifications to the EHR system such that it will
· trigger RESTful events … Additionally, testing should be conducted to ensure that implementation of the artifact has no adverse
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cds.ahrq.gov/sites/default/files/cds/artifact/71/Implementation%20Guide_CMS%20Million%20Hearts_ASCVD%20Risk%20Assessment_Level3_Final.pdf
February 01, 2018 - to CDS artifacts,
including text and computable versions of the decision logic; suggested trigger events … respective health IT products to
understand their readiness to implement CQL code and any potential adverse … the calculated results, and
o modifications to the EHR system such that it will
trigger RESTful events … Additionally, testing should be conducted to ensure
that implementation of the artifact has no adverse
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cds.ahrq.gov/sites/default/files/cds/artifact/71/Implementation_Guide_CMS_Million_Hearts_ASCVD_Risk_Assessment.pdf
September 01, 2021 - respective health
IT products to understand their readiness to implement CQL code and any potential adverse … Modifications to the EHR system such that it will
▪ Trigger RESTful events to call the CQL execution … Additionally, testing should be conducted to ensure that
implementation of the artifact has no adverse
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_CDS_Connect_IG_Statin_CVD_Patient_Facing_2.pdf
January 01, 2024 - Identified patients should consider using low-
to moderate-dose statins for the prevention of CVD events … American Heart Association (ACC/AHA) Pooled Cohort Equations (PCE) to
calculate the “10-year risk of CVD events … IT products to understand their capacity to implement CQL code, along with any potential
19
adverse … o Modifications to the health IT system so that it will:
Trigger RESTful events to call the CQL execution … Testing should also ensure that implementation of the
artifact has no adverse effect on the processing
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2023_CDS_Connect_IG_Statin_CVD_Patient_Facing.pdf
January 01, 2023 - Identified patients should consider using low-
to moderate-dose statins for the prevention of CVD events … American Heart Association (AHA) Pooled Cohort Equations (PCE) to calculate the 10-
year risk of CVD events … respective health
IT products to understand their capacity to implement CQL code, along with any potential
adverse … o Modifications to the health IT system to:
Trigger RESTful events to call the CQL execution engine … Testing should also ensure that implementation of the
artifact has no adverse effect on the processing
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cds.ahrq.gov/sites/default/files/cds/artifact/1071/2024_CDS_Connect_IG_Healthy_Diet_Physical_Activity.pdf
January 01, 2024 - respective health
IT products to understand their readiness to implement CQL code and any potential adverse … o Modifications to the health IT system such that it will:
Trigger RESTful events to call the CQL … Additionally, testing should be conducted to ensure that
implementation of the artifact has no adverse … Exclusions “one or more of the
following”
One or more of four behavioral counseling “events” related … Evidence of
any one of these events in the designated time period would exclude the patient from receiving
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cds.ahrq.gov/sites/default/files/cds/artifact/1066/2024_CDS_Connect_IG_Diabetes_Part_Two_Counseling_1.pdf
January 01, 2024 - respective health
IT products to understand their readiness to implement CQL code and any potential adverse … o Modifications to the health IT system such that it will:
Trigger RESTful events to call the CQL … Additionally, testing should be conducted to ensure
that implementation of the artifact has no adverse … Rationale
Exclusions “one or more of
the following”
One or more of four behavioral counseling “events … Evidence of
any one of these events in the designated time period would exclude the patient from receiving
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cds.ahrq.gov/sites/default/files/cds/artifact/171/Occupational%20Factors%20which%20Impact%20Diabetes,%20%20A%20Final%20Knowledge%20Resource%20Report%20(2015).pdf
January 01, 2015 - measurements of blood glucose with the patient
Obtain a history of all episodes of severe hypoglycemic events … Adverse metabolic and
cardiovascular consequences of circadian misalignment. … Do heat events pose a
greater health risk for individuals with type 2 diabetes?
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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 - access to CDS artifacts, including text and computable versions of the decision logic; suggested trigger events … the context of other considerations, including patient preferences for taking medications, potential adverse
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_CDS_Connect_IG_Diabetes_Part_One_Screening_0.pdf
January 01, 2024 - respective health IT products to understand their readiness to implement CQL code and
any potential adverse … o Modifications to the health IT system such that it will:
Trigger RESTful events to call the CQL … Additionally, testing should be conducted to ensure
that implementation of the artifact has no adverse
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Pilot%20Report_Final_0.docx
March 01, 2018 - IRB coordination and support in identifying and reporting any adverse events.
e.
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cds.ahrq.gov/sites/default/files/cds/artifact/76/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making.pdf
April 01, 2021 - the context of other considerations,
including patient preferences for taking medications, potential adverse
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cds.ahrq.gov/sites/default/files/cds/artifact/81/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%2010-Year%20ASCVD%20Risk.pdf
January 01, 2010 - the context of other considerations,
including patient preferences for taking medications, potential adverse