-
cds.ahrq.gov/sites/default/files/workgroups/28166/CDS_Connect_WG_Slides_August%202021.pdf
August 01, 2021 - Michelle Caputy, Allen Leavens (MITRE CEDAR Team)
4
Outline
• Introduction to AHRQ CEDAR
• Technical Approach … developing the CEPI
Evidence Discovery And Retrieval (CEDAR) reference implementation
7
TECHNICAL APPROACH … 8
Technical Approach: Concept of Operations
9
Technical Overview
• CEDAR provides a machine-accessible … artifact metadata
• Periodic reindexing
► CEDAR periodically reindexes each supported repository
► Approach … Technical Approach: Concept of Operations
Technical Overview
Technical Overview: Deployment
Technical
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cds.ahrq.gov/sites/default/files/workgroups/27826/CDS_Connect_WG_Slides_July_2021.pdf
January 01, 2021 - shareable, standards-based, publicly-available, and
patient-centered
• Part of the overall implementation approach … with asthma Expert Panel members
► L2s
► L3s
− Value sets, CQL logic, FHIR PlanDefinitions
16
Approach … adequately controlled unless clinician prescribes a medication to
advance asthma care Step
• Guardrail approach … Management of Asthma (Age 12+)
Step Therapy Framework: Updated EPR-3 Step Diagram
Focus of CDS Activities
Approach
-
cds.ahrq.gov/sites/default/files/workgroups/1206/August_2020_CDS_Connect_Work_Group_508.pdf
January 01, 2020 - Screening CDS Tools Sharon Sebastian
ASBI Brief Intervention CDS Tools Ginny Meadows
ASBI CDS Technical Approach … PUBLIC RELEASE CASE NUMBER 20-2117.
21
ASBI CDS Technical Approach
©2020 THE MITRE CORPORATION. … PUBLIC RELEASE CASE NUMBER 20-2117.
22
ASBI CDS: Technical Approach
Preceding slides have provided … PUBLIC RELEASE CASE NUMBER 20-2117.
27
Potential CDS Integration Approach
Presupposes certain … ASBI CDS: Technical Approach
Alcohol Screening CDS Definition: Overall Structure
Alcohol Screening
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cds.ahrq.gov/sites/default/files/workgroups/2246/CDS_Connect_WG_May_2021_Summary.pdf
January 01, 2021 - Presentation: Sharing our Approach and Learning about Yours:
CDS Artifact Annual Review and Update … asked about
experiences with updating guidelines based on literature reviews, as well as any standard approach … This reflects
MITRE’s approach as well; this best practice in software development extends to CDS development … MITRE shared their approach from
the development perspective and included details on how the developer … May 20, 2021
Attendees
MEETING OBJECTIVES
ACTION ITEMS
MEETING SUMMARY
Presentation: Sharing our Approach
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cds.ahrq.gov/sites/default/files/workgroups/1176/CDS%20Connect%20Work%20Group%20May%202020%20Meeting%20Slides.pdf
May 01, 2020 - CDS CONNECT
Lacy Fabian, MITRE
4
Current and Planned Approaches to Review
and Update
Current Approach … other contributed artifacts in
the repository (non-AHRQ stewarded)
► No specific review and update approach … project team and receive updated
evidence, metadata, value sets, and
documentation, as needed
Planned Approach
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cds.ahrq.gov/sites/default/files/workgroups/143366/CDS_Connect_WG_April_2022_Presentation.pdf
January 01, 2022 - April 2022 CDS Connect Work Group Call
April 2022 CDS Connect Work Group Call
Agenda
Schedule Topic
3:00 – 3:02 Roll Call, Michelle Lenox (MITRE)
3:02 – 3:05 Review of the Agenda, Maria Michaels (CDC)
3:05 - 3:35 Roundtable and Discussion on Partnering Experience: Amy Price (Stanford); Danny van Leeuwen (Heal…
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cds.ahrq.gov/sites/default/files/workgroups/1266/CDS_Connect_April2021_WG_Meeting_%20Summary.pdf
April 15, 2021 - Taking a person-first approach to the project, they started with asking “Who is
the audience?” … Further, the resources that people trust diverge widely; the presenters recommend an
approach focused … Other WG members discussed the person-first focus of the approach.
-
cds.ahrq.gov/sites/default/files/workgroups/1176/CDS%20Connect%20Work%20Group%20May%202020%20Meeting%20Summary.pdf
May 21, 2020 - subsequent discussion was led by Lacy Fabian,
Project Lead for CDS Connect at MITRE, on the planned approach … presented ‘CDS Artifact Review and Update Across CDS Connect’ that outlined the current
and planned approach … • WG members advised that review cycle be dependent on the type of CDS Artifact and take a tiered
approach
-
cds.ahrq.gov/sites/default/files/workgroups/1211/CDS_Connect_Work_Group_September_2020_Presentation.pdf
January 01, 2020 - whichever party is the official client
Solution: Proceed with a site-based rather than a cloud-based
approach … these barriers are resolved
20
Stewardship Recommendations
• It could be useful to develop an approach … of useful and usable artifacts
• Current EHR vendor business models generally presume a for-profit
approach
-
cds.ahrq.gov/sites/default/files/workgroups/2246/CDS_Connect_WG_May%202021_presentation.pdf
May 01, 2021 - to opportunities
for CDS Connect, including launch of patient partnering panel
3
SHARING OUR APPROACH … and Prevention
14
May 2021 CDS Connect Work Group Call
Meeting Agenda
Objectives
Sharing Our Approach
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cds.ahrq.gov/sites/default/files/workgroups/1206/CDS_Connect_Work_Group_Summary_August_2020.pdf
January 01, 2020 - Winters discussed the technical approach of the
project using Fast Healthcare Interoperability Resource … particular, he illustrated how FHIR® PlanDefinition
was used for these artifacts and outlined a potential approach
-
cds.ahrq.gov/sites/default/files/workgroups/221/feb-2017-cholesterol-wg-notes.docx
January 01, 2017 - using on a single reading (e.g. last BP reading), but clearly convey the potential caveats of this approach … additional sources for the identification of this diagnosis, including billing data.
· Discussion on the approach … Recommended intervention based on risk score
CAMH requested the WG members’ feedback on a layered approach
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2019.pdf
January 01, 2019 - The agile approach
to development and JIRA provided value for AHRQ and ensured high-quality work; it … Please refer to each artifact’s Implementation Guide for more details on the TDD approach
as well as … As part of the TDD
approach, the team defined a set of test cases for each artifact, with each test … This approach ensures that the tests fully cover each corresponding branch of logic in the
CQL. … team chose the latter approach
due to its flexibility.
-
cds.ahrq.gov/sites/default/files/workgroups/1211/CDS_Connect_Work_Group_September_2020_%20Summary.pdf
January 01, 2020 - for the purposes of stewardship,
the model of a private-public partnership was raised as a practical approach … Maintenance of list of non-opioid analgesics was used to
illustrate this “crowd steward” approach:
-
cds.ahrq.gov/sites/default/files/workgroups/1216/CDS_Connect_Work_Group_October_2020_Summary.pdf
January 01, 2020 - After a brief review of the MoSCow1 prioritization approach, the six general
themes (with representative … This
approach would permit element builder re-use in tools for building clinical pathways or for filtering
-
cds.ahrq.gov/sites/default/files/reports/AHRQ_Final_Report_2018.pdf
January 01, 2018 - This agile approach and the tools provided value for AHRQ and
ensured high-quality work. … Further, this approach allowed for better planning and
management of competing priorities related to … The CDS Summary approach likely resonated with them because the scope and complexity
of data required … SMART on FHIR was chosen for its standards-based approach,
allowing for integration across a variety … This
approach did not require IP approval.
-
cds.ahrq.gov/sites/default/files/workgroups/71451/CDS_Connect_WG_March_2022_Summary.pdf
January 01, 2022 - Several WG members agreed with this approach, acknowledging that the intervention had not
changed, and … This approach would require additional author effort to maintain a second library.
-
cds.ahrq.gov/sites/default/files/cds/artifact/71/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - Integration Approach Using CQL Services ............................................................. … This approach was a strategic decision to garner
optimal commitment to the partnership and a “win-win … The CDS Connect project team worked with b.well to elicit their input regarding the best
approach to … CDS Hooks provided a plugin framework
for custom CDS and seemed like the best approach, and the CDS … The preventive health
artifacts were written using a test-driven development (TDD) approach.9 TDD is
-
cds.ahrq.gov/sites/default/files/cds/artifact/1071/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - Integration Approach Using CQL Services ............................................................. … This approach was a strategic decision to garner
optimal commitment to the partnership and a “win-win … The CDS Connect project team worked with b.well to elicit their input regarding the best
approach to … CDS Hooks provided a plugin framework
for custom CDS and seemed like the best approach, and the CDS … The preventive health
artifacts were written using a test-driven development (TDD) approach.9 TDD is
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/2019%20CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
January 01, 2019 - Integration Approach Using CQL Services ............................................................. … This approach was a strategic decision to garner
optimal commitment to the partnership and a “win-win … The CDS Connect project team worked with b.well to elicit their input regarding the best
approach to … CDS Hooks provided a plugin framework
for custom CDS and seemed like the best approach, and the CDS … The preventive health
artifacts were written using a test-driven development (TDD) approach.9 TDD is