-
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
-
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/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 (Hea…
-
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/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/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/workgroups/13461/CDS_Connect_WG_June_2021_Slides_0.pdf
January 01, 2021 - Optimizing Drug-Drug Interaction Alerts Using a Multidimensional Approach. … artifact
development
• DDInteract is a novel SDM tool for managing drug-drug
interactions
► App-based approach
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/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/1056/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/1066/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/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/workgroups/216/jan-2017-cholesterol-wg-notes.docx
January 01, 2017 - Application as a population health management tool: this would have the largest impact as a proactive approach … EHR-agnostic artifacts, recognizing some decisions will have to be made at a local level.
· Consider a phased approach
-
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
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2020.pdf
January 01, 2020 - The team took a
systematic approach to prioritizing and implementing these recommendations. … This approach ensured the team’s good stewardship of project resources by focusing on the
updates that … The team’s approach also
leveraged inputs from the CDS community, respecting their voices and giving … Based on this systematic approach, the team identified two primary strategic themes for CDS
Connect … This approach helped avoid
lags between completion of updates and the start of new updates.
-
cds.ahrq.gov/sites/default/files/workgroups/27826/CDS_Connect_WG_Summary_July_2021.pdf
January 01, 2021 - The development team decided to take a “guardrail approach” to CDS alerting: The artifact would provide … Although this effort was relatively defined in scope, interest exists to take a “living guideline”
approach
-
cds.ahrq.gov/sites/default/files/workgroups/143366/CDS_Connect_WG_April_2022_Summary.pdf
January 01, 2022 - April 2022 CDS Connect Work Group Summary
Clinical Decision Support (CDS) Connect Work Group (WG)
Meeting Summary
April 21, 2022
3:00 – 4:00 pm ET
Attendees: 31 people, including 6 phone dial-ins
Organization Attendees
AHRQ Sponsors Edwin Lomatan, Mario Teran, Roland Gamache (3)
WG Members Alex Go…
-
cds.ahrq.gov/sites/default/files/workgroups/13461/CDS_Connect_WG_June_2021_Summary_0.pdf
January 01, 2021 - The CDS
research team agreed with the approach to create a notification that is noticeable but not required … design and interaction of the Value Set Authority Center integration, with a different
presentation approach
-
cds.ahrq.gov/sites/default/files/workgroups/28166/CDS_Connect_WG_Summary_August%202021.pdf
August 19, 2021 - Discussion
MITRE inquired about the approach for using keywords across repositories. … These APIs provide a formal approach to integration.
-
cds.ahrq.gov/sites/default/files/workgroups/34806/CDS_Connect_WG_October_2021_Summary.pdf
January 01, 2021 - Basing this approach on the MoSCoW Method, MITRE asked the
WG for their opinions on actions or goals … MITRE’s staff, time, and funding are limited; therefore, MITRE and AHRQ also
intend to use an agile approach