-
cds.ahrq.gov/sites/default/files/cds/artifact/1141/Warfarin%20and%20NSAIDs%20V.8.pdf
September 08, 2020 - Warfarin & NSAIDs
Warfarin
And
Oral NSAIDs
Is patient on proton
pump inhibitor or
misoprostol?
And
Yes No
Assess risk and take
action if necessary
Possible increased risk
of bleeding Is patient able
to start on
appropriate
proton pump
inhibitor?
Yes
Start patient on proton
pump inhibit…
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-10/CQL%20to%20CDS%20Hooks%20cards_0.txt
January 01, 2023 - Mapping of CQL conditions to CDS Hooks cards
Condition: NoDDimerNoWells
Card: It is recommended to assess the patient's risk for pulmonary embolism (PE) and evaluate D-dimer levels before proceeding with a CTPA order. Use the following link to evaluate the risk.
Launch Questionnaire: Yes
Condition: NoDDimerWellsLessT…
-
cds.ahrq.gov/sites/default/files/cds/artifact/1146/Warfarin%20and%20SSRIs%20Graph%20V.%205.pdf
March 11, 2019 - Warfarin and Antidepressants
Warfarin
Type of
Antidepressant
Assess risk and
take action if
necessary
Increased GI and
non-GI bleeding
risk is possible
Assess risk and
take action if
necessary
Increased GI and
non-GI bl…
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_Statin%20Use%20for%20CVD%20Prevention%20in%20Adults_Clinician%20Facing%20CDS%20Intervention_2.pdf
April 01, 2021 - structured (i.e., coded) version of the PCE entitled CMS’s
Million Hearts® Model Longitudinal ASCVD Risk Assessment … Inclusions “within the past 6
years”
The ACC/AHA recommends assessment of ASCVD risk every 4 – 6 years … Because lipid profile results and smoking status are inputs to ASCVD risk assessment,
the CDS Connect … Cardiovascular Preventive Therapies Among Medicare Patients: The
Million Hearts Longitudinal ASCVD Risk Assessment … CMS’s Million Hearts® Model Longitudinal ASCVD Risk
Assessment Tool for Baseline 10-Year ASCVD Risk
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/Implementation%20Guide_Statin%20Use%20for%20CVD%20Prevention%20in%20Adults_Patient%20Facing%20CDS%20Intervention_Final_1.pdf
April 01, 2021 - structured (i.e., coded) version of the PCE entitled CMS’s
Million Hearts® Model Longitudinal ASCVD Risk Assessment … supplemented by enabling data collection directly from the patient through an
automated form, risk assessment … Inclusions “within the past 6
years”
The ACC/AHA recommends assessment of ASCVD risk every 4 – 6 years … Because lipid profile results and smoking status are inputs to ASCVD risk assessment,
the CDS Connect … CMS’s Million Hearts® Model Longitudinal ASCVD Risk
Assessment Tool for Baseline 10-Year ASCVD Risk
-
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 - structured (i.e., coded) version of the PCE entitled CMS’s
Million Hearts® Model Longitudinal ASCVD Risk Assessment … supplemented by enabling data collection directly from the patient through an
automated form, risk assessment … Inclusions “within the past 6
years”
The ACC/AHA recommends assessment of ASCVD risk every 4-6 years … Since lipid profile results and smoking status are inputs to ASCVD risk
assessment, the CDS Connect … CMS’s Million Hearts® Model Longitudinal ASCVD Risk
Assessment Tool for Baseline 10-Year ASCVD Risk
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/508_2022_CDS_Connect_IG_Statin_CVD_Patient_Facing_final.pdf
January 01, 2022 - structured (i.e., coded) version of the PCE entitled CMS’s Million
Hearts® Model Longitudinal ASCVD Risk Assessment … supplemented by enabling data collection directly from the patient through an
automated form, risk assessment … Concept Definition and/or Rationale
Inclusions “Within the past 6
years”
The ACC/AHA recommends assessment … Because
lipid profile results and smoking status are inputs to ASCVD risk assessment, the CDS Connect … CMS’s Million Hearts® Model Longitudinal ASCVD Risk
Assessment Tool for Baseline 10-Year ASCVD Risk
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/2023_CDS_Connect_IG_Statin_CVD_Patient_Facing.pdf
January 01, 2023 - structured (i.e., coded) version of the PCE entitled CMS’s Million
Hearts® Model Longitudinal ASCVD Risk Assessment … supplemented by enabling data collection directly from the patient through an
automated form, risk assessment … Concept Definition and/or Rationale
Inclusions “Within the past 6
years”
The ACC/AHA recommends assessment … Because
lipid profile results and smoking status are inputs to ASCVD risk assessment, the CDS Connect … CMS’s Million Hearts® Model Longitudinal ASCVD Risk
Assessment Tool for Baseline 10-Year ASCVD Risk
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/StatinTherapyForThePreventionAndTreatmentOfCVDeCQMDerived_Change_Log.txt
January 01, 2024 - added Hospice care [Minimum Data Set]
- Codes: added Yes (qualifier value)
- Codes: added Functional Assessment … added Hospice care [Minimum Data Set]
- Codes: added Yes (qualifier value)
- Codes: added Functional Assessment
-
cds.ahrq.gov/sites/default/files/reports/AHRQ_Final_Report_2018.pdf
January 01, 2018 - years
None
19
CDS Intervention
Pain Assessments (lookback of 2 years):
Wong-Baker FACES Assessment … (score, interpretation, date)
PEG Assessment (question response and total score, interpretation, date … Identifier Names and Codes (LOINC) representative to apply for LOINC code
assignments to two pain assessment … MITRE initially
hoped to include the published interpretation of pain assessment scores in the CQL … Occupational Factors Impacting Diabetes
2.2.2 CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/CDSConnectPilotFinalReport508gel10012018.pdf
September 01, 2018 - provided both qualitative and quantitative information and data to
inform ongoing evaluation and outcome assessment … included a description of the research effort, the proposed implementation and evaluation
process, and an assessment … She
also suggested additional pain assessment tools that measure functional status, such as the
American
-
cds.ahrq.gov/sites/default/files/workgroups/1251/CDS_Connect_WG_Jan2021_Slides.pdf
January 01, 2021 - Screening for Abnormal Blood Glucose
Part 1
Screening for abnormal blood glucose as part of CVD risk
assessment
-
cds.ahrq.gov/sites/default/files/workgroups/2246/CDS_Connect_WG_May%202021_presentation.pdf
May 01, 2021 - or VSs
• Clinical concept representation
► Add or replace VS and code references
− Based on prior assessment
-
cds.ahrq.gov/sites/default/files/cds/artifact/1141/Warfarin-NSAIDs%20MDIA%20Implementation%20Guide.docx
November 11, 2019 - Implementation Guide
Warfarin - NSAIDs
Prepared by:
Eric Chou
Under funding from AHRQ grants R21 HS023826 and R01 HS025984
MDIA publication No. 001
November 11, 2019
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represen…
-
cds.ahrq.gov/sites/default/files/workgroups/71451/CDS_Connect_WG_March_2022_Presentation.pdf
January 01, 2022 - patients
− Not considering CVD risk factors in who it screens nor screening ”as part of a CV
risk assessment
-
cds.ahrq.gov/sites/default/files/cds/artifact/26/Implementation%20Guide_USPSTF%20Aspirin%20Therapy%20for%20the%20Prevention%20of%20CVD%20and%20CRC_Final.docx
October 01, 2017 - Patient self-care/family caregivers can use the artifact as part of self-assessment or health maintenance … Delta runs an overall general health self-assessment or cardiac risk self-screen as part of a self-care … RSAs can be compiled into a list and presented immediately with the assessment results, or can be delivered … Provide a notification when the patient has not had an updated ASCVD risk score assessment in the last … back of 6 years for ASCVD risk as a qualifier to ensure clinical relevance
The ACC/AHA recommends assessment
-
cds.ahrq.gov/sites/default/files/workgroups/1266/CDS_Connect_April2021_WG_Meeting_Slides.pdf
April 01, 2021 - Resources, and Iris Creative directory
• British Medical Journal’s GRADE (Grading of Recommendations,
Assessment
-
cds.ahrq.gov/sites/default/files/workgroups/28166/CDS_Connect_WG_Summary_August%202021.pdf
August 19, 2021 - Guides and CQL
logic for four artifacts:
• CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pain%20Management%20Summary%20Clincial%20Decision%20Support%20Toolkit_for%20Repository.xlsx
January 01, 2003 - 1
Problem List: contains qualifying chronic pain diagnosis (active) and depression (active)
Pain Assessment … opioid medication (active)
Problem List: Anxiety (active) and Sleep-disordered breathing (active)
Pain Assessment … medication (active)
Problem List: renal dysfunction (active) and hepatic dysfunction (active)
Pain Assessment … opioid medication (discontinued more than 2 years ago) and naloxone medication (discontinued)
Pain Assessment … more than 2 years in the past) and stool softener (discontinued more than 6 months in the past)
Pain Assessment
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pain%20Management%20Summary%20Clincial%20Decision%20Support%20Toolkit_for%20Repository_0.xlsx
January 01, 2003 - 1
Problem List: contains qualifying chronic pain diagnosis (active) and depression (active)
Pain Assessment … opioid medication (active)
Problem List: Anxiety (active) and Sleep-disordered breathing (active)
Pain Assessment … medication (active)
Problem List: renal dysfunction (active) and hepatic dysfunction (active)
Pain Assessment … opioid medication (discontinued more than 2 years ago) and naloxone medication (discontinued)
Pain Assessment … more than 2 years in the past) and stool softener (discontinued more than 6 months in the past)
Pain Assessment