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cds.ahrq.gov/sites/default/files/cds/artifact/1061/IG%20Abnormal%20Blood%20Glucose%20Type%202%20DM%20Screening.pdf
September 01, 2021 - practice guidelines, and best practices identified by peers that they must incorporate into daily … practice guidelines into
human-readable logic. … guidelines are translated into mature CQL artifacts. … Guideline Translation Summary
It is often necessary to interpret or adjust clinical guidelines to make … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and Implementation.
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cds.ahrq.gov/sites/default/files/workgroups/241/jun-2017-cholesterol-wg-notes.docx
January 01, 2017 - This aligns with the ACC/AHA guidelines.
· Population 2:
· By the time they are 75, do patients truly … · Providers make clinical decisions based on patient condition and the guidelines. … message (i.e., consider statin based on ASCVD, consider statin based on high LDL, etc.)
· Information on guidelines … Next Steps and Closing
CAMH will provide an update on the pilot and discuss clinical domain areas under
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cds.ahrq.gov/cedar/AHRQ_CEDAR_Final_Pilot_Report_October_2022_508.pdf
January 01, 2022 - 20.7 12.68
case study 11.17 139.91 17.84 21.27 97.39
diabetes 122.39 13.55 234.44 21.3 21.41
guidelines … Seven out of nine clinical participants used CEDAR Search in a clinical setting, and five out of
those … care;
answering clinical questions; and finding treatment guidelines, preventive care, and
recommendations … Five out of the seven clinical participants who used CEDAR Search in a clinical setting found it
helpful … One participant also indicated it could be harmful if
patients look up guidelines and find their clinicians
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cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2019.pdf
January 01, 2019 - and regulatory guidelines. … The CDC “Adapting Clinical Practice Guidelines for the Digital Age” initiative is working to
improve … www.ncbi.nlm.nih.gov/pubmed/26501513
https://www.ncbi.nlm.nih.gov/pubmed/26501513
https://www.cdc.gov/ddphss/clinical-guidelines … The primary goals of the pilot were to: (1) translate evidence-based clinical guidelines into
interoperable … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and Implementation.
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cds.ahrq.gov/sites/default/files/cds/artifact/396/cap_5_Actions.html
July 25, 2018 - Infectious Diseases Society of America/American Thoracic Society Consensus Guidelines on the Management … admission to an ICU or high-level monitoring unit Rec_2: Cond_3: Act_4 a constellation of suggestive clinical
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cds.ahrq.gov/sites/default/files/cds/artifact/396/cap_3_DecidExecut.html
January 01, 1970 - Infectious Diseases Society of America/American Thoracic Society Consensus Guidelines on the Management … IF Inclusion Criterion: Exclusion Criterion: THEN Executable Vocab a constellation of suggestive clinical … of Recommendation: Moderate recommendation; Reason: Logic: If Then a constellation of suggestive clinical … (empirical) management decisions, when the presence of such pathogens is suspected on the basis of clinical … that would significantly alter standard empirical management decisions is suspected on the basis of clinical
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cds.ahrq.gov/sites/default/files/workgroups/28166/CDS_Connect_WG_Summary_August%202021.pdf
August 19, 2021 - CDS Connect Work Group Meeting Summary - August 2021
Clinical Decision Support (CDS) Connect Work … In this way, CEDAR can be used in the clinical setting to identify
CDS relevant to an individual patient … The WG member recommended expanding CDS
options to incorporate an overlying look of multiple guidelines … A WG member noted that using the CEDAR tool in the clinical setting might be unrealistic. … In addition to its work on Clinical Practice Guidelines
on FHIR (CPG-on-FHIR) the Repository team continues
-
cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_Work_Group_December_2021.pdf
January 01, 2021 - patient partnering effort, building on last year’s
patient partnering panel
• Learn about other AHRQ clinical … Objective
• During this CDS Connect project year, gather lessons
learned from each point of the clinical … INVOLVEMENT
LESSONS LEARNED
Danny van Leeuwen, HealthHats
7
Chris Harle – Scaling Interoperable Clinical … We also
built the COACH tool based on patient/provider input in
accordance with agreed-upon clinical … practice guidelines for
high blood pressure
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cds.ahrq.gov/sites/default/files/workgroups/143366/CDS_Connect_WG_April_2022_Presentation.pdf
January 01, 2022 - Objective
• During this CDS Connect project year, gather lessons
learned from each point of the clinical … known
and accessible
• Several levels of involvement can occur in
development and implementation of clinical … , learning
• Share your experience working with patients in development and/or implementation:
RN; clinical … CDS Connect admin team
• User guide documentation development continues
• Coordinating with NORC on Clinical … Guidelines CQL guidance
► NOTE: These changes are not yet published in the Repository
Link to CDS Connect
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_Intervention_Content_Statin_Patient_1.xlsx
January 01, 2024 - CDS Intervention
General Information
The example intervention text shown below is embedded in the Clinical … USPSTF) helps to improve the health of all Americans by making evidence-based recommendations about clinical … This link to their Quality Guidelines provides additional information on how resources are reviewed and … selected. https://health.gov/about-odphp/quality-guidelines
Specific to the USPSTF Recommendations,
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cds.ahrq.gov/sites/default/files/workgroups/71451/CDS_Connect_WG_March_2022_Summary.pdf
January 01, 2022 - March 2022 CDS Connect Work Group Summary
Clinical Decision Support (CDS) Connect Work Group ( … anticipated changes to the United States Preventative
Services Task Force (USPSTF) aspirin prescribing guidelines … One WG member offered her experience in informing clinical practice when an established practice is … Incorporating the recommendations into CDS will help
transition from to the newer clinical practice. … MITRE performed security updates for the Repository, continued
its partnership with Clinical Decision
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cds.ahrq.gov/sites/default/files/workgroups/221/feb-2017-cholesterol-wg-notes.docx
January 01, 2017 - Questions
CAMH provided a brief overview of the metadata under current consideration for individual clinical … CAMH requested the WG members’ feedback on the American Board of Medical Specialties’ taxonomy for clinical … on the Framingham risk scores and LDL targets, which are no longer recommended in the latest ACC/AHA guidelines … The measure is based on the 2013 ACC/AHA guidelines but it focuses on high risk populations most likely
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/2023_Intervention_Content_Statin_Patient.xlsx
January 01, 2023 - CDS Intervention
General Information
The example intervention text shown below is embedded in the Clinical … USPSTF) helps to improve the health of all Americans by making evidence-based recommendations about clinical … This link to their Quality Guidelines provides additional information on how resources are reviewed and … selected. https://health.gov/about-odphp/quality-guidelines
Specific to the USPSTF Recommendations,
-
cds.ahrq.gov/sites/default/files/cds/artifact/106/AMIA_presentation.pptx
January 01, 2012 - Recognition of weight status and screening laboratory evaluations1 are over-reported
Unexplained clinical … appropriately handled
The CDS does not break the EHR
Testing after implementation
How do different clinical … workflows impact use
Is there an impact on efficiency
Is there an impact on patient care
7
Clinical … should consider doing and the CDS helps them do it
Concurrent Development of
Quality Indicators / Clinical … the metrics provide feedback on the care provided
Concurrent Development of
Quality Indicators / Clinical
-
cds.ahrq.gov/sites/default/files/CDS_Connect_2024_Final_Report.pdf
January 01, 2024 - CDS “artifacts”—actionable
medical knowledge
(e.g., clinical practice
guidelines, peer-reviewed
articles … , local best practices,
and clinical quality measures)
translated into computable and
interoperable … Covering an array of clinical topics, artifacts in the Repository were developed by the MITRE team and … The Repository demonstrates a way to more rapidly incorporate evidence-based
research into clinical … the most up-to-date clinical evidence.
-
cds.ahrq.gov/sites/default/files/workgroups/2246/CDS_Connect_WG_May%202021_presentation.pdf
May 01, 2021 - Identify and Incorporate “Meaningful” New Evidence
• Search for new evidence
► Identify new or updated guidelines … merits a CDS artifact update
• Incorporate new evidence
► Perform a detailed analysis of the proposed clinical … any Value Set (VS) changes
► Revise logic
► Update Implementation Guide including decision logs and clinical … 7
Update and Test Logic Based on New Evidence or VSs
• Clinical concept representation
► Add or replace … informaticist
− (VS whose content changed, but identifier did not, require no changes in logic)
• Clinical
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/CDSConnectPilotFinalReport508gel10012018.pdf
September 01, 2018 - Clinical Pilot Site Selection
OCHIN facilitated the process of identifying one or more clinical sites … of the flags implemented to alert the clinician to an entry of potential
concern based on the CDC guidelines … pulled to populate the
Summary and references
• Uniform Resource Locators (URLs): Provides links to guidelines … are intended to draw
the clinician’s attention to an
entry of potential concern,
based on the CDC guidelines … Order and
Grouping of
Display of
Clinical
Concepts
The order in which the clinical
concepts
-
cds.ahrq.gov/sites/default/files/workgroups/1236/CDS_Connect_WG_Nov2020_Summary.pdf
November 19, 2020 - CDS Connect Work Group Meeting Summary 11-19-2020
CDS (Clinical Decision Support) Connect Work … presentation on
blockchain technology, followed by a discussion of blockchain’s potential role within clinical … CDS review
process, such as confidence in reviewers, timing of reviews, and information that impacts clinical … Another WG member agreed that groups
developing Clinical Practice Guidelines on Fast Healthcare Interoperability … Closing
CDS (Clinical Decision Support) Connect Work Group
Attendees
MEETING OBJECTIVES
ACTION
-
cds.ahrq.gov/sites/default/files/workgroups/1261/CDS_Connect_WG_March2021_Slides.pdf
March 01, 2021 - opportunities
for CDS Connect
3
CDS Connect Stakeholders
• CDS Authors
• Health IT Systems
• Clinical … Guidelines for the Digital Age)
− Builds and tests methods and infrastructure that increases the findability … Public Health Scientific Services
Centers for Disease Control and Prevention
25
AMIA 2021 Virtual Clinical … Informatics Conference
• Nothing for Me, Without Me:
Co-Design of Clinical Decision Support
• Wednesday … Connect
Updates and New Features
Announcements, Open Discussion, and Close-Out
AMIA 2021 Virtual Clinical
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/Pilot%20Report_Final_0.docx
March 01, 2018 - The CDS Connect project has included clinical and technical translation of guidelines into computable … patient-centered outcomes and clinician engagement while maintaining awareness of the evolving evidence-based guidelines … implementation direction that exists only as narrative or a flow chart requires the most effort, while CDS guidelines … seemed unclear on the differences between the recommendation criteria between the USPSTF and AHA/ACC guidelines … They also had other USPSTF guidelines they followed in their practice.