-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS_for%20Repository_0.pdf
September 21, 2018 - Internal Distribution Only—Not for Public Release
AHRQ CDS Connect – Pilot Site Training for
the Clinical … for Public Release
Training Agenda
▪ Brief background on the CDS Connect project
▪ Evidence-based guidelines … setting
• Work Group: Convene external discussions focused on accelerating evidence into practice … ▪ Flags
– Are intended to draw the clinicians eye to an entry of potential
concern, based on CDC guidelines … Provide info on what data was pulled to populate the Summary and
references, at times
▪ URLs
– To guidelines
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/Implementation%20Guide_Abnormal%20Blood%20Glucose%20and%20Type%202%20DM_Part%20One,%20Screening_Final.pdf
September 01, 2019 - practice guidelines, and best practices identified by peers that they must incorporate into daily … practice. … Guideline Translation Summary
It is often necessary to interpret or adjust clinical guidelines to make … https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Obstetric-Practice … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and Implementation.
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFDietAndActivityForCVDPreventionInAdults_Change_Log.txt
January 01, 2024 - -------------------------------
Version 2.0.0 implements several best practices prescribed by FHIR Clinical … Guidelines, including:
- Rename library from
USPSTF_Diet_and_Activity_for_CVD_Prevention_in_Adults_FHIRv102 … library CDSConnectCommonsForFHIRv102 to version 2.1.0
NOTE: This version has not been piloted in a clinical … Update CDSConnectCommonsForFHIRv102 to version 2.1.1
NOTE: This version has not been piloted in a clinical … Guidelines, including:
- Rename library from
USPSTF_Diet_and_Activity_for_CVD_Prevention_in_Adults_FHIRv401
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFPrediabetesAndType2DiabetesPart2Counseling_Change_Log.txt
January 01, 2024 - -------------------------------
Version 2.0.0 implements several best practices prescribed by FHIR Clinical … Guidelines,
including:
- Renames library from
USPSTF_Counseling_for_Abnormal_Blood_Glucose_and_Type2 … diabetes)
- Updates Notification and Recommendation text
NOTE: This version has not been piloted in a clinical … -------------------------------
Version 2.0.0 implements several best practices prescribed by FHIR Clinical … Guidelines,
including:
- Renames library from
USPSTF_Counseling_for_Abnormal_Blood_Glucose_and_Type2
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-08/USPSTFStatinUseForPrimaryPreventionOfCVDInAdultsPatientFacing_Change_Log_0.txt
January 01, 2023 - -------------------------------
Version 2.0.0 implements several best practices prescribed by FHIR Clinical … Guidelines,
including:
- Rename library from
USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults_PatientFacing_FHIRv102 … value set
- Update notification and recommendation text
NOTE: This version has not been piloted in a clinical … -------------------------------
Version 2.0.0 implements several best practices prescribed by FHIR Clinical … Guidelines, including:
- Rename library from
USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults_PatientFacing_FHIRv401
-
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/cds/artifact/106/AMIA_presentation.pptx
January 01, 2012 - Recognition of weight status and screening laboratory evaluations1 are over-reported
Unexplained clinical … interest in an evidence-based intervention
Now onto building decision support and putting it into practice … 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
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2019.pdf
January 01, 2019 - Clinicians today face an unending stream of new research findings, new or updated clinical
practice … guidelines, and best practices identified by peers that they must incorporate into daily
practice. … practice guidelines, and best practices identified by peers that they must incorporate into daily … practice. … The CDC “Adapting Clinical Practice Guidelines for the Digital Age” initiative is working to
improve
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2022-09/FactorsToConsiderInManagingChronicPain_Change_Log.txt
January 01, 2022 - Factors_to_Consider_in_Managing_Chronic_Pain version 1.1.0 has not been piloted
in a clinical setting … Guidelines,
including:
- Rename library from Factors_to_Consider_in_Managing_Chronic_Pain_FHIRv102 to … value set "CDS Pregnancy" 2.16.840.1.113762.1.4.1032.264
NOTE: This version has not been piloted in a clinical … This artifact has not been
piloted in a clinical setting. … Guidelines,
including:
- Rename library from Factors_to_Consider_in_Managing_Chronic_Pain_FHIRv401 to
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2022-09/USPSTFStatinUseForPrimaryPreventionOfCVDInAdults_Change_Log.txt
January 01, 2022 - USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults version 1.0.1 has not
been piloted in a clinical … USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults version 1.1.0 has not
been piloted in a clinical … -------------------------------
Version 2.0.0 implements several best practices prescribed by FHIR Clinical … Guidelines, including:
- Rename library from
USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults_FHIRv102 … Guidelines, including:
- Rename library from
USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults_FHIRv401
-
cds.ahrq.gov/sites/default/files/workgroups/226/mar-2017-cholesterol-wg-notes.docx
January 01, 2017 - · ACC/AHA guidelines vs. … US Preventative Task Force (USPTF) Recommendations:
· Consider reconciling the two guidelines in the … as “default” dose.
· Considerations for artifact translation to technical standards:
· Conditions:
· Clinical
-
cds.ahrq.gov/sites/default/files/workgroups/246/jul-2017-cholesterol-wg-notes.docx
January 01, 2017 - The challenge faced in one practice is that the guides must be written for a broad audience, which conflicts … One practice has a dyslipidemia tip sheet that is a living document changed every 6 months. … Option Year Clinical Domains
CAMH requested the WG’s feedback and experiences with numerous clinical … In one practice, alerts for childhood obesity are triggered by BMI and suggests labs, consultation with … The WG members provided the following feedback on the clinical domain areas:
1.
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFStatinUseForPrimaryPreventionOfCVDInAdultsPatientFacing_Change_Log.txt
January 01, 2024 - -------------------------------
Version 2.0.0 implements several best practices prescribed by FHIR Clinical … Guidelines,
including:
- Rename library from
USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults_PatientFacing_FHIRv102 … value set
- Update notification and recommendation text
NOTE: This version has not been piloted in a clinical … consistently use the term
"10-year ASCVD risk score"
NOTE: This version has not been piloted in a clinical … Guidelines, including:
- Rename library from
USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults_PatientFacing_FHIRv401
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/Pilot%20Report_Final_0.docx
March 01, 2018 - technology (IT) focused on clinical decision support (CDS) to incorporate findings into clinical practice … The CDS Connect project has included clinical and technical translation of guidelines into computable … findings in healthcare practice. … Since Alliance does not allow Grade C recommendations in clinical practice, the CDS request also set … They also had other USPSTF guidelines they followed in their practice.
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-08/FactorsToConsiderInManagingChronicPain_Change_Log.txt
January 01, 2023 - Factors_to_Consider_in_Managing_Chronic_Pain version 1.1.0 has not been piloted
in a clinical setting … Guidelines,
including:
- Rename library from Factors_to_Consider_in_Managing_Chronic_Pain_FHIRv102 to … value set "CDS Pregnancy" 2.16.840.1.113762.1.4.1032.264
NOTE: This version has not been piloted in a clinical … This artifact has not been
piloted in a clinical setting. … Guidelines,
including:
- Rename library from Factors_to_Consider_in_Managing_Chronic_Pain_FHIRv401 to
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-08/USPSTFStatinUseForPrimaryPreventionOfCVDInAdults_Change_Log_1.txt
January 01, 2023 - USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults version 1.0.1 has not
been piloted in a clinical … USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults version 1.1.0 has not
been piloted in a clinical … -------------------------------
Version 2.0.0 implements several best practices prescribed by FHIR Clinical … Guidelines, including:
- Rename library from
USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults_FHIRv102 … Guidelines, including:
- Rename library from
USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults_FHIRv401
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/FactorsToConsiderInManagingChronicPain_Change_Log.txt
January 01, 2024 - Factors_to_Consider_in_Managing_Chronic_Pain version 1.1.0 has not been piloted
in a clinical setting … Guidelines,
including:
- Rename library from Factors_to_Consider_in_Managing_Chronic_Pain_FHIRv102 to … Updated CDSConnectCommonsForFHIRv102 to version 2.1.1
NOTE: This version has not been piloted in a clinical … This artifact has not been
piloted in a clinical setting. … Guidelines,
including:
- Rename library from Factors_to_Consider_in_Managing_Chronic_Pain_FHIRv401 to
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFStatinUseForPrimaryPreventionOfCVDInAdults_Change_Log.txt
January 01, 2024 - USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults version 1.0.1 has not
been piloted in a clinical … USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults version 1.1.0 has not
been piloted in a clinical … -------------------------------
Version 2.0.0 implements several best practices prescribed by FHIR Clinical … Guidelines, including:
- Rename library from
USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults_FHIRv102 … Guidelines, including:
- Rename library from
USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults_FHIRv401
-
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/workgroups/216/jan-2017-cholesterol-wg-notes.docx
January 01, 2017 - defined using value sets);
· Evidence needs to be contextualized to drive individual care decisions: guidelines … threshold values for different recommendations.
· CDS tools should be considered for use outside of clinical … workload when embedding tool into clinical workflow: facilitating documentation can motivate clinicians … The group agreed that providers should select their preferred tool based on their practice and intention … Two existing measures were ruled out since they were not aligned with the latest clinical evidence:
·