-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFPrediabetesAndType2DiabetesPart1Screening_Change_Log.txt
January 01, 2024 - -------------------------------
Version 2.0.0 implements several best practices prescribed by FHIR Clinical … Guidelines,
including:
- Renames library from
USPSTF_Screening_for_Abnormal_Blood_Glucose_and_Type2 … criteria
- 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_Screening_for_Abnormal_Blood_Glucose_and_Type2
-
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/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/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/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/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/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/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:
·
-
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/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_Connect_Update_Checklist_At_a_Glance_07-16-2024.pdf
January 01, 2024 - supports AHRQ’s mission to disseminate and implement patient-centered
outcomes research findings into clinical … practice through CDS.
1 The Publishing Organization Lead is the person tasked with ensuring that
-
cds.ahrq.gov/sites/default/files/cds/artifact/136331/Benzodiazepine%20Patient%20Handout.pdf
January 01, 2018 - Evidence-based clinical
practice guideline for deprescribing benzodiazepine receptor agonists.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1071/2023_Intervention_Content_Diet_Activity.xlsx
January 01, 2023 - Connect CQL expression:
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, … labels Web https://www.fda.gov/Food/LabelingNutrition/ucm274593.htm
c) An interactive tool to use to practice
-
cds.ahrq.gov/sites/default/files/workgroups/34806/CDS_Connect_WG_October_2021_Presentation.pdf
January 01, 2021 - influence on trust:
► Evidence-based
− The evidence instantiated within an artifact must apply to the clinical … organizations want and
trust CDS Connect…
• Monitoring and feedback of technical use and impacts on
practice … Ensure Artifact Currency
Update / validate artifacts to ensure they reflect the most recent clinical … guidelines
Ensure that CDS Connect artifacts provide value to the CDS ecosystem
4. … Evidence-based: The evidence instantiated within an artifact must apply to
the clinical condition it
-
cds.ahrq.gov/sites/default/files/workgroups/34806/CDS_Connect_WG_October_2021_Summary.pdf
January 01, 2021 - CDS Connect Work Group October 2021 Summary
Clinical Decision Support (CDS) Connect Work Group … updating CDS Connect artifacts to use Fast
Healthcare Interoperability Resource (FHIR) version R4 and Clinical … MITRE enhanced the support of Clinical Practice Guidelines (CPG)-on-FHIR, as well as
enabled FHIR server … The Patient-Centered Clinical Decision Support (PCCDS) Learning Network’s Trusted
Use Frameworks Working … Clinical decision support and quality
measurement are closely related; one could imagine a quality measure
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/CDSConnectPilotFinalReport508gel10012018.pdf
September 01, 2018 - Both systems contribute to AHRQ’s mission of advancing evidence-
based research into clinical practice … Ambulatory practice, with preference for a Federally Qualified Health Center (FQHC)
2. … 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
-
cds.ahrq.gov/sites/default/files/workgroups/33746/CDS_Connect_WG_Summary_September_2021.pdf
January 01, 2021 - September 2021 CDS Connect Work Group Meeting Summary
Clinical Decision Support (CDS) Connect … relevant technology available to
the public, including the Health Level Seven International’s (HL7) Clinical … Fast
Healthcare Interoperability Resources (FHIR), Application Programming Interface (API), Drupal,
Clinical … Practice Guidelines (CPG), the Value Set Authority Center (VSAC), and the Unified Medical
Language … Closing
Clinical Decision Support (CDS) Connect Work Group (WG)
Meeting Summary
September 16, 2021
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/StatinTherapyForThePreventionAndTreatmentOfCVDeCQMDerived_Change_Log.txt
January 01, 2024 - -------------------------------
Version 2.0.0 implements several best practices prescribed by FHIR Clinical … Guidelines,
including:
- Renamed library from
Statin_Therapy_for_the_Prevention_and_Treatment_of_CVD_eCQM_Derived_FHIRv102 … measurement since 3-year LDL time window was removed
NOTE: This artifact has not been piloted in a clinical … provide additional guidance for
pregnant patients
NOTE: This artifact has not been piloted in a clinical … Guidelines,
including:
- Renamed library from
Statin_Therapy_for_the_Prevention_and_Treatment_of_CVD_eCQM_Derived_FHIRv401
-
cds.ahrq.gov/sites/default/files/workgroups/231/apr-2017-cholesterol-wg-notes.docx
January 01, 2017 - · Feedback on value set selection to represent Diagnosis: CVD
· There is no good way to handle sub-clinical … It influences a patient’s risk, but not as much as someone with a clinical event. … The initial version included aortic atherosclerosis, which is a sub-clinical disease. … This has been removed, along with other sub-clinical codes.
· QIP did not use the original NCQA value … not easy to implement, but would be helpful to patients and providers.
· One system displays a best practice