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cmext.ahrq.gov/confluence/download/export/downloadVRo6F133135.zip?contentType=application/zip
November 19, 2020 - Knowledge Ecosystem & Learning Health System
Improve
Health
Reduce
Costs
Enhance
Patient
Experience … )
• (CDC)
• Center for Evidence
& Practice
Improvement (25)
• Center for Financing,
Access and Cost … harm results in many deaths/day (4)
Clinician
Burnout
•Physician turnover/reduced clinical hours costs … Commentary The Commonwealth Fund 2009;April 27 ; (3) McGlynn NEJM 2003;348:2635-45 ; (4) Bernazzani; Costs … 1509 ;
https://www.nejm.org/doi/full/10.1056/NEJMsa022615
https://costsofcare.org/tallying-the-high-cost-of-preventable-harm
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cmext.ahrq.gov/confluence/plugins/viewsource/viewpagesrc.action?pageId=114991746
cycle for many more clinical targets and setting than addressed in Phase 2 Phase 3 Tasks, Timeline & Costs … ACTS Phase 3 Create/Use Governance & Collaboration Tasks, Timeline & Costs Task Start End 3 … ACTS Phase 3 Enhance/Leverage Infrastructure Tasks, Timeline & Costs Task Start End 3.5 Maintain … ACTS Phase 3 Enhance/Develop Living, Computable Guidance Tasks, Timeline & Costs Task Start End 3.7 … ACTS Phase 3 Evaluate/Plan Roadmap Execution Tasks, Timeline & Costs Task Start End 3.11 Gather and
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cmext.ahrq.gov/confluence/plugins/viewsource/viewpagesrc.action?pageId=114992852
cycle for many more clinical targets and setting than addressed in Phase 2 Phase 3 Tasks, Timeline & Costs … ACTS Phase 3 Create/Use Governance & Collaboration Tasks, Timeline & Costs Task Start End 3 … ACTS Phase 3 Enhance/Leverage Infrastructure Tasks, Timeline & Costs Task Start End 3.5 Maintain … ACTS Phase 3 Enhance/Develop Living, Computable Guidance Tasks, Timeline & Costs Task Start End 3.7 … ACTS Phase 3 Evaluate/Plan Roadmap Execution Tasks, Timeline & Costs Task Start End 3.11 Gather and
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cmext.ahrq.gov/confluence/plugins/viewsource/viewpagesrc.action?pageId=114991753
cycle for many more clinical targets and setting than addressed in Phase 2 Phase 3 Tasks, Timeline & Costs … ACTS Phase 3 Create/Use Governance & Collaboration Tasks, Timeline & Costs Task Start End 3 … ACTS Phase 3 Enhance/Leverage Infrastructure Tasks, Timeline & Costs Task Start End 3.5 Maintain … ACTS Phase 3 Enhance/Develop Living, Computable Guidance Tasks, Timeline & Costs Task Start End 3.7 … ACTS Phase 3 Evaluate/Plan Roadmap Execution Tasks, Timeline & Costs Task Start End 3.11 Gather and
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cmext.ahrq.gov/confluence/plugins/viewsource/viewpagesrc.action?pageId=114991519
January 01, 2019 - Services (CMS), the United States spent 17.7% of its 2019 Gross Domestic Product (GDP) on healthcare—and costs … Poor information flow also contributes to clinician burnout that costs billions every year (14) and … Some estimate that physician decisions influence more than 80 percent of healthcare costs (20) (21), … High-Cost, Suboptimal U.S. … workflows Leverage complex and evolving standards to address business needs Manage increasing costs
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cmext.ahrq.gov/confluence/exportword?pageId=114991045
January 01, 2019 - Services (CMS), the United States spent 17.7% of its 2019 Gross Domestic Product (GDP) on healthcare—and costs … Poor information flow also contributes to clinician burnout that costs billions every year (14) and further … Some estimate that physician decisions influence more than 80 percent of healthcare costs (20) (21), … High-Cost, Suboptimal U.S. … workflows
Leverage complex and evolving standards to address business needs
Manage increasing costs
-
cmext.ahrq.gov/confluence/plugins/viewsource/viewpagesrc.action?pageId=114991045
January 01, 2019 - Services (CMS), the United States spent 17.7% of its 2019 Gross Domestic Product (GDP) on healthcare—and costs … Poor information flow also contributes to clinician burnout that costs billions every year (14) and … Some estimate that physician decisions influence more than 80 percent of healthcare costs (20) (21), … High-Cost, Suboptimal U.S. … workflows Leverage complex and evolving standards to address business needs Manage increasing costs
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cmext.ahrq.gov/confluence/download/temp/pdfexport-20230227-270223-1926-453/Why+ACTS+-+the+Urgent+Challenge_3f60fcc2ad8c448986cad6e5afda607c-270223-1926-454.pdf?contentType=application/pdf
January 01, 2019 - Services (CMS), the United States spent 17.7% of its 2019 Gross Domestic Product (GDP) on healthcare—and costs … Poor information flow also contributes to clinician burnout that costs billions every year (14) and further … Some estimate that physician decisions influence more than 80 percent of healthcare costs (20)
(21), … High-Cost, Suboptimal U.S. … healthcare system simultaneously enhances patient
experience, improves population health, reduces costs
-
cmext.ahrq.gov/confluence/download/temp/pdfexport-20230228-280223-2054-1953/Why+ACTS+-+the+Urgent+Challenge_1c722e2a644b4fbea545022b891497dc-280223-2054-1954.pdf?contentType=application/pdf
January 01, 2019 - Services (CMS), the United States spent 17.7% of its 2019 Gross Domestic Product (GDP) on healthcare—and costs … Poor information flow also contributes to clinician burnout that costs billions every year (14) and further … Some estimate that physician decisions influence more than 80 percent of healthcare costs (20)
(21), … High-Cost, Suboptimal U.S. … healthcare system simultaneously enhances patient
experience, improves population health, reduces costs
-
cmext.ahrq.gov/confluence/download/export/pdfexport-20230321-210323-0453-989/Why+ACTS+-+the+Urgent+Challenge_8788f287f1414c4495ddb518b8d5c9b9-210323-0453-990.pdf?contentType=application/pdf
January 01, 2019 - Services (CMS), the United States spent 17.7% of its 2019 Gross Domestic Product (GDP) on healthcare—and costs … Poor information flow also contributes to clinician burnout that costs billions every year (14) and further … Some estimate that physician decisions influence more than 80 percent of healthcare costs (20)
(21), … High-Cost, Suboptimal U.S. … healthcare system simultaneously enhances patient
experience, improves population health, reduces costs
-
cmext.ahrq.gov/confluence/download/export/pdfexport-20230320-200323-1338-253/Why+ACTS+-+the+Urgent+Challenge_5a6257907e8a424bb31e99d564ad5e8e-200323-1338-254.pdf?contentType=application/pdf
January 01, 2019 - Services (CMS), the United States spent 17.7% of its 2019 Gross Domestic Product (GDP) on healthcare—and costs … Poor information flow also contributes to clinician burnout that costs billions every year (14) and further … Some estimate that physician decisions influence more than 80 percent of healthcare costs (20)
(21), … High-Cost, Suboptimal U.S. … healthcare system simultaneously enhances patient
experience, improves population health, reduces costs
-
cmext.ahrq.gov/confluence/download/export/pdfexport-20230424-240423-1147-2679/Why+ACTS+-+the+Urgent+Challenge_9ec7e35dfacf46408875275dd13ab554-240423-1147-2680.pdf?contentType=application/pdf
January 01, 2019 - Services (CMS), the United States spent 17.7% of its 2019 Gross Domestic Product (GDP) on healthcare—and costs … Poor information flow also contributes to clinician burnout that costs billions every year (14) and further … Some estimate that physician decisions influence more than 80 percent of healthcare costs (20)
(21), … High-Cost, Suboptimal U.S. … healthcare system simultaneously enhances patient
experience, improves population health, reduces costs
-
cmext.ahrq.gov/confluence/download/export/pdfexport-20230425-250423-0334-3369/Why+ACTS+-+the+Urgent+Challenge_47d5253e653f404cb6796cd08e93c7a6-250423-0334-3370.pdf?contentType=application/pdf
January 01, 2019 - Services (CMS), the United States spent 17.7% of its 2019 Gross Domestic Product (GDP) on healthcare—and costs … Poor information flow also contributes to clinician burnout that costs billions every year (14) and further … Some estimate that physician decisions influence more than 80 percent of healthcare costs (20)
(21), … High-Cost, Suboptimal U.S. … healthcare system simultaneously enhances patient
experience, improves population health, reduces costs
-
cmext.ahrq.gov/confluence/download/export/pdfexport-20230703-030723-1216-61/Why+ACTS+-+the+Urgent+Challenge_c49531fbf62a4254b832bc16eb1d5288-030723-1216-62.pdf?contentType=application/pdf
January 01, 2019 - Services (CMS), the United States spent 17.7% of its 2019 Gross Domestic Product (GDP) on healthcare—and costs … Poor information flow also contributes to clinician burnout that costs billions every year (14) and further … Some estimate that physician decisions influence more than 80 percent of healthcare costs (20)
(21), … High-Cost, Suboptimal U.S. … healthcare system simultaneously enhances patient
experience, improves population health, reduces costs
-
cmext.ahrq.gov/confluence/download/export/pdfexport-20230731-310723-2026-459/Why+ACTS+-+the+Urgent+Challenge_4e04c8542ab7400993cd54f6e00e5dc1-310723-2026-460.pdf?contentType=application/pdf
January 01, 2019 - Services (CMS), the United States spent 17.7% of its 2019 Gross Domestic Product (GDP) on healthcare—and costs … Poor information flow also contributes to clinician burnout that costs billions every year (14) and further … Some estimate that physician decisions influence more than 80 percent of healthcare costs (20)
(21), … High-Cost, Suboptimal U.S. … healthcare system simultaneously enhances patient
experience, improves population health, reduces costs
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cmext.ahrq.gov/confluence/pages/viewpage.action?pageId=114990914
August 04, 2022 - led to the recommendation; e.g., quality of the evidence, and magnitude and balance of benefits/harms/costs … Include representation of the costs of action (and costs of inaction) where available for the recommended … problem look like' - e.g., rationale for recommendation, how evidence relates to the recommendation, costs … outpatient) for a clinical condition: 1) what are the recommended management approaches - and risks, costs
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cmext.ahrq.gov/confluence//display/PUB/Recommendation+Summary+Browser
August 04, 2022 - led to the recommendation; e.g., quality of the evidence, and magnitude and balance of benefits/harms/costs … Include representation of the costs of action (and costs of inaction) where available for the recommended … problem look like' - e.g., rationale for recommendation, how evidence relates to the recommendation, costs … outpatient) for a clinical condition: 1) what are the recommended management approaches - and risks, costs
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cmext.ahrq.gov/confluence/display/PUB/Recommendation+Summary+Browser
August 04, 2022 - led to the recommendation; e.g., quality of the evidence, and magnitude and balance of benefits/harms/costs … Include representation of the costs of action (and costs of inaction) where available for the recommended … problem look like' - e.g., rationale for recommendation, how evidence relates to the recommendation, costs … outpatient) for a clinical condition: 1) what are the recommended management approaches - and risks, costs
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cmext.ahrq.gov/confluence/pages/diffpages.action?originalId=114991755&pageId=114991756
September 15, 2021 - from CQuIPS (47)), and *healthcare performance data* (e.g., from the Center for Financing, Access, and Cost … components of AHRQ DKP Data Harmonization Effort Medical Expenditure Panel Survey (MEPS) Healthcare Cost … and Utilization Project (HCUP) User Support (HCUP-US) Healthcare Cost and Utilization Project Network … A modest 1% cost savings from more coordinated resource development and dissemination efforts—leveraging … Insurance: preauthorization for medications, testing, and procedures Pharmacy: identification-based pricing
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cmext.ahrq.gov/confluence/pages/viewpage.action?pageId=114991755
October 01, 2021 - from CQuIPS (47)), and *healthcare performance data* (e.g., from the Center for Financing, Access, and Cost … components of AHRQ DKP Data Harmonization Effort Medical Expenditure Panel Survey (MEPS) Healthcare Cost … and Utilization Project (HCUP) User Support (HCUP-US) Healthcare Cost and Utilization Project Network … A modest 1% cost savings from more coordinated resource development and dissemination efforts—leveraging … Insurance: preauthorization for medications, testing, and procedures Pharmacy: identification-based pricing