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cds.ahrq.gov/cdsconnect/keywords/decision-aid
May 31, 2022 - Search All AHRQ Sites
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cds.ahrq.gov/sites/default/files/workgroups/1256/CDS_Connect_WG_Feb2021_Slides.pdf
February 24, 2021 - possible for an
organization to support the tool
17
SEEKING YOUR INPUT ON BALANCING
GOALS AND DECISIONS … 18
Key Implementation Goals and Decisions
Implementation Goals
• Ensure Interoperability
• Leverage … Adaptive Tests
• Develop Computing Resources
• Establish Server Roles
• Manage Data Hub
Implementation Decisions … content-igs
Additional IG Considerations
Tactical Questions:
• How do you want us to
document the decisions … Key Implementation Goals and Decisions
Trade-Off Considerations to Document
Additional Needs for
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cds.ahrq.gov/sites/default/files/patient_centered_cds_infographic_508.pdf
May 11, 2022 - portals
Use
Facilitating patient-clinician
information exchange
that ensures mutually
acceptable decisions … Digital tools that inform and guide patient care decisions across
platforms including EHRs, patient
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cds.ahrq.gov/sites/default/files/AHRQ_CDSIC_Project_Summary_OCT2022_final_508.pdf
October 01, 2022 - The Clinical Decision Support Innovation Collaborative
Making clinical decision support more valuable and meaningful
to patients, clinicians, and healthcare systems.
cds.ahrq.gov/cdsic
The Clinical Decision Support
Innovation Collaborative
Project Overview and Goals
The Clinical Decision Support Innovation Coll…
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cds.ahrq.gov/cdsconnect/keywords/clinical-decision-support
May 18, 2020 - Search All AHRQ Sites
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cds.ahrq.gov/cdsconnect/artifact/facilitating-shared-decision-making-people-who-drink-alcohol-patient-decision
June 04, 2020 - Search All AHRQ Sites
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cds.ahrq.gov/sites/default/files/cds/artifact/1141/Warfarin-NSAIDs%20MDIA%20Implementation%20Guide.docx
November 11, 2019 - 1
Primary Use Case 1
Recommendations and Suggested Actions 1
Guideline Interpretation and Clinical Decisions … Exclusion Tests b
Table 4: eCQM Inclusion Tests c
Table 5: Definitions of Shiffman’s Steps d
Table 6: Decisions … Based on “Atomized” Components of the Population Statements f
Table 7: Additional Decisions h … Decision Logs
Table 6: Decisions Based on "Atomized" Components of the Population Statements
Presence … These additional decisions were made based on the best available clinical knowledge and were encountered
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cds.ahrq.gov/sites/default/files/cds/artifact/1146/Warfarin-Antidepressants%20MDIA%20Implementation%20Guide.docx
August 29, 2020 - 1
Primary Use Case 1
Recommendations and Suggested Actions 1
Guideline Interpretation and Clinical Decisions … Exclusion Tests b
Table 4: eCQM Inclusion Tests c
Table 5: Definitions of Shiffman’s Steps d
Table 6: Decisions … Based on “Atomized” Components of the Population Statements f
Table 7: Additional Decisions h … Decision Logs
Table 6: Decisions Based on "Atomized" Components of the Population Statements
Presence … These additional decisions were made based on the best available clinical knowledge and were encountered
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cds.ahrq.gov/cdsconnect/artifact/refugee-health-decision-support
November 01, 2017 - Search All AHRQ Sites
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cds.ahrq.gov/cdsic/patientcentered
May 01, 2022 - Search All AHRQ Sites
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cds.ahrq.gov/sites/default/files/cds/artifact/81/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%20Risk_Final_0.docx
October 01, 2017 - Based on “Atomized” Components of the Recommendation Statement b
Table 3: Additional Decisions c
Agency … Some of the more meaningful interpretations and decisions found in Appendix A include:
1. … Specific decisions pertinent to the Updated Risk artifact include:
8. … Several decisions were made outside the scope of the atomized words and phrases in the recommendation … Table 3: Additional Decisions
Decision Category
Concept
Rationale
Reconcile multiple guidelines
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cds.ahrq.gov/sites/default/files/cds/artifact/396/cap_4_DecVars.html
January 01, 1970 - : DV_4 when the presence of pathogens that would significantly alter standard empirical management decisions
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cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation%20Guide_Statin%20Therapy%20for%20the%20Prevention%20and%20Treatment%20of%20CVD%20eCQM_Final.docx
October 01, 2017 - Based on “Atomized” Components of the Population Statements f
Table 7: Additional Decisions h
Agency … Decisions made during artifact development to transform eCQM logic and use cases into CDS logic and use … Guideline Interpretation and Clinical Decisions
It is often necessary to interpret or adjust clinical … Some of the more meaningful interpretations and decisions there include:
1. … Several decisions were made outside the scope of the atomized words and phrases in the recommendation
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cds.ahrq.gov/sites/default/files/cds/artifact/71/Implementation_Guide_CMS_Million_Hearts_ASCVD_Risk_Assessment.pdf
September 01, 2021 - ......................................................... 12
Guideline Interpretation and Clinical Decisions … ...................................................................................... 20
Table 3: Decisions … Based on “Atomized” Components of the Recommendation Statement ....... 21
Table 4: Additional Decisions … Guideline Interpretation and Clinical Decisions
It is often necessary to interpret or adjust clinical … These additional
decisions were made based on the best available clinical knowledge and were encountered
-
cds.ahrq.gov/sites/default/files/cds/artifact/71/Implementation%20Guide_CMS%20Million%20Hearts_ASCVD%20Risk%20Assessment_Level3_Final.pdf
February 01, 2018 - ...........................................................6
Guideline Interpretation and Clinical Decisions … ....................................................................................... l
Table 3: Decisions … Based on "Atomized" Components of the Recommendation Statement ........ m
Table 4: Additional Decisions … Guideline Interpretation and Clinical Decisions
It is often necessary to interpret or adjust clinical … Some of the more meaningful interpretations and decisions found in Appendix A include:
1.
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cds.ahrq.gov/sites/default/files/cds/artifact/76/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making_Final_0.docx
October 01, 2017 - Additional Use Cases 5
Recommendations and Suggested Actions 5
Guideline Interpretation and Clinical Decisions … Based on “Atomized” Components of the Recommendation Statement b
Table 3: Additional Decisions c
Agency … Guideline Interpretation and Clinical Decisions
It is often necessary to interpret or adjust clinical … Some of the more meaningful interpretations and decisions found in Appendix A include:
1. … Table 3: Additional Decisions
Decision Category
Concept
Rationale
Reconcile multiple guidelines
-
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 - Based on "Atomized" Components of the Recommendation Statement b
Table 3: Additional Decisions c
Agency … Guideline Interpretation and Clinical Decisions
It is often necessary to interpret or adjust clinical … Some of the more meaningful interpretations and decisions:
1. … Several decisions were made outside the scope of the atomized words and phrases in the recommendation … Table 3: Additional Decisions
Decision Category
Concept
Rationale
Verify Completeness
Exclusion
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Implementation_Guide_Pain_Management_Summary_1.pdf
September 01, 2022 - Decisions outlined in
Appendix A: Decision Log detail how source content informed development and how … Some of the key interpretations and
decisions include the following:
• The artifact was developed … This model
rests on supporting a process of deliberation and on understanding that decisions should … • Review the Guideline Interpretation and Clinical Decisions section of this document
(including … Decision aids for people facing health treatment or
screening decisions.
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cds.ahrq.gov/sites/default/files/cds/artifact/396/cap_3_DecidExecut.html
January 01, 1970 - investigated for specific pathogens that would significantly alter standard (empirical) management decisions … Vocab when the presence of pathogens that would significantly alter standard empirical management decisions
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cds.ahrq.gov/sites/default/files/cds/artifact/476/2023_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2023 - Decisions outlined in
Appendix A: Decision Log detail how source content informed development and how … Some of the key interpretations and
decisions include the following:
• The artifact was developed … This model
rests on supporting a process of deliberation and on understanding that decisions should … • Review the Guideline Interpretation and Clinical Decisions section of this document
(including … Decision aids for people facing health treatment or
screening decisions.