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cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_USPSTF%20Statin%20Use%20for%20the%20Primary%20Prevention%20of%20CVD%20in%20Adults_Final.docx
October 01, 2017 - USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults_FHIRv102.cql
CQL representation of the United States Preventive Services Task Force (USPSTF) statin therapy … USPSTF_Statin_Use_for_Primary_Prevention_of_CVD_in_Adults_FHIRv102.json
JSON representation of the United States Preventive Services Task Force (USPSTF) statin therapy … Force
Grade B
"recommends"
offer or provide this service, implement as "Start" if initiation of treatment … Active is evaluated by having a dialysis treatment within the past 7 days. … Per the work group, not all liver conditions clearly exclude a recommendation for statin therapy (e.g
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cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_WG_February_2022_Summary.pdf
January 01, 2022 - ensure the continued delivery of healthcare for
underserved communities as medical consultations and treatment … The ACTIVATE feasibility pilot enrolled twelve Spanish- or English-speaking adults with Type 2
diabetes … follow-up phases of ACTIVATE will concentrate on expanding the target population to include
Type 1 diabetes
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cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2020.pdf
January 01, 2020 - https://cds.ahrq.gov/cdsconnect/artifact/aspirin-therapy-primary-prevention-cvd-and-colorectal-cancer … for the Prevention
and Treatment of Cardiovascular
Disease (CVD) eCQM
Yes Yes Yes Yes, to meet Section … healthful-diet-and-physical-activity-cvd-prevention-adults-cardiovascular-risk
https://cds.ahrq.gov/cdsconnect/artifact/statin-therapy-prevention-and-treatment-cardiovascular-disease-cvd-ecqm … https://cds.ahrq.gov/cdsconnect/artifact/statin-therapy-prevention-and-treatment-cardiovascular-disease-cvd-ecqm … https://cds.ahrq.gov/cdsconnect/artifact/statin-therapy-prevention-and-treatment-cardiovascular-disease-cvd-ecqm
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cds.ahrq.gov/sites/default/files/workgroups/246/jul-2017-cholesterol-wg-notes.docx
January 01, 2017 - numerous clinical domains under consideration for the Option Year work:
Expand CVD prevention and treatment … Diabetes:
There are a lot of different aspects to the disease and a lot to keep track of (e.g., when … Diabetes is tough and there hasn’t been much success in this area.
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2021.pdf
January 01, 2021 - for the Prevention
and Treatment of Cardiovascular
Disease (CVD) eCQM
Yes Yes Yes Yes
Statin Use … healthy-diet-and-physical-activity-cvd-prevention-adults-cardiovascular-risk
https://cds.ahrq.gov/cdsconnect/artifact/statin-therapy-prevention-and-treatment-cardiovascular-disease-cvd-ecqm … https://cds.ahrq.gov/cdsconnect/artifact/statin-therapy-prevention-and-treatment-cardiovascular-disease-cvd-ecqm … https://cds.ahrq.gov/cdsconnect/artifact/statin-therapy-prevention-and-treatment-cardiovascular-disease-cvd-ecqm … https://cds.ahrq.gov/cdsconnect/artifact/clostridoides-difficile-c-diff-infection-cdi-treatment-pathway
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2022.pdf
January 01, 2022 - for the Prevention and
Treatment of Cardiovascular Disease
(CVD) eCQM
Yes Yes Yes Yes
Statin Use … healthy-diet-and-physical-activity-cvd-prevention-adults-cardiovascular-risk
https://cds.ahrq.gov/cdsconnect/artifact/statin-therapy-prevention-and-treatment-cardiovascular-disease-cvd-electronic … https://cds.ahrq.gov/cdsconnect/artifact/statin-therapy-prevention-and-treatment-cardiovascular-disease-cvd-electronic … https://cds.ahrq.gov/cdsconnect/artifact/statin-therapy-prevention-and-treatment-cardiovascular-disease-cvd-electronic … Notably, the update for the
Aspirin Therapy for Primary Prevention of CVD and Colorectal Cancer was
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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 - with statin therapy or aspirin therapy prior to changing or initiating
therapy. … Deabstract Logic definition of
“Diabetes” for data
input to risk equation
Diabetes is defined as … Implementation
guidance
“LDL,” “Statin
Therapy,” and
“Aspirin Therapy”
The concepts of LDL, … statin therapy, and aspirin therapy are not required or evaluated
against to determine baseline ASCVD … with statin therapy or aspirin therapy prior to
changing or initiating therapy by adding to the CQL
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_Intervention_Content_Statin_Patient_1.xlsx
January 01, 2024 - pressure, high LDL cholesterol (the “bad” kind of cholesterol), low HDL cholesterol (the “good” kind), diabetes … Name & location Description Format URL or PDF name
JAMA Patient Page: Lipid Disorders: Screening and Treatment
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cds.ahrq.gov/sites/default/files/cds/artifact/106/Poster_AMIA_mid_atlantic_HWI_jm.pptx
February 09, 2018 - document obesity or overweight status
Lack of recognition or documentation can prevent initiation of therapy … recommendations from the ‘Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment … Disease (ALT) 24.9%
Hyperlipidemia – overweight (Lipid) 26.0%
Hyperlipidemia – obese (Lipid) 53.2%
Diabetes
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cds.ahrq.gov/sites/default/files/cds/artifact/71/Implementation%20Guide_CMS%20Million%20Hearts_ASCVD%20Risk%20Assessment_Level3_Final.pdf
February 01, 2018 - Calculation of updated risk after preventive therapies have been initiated. … , and treatment for high blood pressure. … with statin therapy or aspirin therapy prior to
changing or initiating therapy. … Deabstract Logic definition of
"Diabetes" for data
input to risk equation
Diabetes is defined as … with statin therapy or aspirin therapy prior to changing or initiating therapy by adding
to the CQL
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cds.ahrq.gov/sites/default/files/cds/artifact/476/2024_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2024 - nonopioid pharmacologic therapy for the
treatment of pain, as well as additional complex factors to … significantly improve physician performance in certain conditions, such as disease
management for diabetes … Intervention
“Nonopioid pain
medication”
Medications with analgesic effects that may provide therapeutic … ”
Nonmedication procedures and therapies employed to treat pain (e.g., physical therapy, massage, … updated in 2023, with several therapies now showing evidence of
benefit in the 2022 AHRQ systematic
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Enhanced%20CDS%20Artifact%20Based%20on%20Pilot%20Implementation_Final.docx
October 01, 2017 - CMS347: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease demonstrated data element … for the Prevention and Treatment of Cardiovascular Disease … Conditions
Published guidelines and rules are often written using non-coded generic Condition terms such as “diabetes … · Demographics: Guidelines, particularly for invasive procedures and long-term therapies, may have … to have different time thresholds for recommending thrombolysis, based on their experience and other therapeutic
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cds.ahrq.gov/sites/default/files/cds/artifact/1071/2024_CDS_Connect_IG_Healthy_Diet_Physical_Activity.pdf
January 01, 2024 - allows the patient and their primary
healthcare clinician to determine together the most appropriate treatment … Elsewhere in the recommendation,
smoking and diabetes are mentioned as potential risk factors. … A USPSTF SME confirmed
that smoking and diabetes should not be included in the CDS logic as CVD risk … If a
patient already has CVD, different types of treatment and counseling may be indicated. … If a patient has CVD, different types of
treatment and counseling may be indicated.
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cds.ahrq.gov/sites/default/files/cds/artifact/26/2024_CDS_Connect_IG_Aspirin_Therapy.pdf
January 01, 2024 - and patients decide on the use of aspirin therapy to
mitigate the patient’s risk of developing CVD … At a very high level, the interventions and
recommendations pertinent to the Aspirin Therapy artifact … For
example, if a semistructured artifact mentions “diabetes” as part of its logic, then many
Systematized … Clinical Modification (ICD-10-CM) codes could be
used to represent a patient with an active condition of “diabetes … If the patient
has CVD/ASCVD, then a different treatment may be indicated.
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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 - CDS Connect Implementation Guide Draft
Implementation Guide
USPSTF Aspirin Therapy for the Primary Prevention … For example, if a semi-structured artifact mentions “Diabetes” as part of its logic, there are many SNOMED-CT … , ICD-9, and ICD-10 codes that could be used to represent a patient with an active condition of “Diabetes … If the patient has CVD/ASCVD a different treatment may be indicated. … If the patient has CRC a different therapy may be indicated.
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Pilot%20Report_Final_0.docx
March 01, 2018 - across staff roles, 6) how CDS artifacts results will be shared with the patient and incorporated into treatment … In regard to the USPSTF Statin Use recommendation statement related to statin therapy for the treatment … between the recommendation criteria between the USPSTF and AHA/ACC guidelines (i.e., both consider diabetes … USPSTF recommendations, does not automatically recommend a high intensity statin for all patients with diabetes