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cds.ahrq.gov/cdsconnect/userguide/artifactevidence
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cds.ahrq.gov/cdsconnect/keywords/evidence-based
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cds.ahrq.gov/cedar
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cds.ahrq.gov/cdsconnect/org/rti-unc-evidence-based-practice-center
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cds.ahrq.gov/cedar/AHRQ_CEDAR_Information_Sheet.pdf
October 01, 2022 - Information and Evidence
CEDAR [The Agency For Healthcare Research and Quality’s
(AHRQ) Center for … Evidence and Practice Improvement (CEPI)
Evidence Discovery and Retrieval] is an open-source project … which
gives developers the ability to integrate AHRQ evidence into their
existing systems. … production of research evidence and its adoption for use
in clinical settings. … AHRQ maintains research evidence and PCOR findings developed through
different programs.
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cds.ahrq.gov/sites/default/files/CDS_Connect_Update_Checklist_At_a_Glance_07-16-2024.pdf
January 01, 2024 - and attached files
Publishing
Organization
Lead1
Clinician, logic author,
informaticist
Evidence … Base Determine whether new evidence exists and
requires a change to purpose, population,
usage, or … If needed, create new value sets
for updated logic based on new evidence. … Logic Update logic to reflect new CQL or FHIR
standards/functionality, as well as new or
changed evidence … Evidence changes commonly
impact the inclusions, exclusions,
interventions, actions, and version metadata
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cds.ahrq.gov/sites/default/files/workgroups/2246/CDS_Connect_WG_May%202021_presentation.pdf
May 01, 2021 - • Search for new evidence
► Identify new or updated guidelines
► Update literature review based on … key terms
• Decide if new evidence is “meaningful”
► Engage subject matter experts (SMEs), as needed … ► Determine if the new evidence merits a CDS artifact update
• Incorporate new evidence
► Perform a … What are your expectations for identifying and including new evidence? … Optimize Chosen Value Sets (VSs)
Update and Test Logic Based on New Evidence or VSs
Optimize Support
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cds.ahrq.gov/sites/default/files/workgroups/2246/CDS_Connect_WG_May_2021_Summary.pdf
January 01, 2021 - • WG members interested in learning more about the Center for Evidence and Practice Improvement
( … CEPI) Evidence Discovery And Retrieval (CEDAR) project should contact AHRQ. … This step has three components: searching for new evidence; deciding if that new evidence is
meaningful … • A WG member shared that guidelines need to be updated as soon as new evidence comes out. … measure tools, whose use then generates more evidence,
and the cycle begins anew.
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cds.ahrq.gov/sites/default/files/workgroups/33746/CDS_Connect_WG_Presentation_September_2021.pdf
January 01, 2021 - Artifacts
► CPG-on-FHIR
• CDS Artifacts
► CDS Connect MITRE authored artifacts updated
with relevant evidence … • Step 1: Is the evidence behind the CDS artifact
still current? … • Step 3: Do the evidence or VS changes require
an update to the logic? … Million Hearts® Model Longitudinal ASCVD Risk Assessment Tool for
Shared Decision Making
► No new evidence … Statin Use for the Primary Prevention of CVD in Adults: Clinician-Facing CDS Intervention
► No new evidence
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cds.ahrq.gov/cedar/AHRQ_CEDAR_Final_Outreach_Report_October_2022_508.pdf
January 01, 2022 - evidence and PCOR findings. … • Raise awareness of CEDAR and how it can speed finding and accessing evidence. … Short-term
Provide clear indicators of evidence timeliness and versioning. … When
discussing CEPI PCOR evidence and evidence resources with any external audiences,
preparation … Would you like to see connections across evidence resources or programs?
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cds.ahrq.gov/cedar/AHRQ_CEDAR_Final_Project_Report_09_29_2022.pdf
January 01, 2022 - CEDAR stands for the AHRQ Center for
Evidence and Practice Improvement (CEPI) Evidence Discovery And … Program, the Evidence-based Practice
Center, CDS Connect, and the U.S. … that CEPI maintains in several of its evidence repositories, resources, and programs. … CEDAR was intended to index evidence from CDS Connect, the Effective Health Care Program,
Evidence-based … • AHRQ offers evidence that is highly trusted and that engenders high confidence.
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cds.ahrq.gov/cedar/AHRQ_CEDAR_Environmental_Scan_2020_508.pdf
January 01, 2020 - AHRQ CEDR Environmental Scan - First Draft
Environmental Scan
Prepared for AHRQ Center for
Evidence … AHRQ and its Center for Evidence and Practice Improvement (CEPI) requested the assistance of
the CMS … CEPI sought the
Health FFRDC assistance to further AHRQ’s dissemination of PCOR evidence and findings … EPCs also research the methodology of evidence synthesis. … review summarizing the evidence on a topic of interest.67
Public comments are accepted on draft evidence
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cds.ahrq.gov/cedar/api/fhir/Organization
States Preventive Services Task Force is an independent, volunteer panel of experts in prevention and evidence-based … cedar/api/fhir/StructureDefinition/extension-organization-description",
"valueString": "Evidence-based … and other research institutions contracted by the EHC Program to evaluate and summarize healthcare evidence … ."
}
],
"name": "Evidence-based Practice Center Program",
"alias": … The AHRQ EHC Program's goal is to improve healthcare quality by enabling access to the best available evidence
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cds.ahrq.gov/sites/default/files/workgroups/1176/CDS%20Connect%20Work%20Group%20May%202020%20Meeting%20Slides.pdf
May 01, 2020 - − NGC required evidence updates every five years
− Quality measures are reviewed annually with full updates … − Review and update expectations
– Evidence
– Metadata
– Clinical concept representation
– Documentation … » 508 Accessibility
14
Achieve a ‘reviewed’ status (Slide 1 of 4)
• Evidence
► Determine whether … primary evidence-based source is updated since last
‘Reviewed’
− If not, consult guideline authors … More or fewer expectations for the evidence component?
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cds.ahrq.gov/sites/default/files/workgroups/1266/CDS_Connect_April2021_WG_Meeting_%20Summary.pdf
April 15, 2021 - a Pandemic
initiative, which looked at questions and concerns from the general population seeking evidence … The initiative resulted in a repository of health resources that will expand as new evidence is
developed … They highlighted challenges for individuals, caregivers, and communities for finding
evidence-informed … rather than “Where’s the evidence?” … Presenters discovered that a wide gap had developed between the evidence-informed
guidance and the questions
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cds.ahrq.gov/sites/default/files/cds/artifact/396/cap_2_FirstPass%20.html
November 01, 2016 - Quality: level III evidence. … Action: Direct admission to an ICU is required Evidence Quality: level II evidence. … Quality: level III evidence. … Quality: level II evidence. … Evidence Quality: level III evidence.
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cds.ahrq.gov/sites/default/files/cds/artifact/396/cap_3_DecidExecut.html
January 01, 1970 - Quality: level III evidence. … THEN Executable Vocab Direct admission to an ICU is required Evidence Quality: level II evidence. … Quality: level III evidence. … Quality: level II evidence. … Evidence Quality: level III evidence.
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cds.ahrq.gov/cedar/api/fhir/SearchParameter/cedar-citation-classification
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cds.ahrq.gov/cedar/api/fhir/SearchParameter/cedar-citation-artifact-publisher
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cds.ahrq.gov/cedar/api/fhir/SearchParameter/cedar-citation-artifact-current-state