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cds.ahrq.gov/cdsconnect/source-type/clinical-guideline
April 06, 2025 - 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 - artifact 1
Summary of the Clinical Statement 1
Primary Use Case 1
Recommendations and Suggested Actions 1
Guideline … Drug factors involved:
· Warfarin
· NSAIDs
· PPIs and Misoprostols
Guideline Interpretation and Clinical … Narrative text created by a guideline or CQM developer (e.g., the recommendation statement described … understands and agrees with the decisions made during the process to convert the underlying clinical guideline … Bridging the Guideline Implementation Gap: A Systematic, Document-Centered Approach to Guideline Implementation
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cds.ahrq.gov/sites/default/files/cds/artifact/21/2024_CDS_Connect_IG_Statin_Therapy_CVD_eCQM.pdf
January 01, 2024 - August 2023 Updated the
Implementation Guide
based on annual CDS
artifact updates
Updated Guideline … August 2024 Updated the
Implementation Guide
based on annual CDS
artifact updates
Updated Guideline … Narrative – Descriptive text created by a guideline or CQM developer.
2. … The guideline
recommends that she be placed on a statin if she has not already been taking one. … , the eCQM guideline, shared
decision-making tools, and patient education tools.
7.
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cds.ahrq.gov/cdsconnect/source/cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
January 01, 2016 - Search All AHRQ Sites
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cds.ahrq.gov/sites/default/files/cds/artifact/1146/Warfarin-Antidepressants%20MDIA%20Implementation%20Guide.docx
August 29, 2020 - artifact 1
Summary of the Clinical Statement 1
Primary Use Case 1
Recommendations and Suggested Actions 1
Guideline … NSAIDs
· Aspirin
· Systemic corticosteroids
· Aldosterone antagonists
· Anti-platelet medications
Guideline … Narrative text created by a guideline or CQM developer (e.g., the recommendation statement described … understands and agrees with the decisions made during the process to convert the underlying clinical guideline … Bridging the Guideline Implementation Gap: A Systematic, Document-Centered Approach to Guideline Implementation
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cds.ahrq.gov/cdsconnect/source/cdc-clinical-practice-guideline-prescribing-opioids-pain-united-states-2022
January 01, 2022 - Search All AHRQ Sites
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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 - Guideline Interpretation and Clinical Decisions
It is often necessary to interpret or adjust clinical … to the proper application of the guideline as CDS. … The ACC/AHA guideline notes that the evidence for statin use in patients over age 75 is less strong. … Narrative text created by a guideline or CQM developer (e.g., the recommendation statement described … Bridging the Guideline Implementation Gap: A Systematic, Document-Centered Approach to Guideline Implementation
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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 - Guideline Interpretation and Clinical Decisions
It is often necessary to interpret or adjust clinical … to the proper application of the guideline as CDS. … prompt a higher need for statins than this guideline recommends.
2. … Potential Reuse Scenarios
CQL code within this artifact was developed to enact a clinical guideline, … Bridging the Guideline Implementation Gap: A Systematic, Document-Centered Approach to Guideline Implementation
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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 - In keeping with the guideline, the recommendation is stronger for patients age 50-59 than those 60-69 … Guideline Interpretation and Clinical Decisions
It is often necessary to interpret or adjust clinical … to the proper application of the guideline as CDS. … Investigate the alternatives and decide on value set usage based on the context of the clinical guideline … Bridging the Guideline Implementation Gap: A Systematic, Document-Centered Approach to Guideline Implementation
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cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - Enhancements made to align with the CDC guideline ................................................... … The CDS is not a direct
representation of any one recommendation statement within the guideline. … Enhancements made to align with the CDC guideline
Clinical Concept Concern and Enhancement Comments … Age >=18 years
(Inclusion logic)
The CDC guideline explicitly states
that it applies to … End-of-life care
(Exclusion
potential)
The CDC guideline does not apply
to patients receiving
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cds.ahrq.gov/sites/default/files/workgroups/226/mar-2017-cholesterol-wg-notes.docx
January 01, 2017 - .
· Some sites have extensive guideline vetting processes, and may want to rely on a specific guideline … , the most conservative guideline, etc.
· Statin therapy exclusions:
· Pregnant, breastfeeding, cirrhosis
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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 - Guideline Interpretation and Clinical Decisions
It is often necessary to interpret or adjust clinical … statement, outlined in the
original reference describing the guideline, or deemed to be otherwise … important to the proper
application of the guideline as CDS. … Refer to the ACC/AHA Special Report and ACC/AHA Guideline on
the Assessment of Risk for additional … Bridging the Guideline Implementation
Gap: A Systematic, Document-Centered Approach to Guideline Implementation
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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 - statement, outlined in the original reference describing the guideline, or deemed to be otherwise important … to the proper application of the guideline as CDS. … Narrative text created by a guideline or CQM developer (e.g., the recommendation statement described … Investigate the alternatives and decide on value set usage based on the context of the clinical guideline … Bridging the Guideline Implementation Gap: A Systematic, Document-Centered Approach to Guideline Implementation
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cds.ahrq.gov/sites/default/files/cds/artifact/476/2024_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2024 - Narrative – Descriptive text created by a guideline or CQM developer. … Guideline Interpretation and Clinical Decisions
It is often necessary to interpret or adjust clinical … Although inspired by the 2016 CDC Guideline for Prescribing Opioids for Chronic
Pain (and updated to … • Review the Guideline Interpretation and Clinical Decisions section of this document
(including … CDC Clinical Practice Guideline for
Prescribing Opioids for Pain — United States, 2022.
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cds.ahrq.gov/sites/default/files/cds/artifact/18/2024_CDS_Connect_IG_Statin_CVD_Clinician_Facing.pdf
January 01, 2024 - The difference between this guideline and
the FDA guidance on statins in pregnancy was described. … Narrative – Descriptive text created by a guideline or CQM developer. … Educational links to relevant recommendation statements, original references to the
guideline, shared … • Review the Guideline Translation Summary section of this document and Appendix A
(the decision log … KDOQI Clinical Practice Guideline for Hemodialysis Adequacy: 2015
update.
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cds.ahrq.gov/sites/default/files/cds/artifact/26/2024_CDS_Connect_IG_Aspirin_Therapy.pdf
January 01, 2024 - August 2023 Updated the
Implementation Guide
based on April 2022
USPSTF guideline
and resulting CDS … artifact updates
All sections were edited to remain consistent with the
updated 2022 USPSTF guideline … Narrative – Descriptive text created by a guideline or CQM developer.
2. … In keeping with the guideline,
the recommendation is created for patients aged 40 – 59 and encourages … This new guideline changes
the inclusion age range to 40 – 59; the CVD prophylaxis recommendations to
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cds.ahrq.gov/sites/default/files/workgroups/27826/CDS_Connect_WG_Slides_July_2021.pdf
January 01, 2021 - Elimu Informatics)
4
Outline
• Asthma guidelines – 2020 Focused Updates
• CDS effort to support guideline … Single Maintenance And Reliever Therapy
► Symbicort (ICS-LABA budesonide/formoterol)
12
Asthma Guideline … Potential Activities
Overarching Goal of CDS Activities
Collaborative Effort
Vernacular
�Asthma Guideline
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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 - Clinical Statement 2
Primary Use Cases 3
Additional Use Cases 5
Recommendations and Suggested Actions 5
Guideline … Guideline Interpretation and Clinical Decisions
It is often necessary to interpret or adjust clinical … Narrative text created by a guideline or CQM developer (e.g., the recommendation statement described … Investigate the alternatives and decide on value set usage based on the context of the clinical guideline … Bridging the Guideline Implementation Gap: A Systematic, Document-Centered Approach to Guideline Implementation
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cds.ahrq.gov/sites/default/files/cds/artifact/171/NIOSH_Occupational%20Factors%20Impacting%20Diabetes_Decision%20Log_condensed.pdf
February 01, 2018 - NIOSH Occupational Factors Impacting Diabetes Decision Log, Condensed
February 2018
Guideline … Artifact Development Decision Log
“Atomized” Word or
Phrase from the
Guideline
Translation … employee or others at risk of harm (safety sensitive occupations)
“current job(s)” The intent of the guideline … Note:
although this concept is not expressed in the guideline text, it is included in
the NIOSH flow
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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 - Suggested Actions ................................................................................6
Guideline … Guideline Interpretation and Clinical Decisions
It is often necessary to interpret or adjust clinical … statement, outlined in the original reference describing the guideline, or deemed to be otherwise … important to the proper application of the guideline as CDS. … Bridging the Guideline Implementation
Gap: A Systematic, Document-Centered Approach to Guideline Implementation