-
cdsic.ahrq.gov/cdsic/Wesley-Sargent
His work at CDC has focused on translating and implementing CDC’s 2023 CDC Clinical Practice Guideline … for Prescribing Opioids for Pain (CDC Guideline) and serving as a science officer to support jurisdictions … Sargent currently works with health systems on the implementation and use of the CDC Guideline through
-
cdsic.ahrq.gov/sites/default/files/2024-06/CDSiC%20Factsheet_508.pdf
January 01, 2024 - Quality Language (CQL) •
GELLO •
Arden Syntax
• Limited collaboration between CDS artifact
and guideline … • Develop guidance on how CDS artifact developers can
work with guideline developers when building … • Promote adoption of CQL by EHR developers .
• Engage guideline developers to support further devel
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cdsic.ahrq.gov/sites/default/files/2023-09/SMD%20PC%20CDS%20Performance%20Measurement%20Inventory_FINAL_9.19.23.xlsx
January 01, 2023 - Effects of Guideline-based Computerized Provider Order Entry Systems on the Chemotherapy Order Process … Effects of Guideline-based Computerized Provider Order Entry Systems on the Chemotherapy Order Process … Effects of Guideline-based Computerized Provider Order Entry Systems on the Chemotherapy Order Process … Results Clinical guidance adherence Clinical guideline adherence Change in clinical compliance over … Results Clinical guidance adherence Clinical guideline adherence Guideline-appropriate prescriptions
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cdsic.ahrq.gov/sites/default/files/2023-08/Exec%20Sum_SMD%20Workflow%20Measurement%20Approaches%20Report%20to%20AHRQ%208.9.23_508.pdf
January 01, 2023 - proxy measures,
such as time spent using the electronic health record (EHR), clinician performance, guideline … Change in workflow
appropriateness
The tool’s support of and effect on clinicians’ completion of guideline … including patient
and clinician adoption, clinician time spent on clinical
tasks, clinician completion of guideline-recommended
-
cdsic.ahrq.gov/sites/default/files/2024-09/AHRQ%20Final%20TPC%20SDOH%20Action%20Plan.pdf
January 01, 2024 - Opportunity 1: Encourage the inclusion of SDOH in clinical guidelines
Opportunity 2: Ensure that guideline … Guideline interpretation and translation into computable condition logic can vary across CDS
tools.14 … While many medical societies and organizations encourage the involvement of patients in clinical
guideline … I feel like most
guidelines don’t really account for [SDOH]… [For example,] here’s the guideline for … Opportunity 2: Ensure that guideline development includes patients and those with
lived experience of
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cdsic.ahrq.gov/sites/default/files/2023-09/SMD%20PC%20CDS%20Performance%20Measurement%20Inventory%20User%20Guide_FINAL_9.19.23.pdf
January 01, 2023 - ................................................................................ 12
3.3.4 Clinical Guideline … Measurement Category
Usability
User Satisfaction
Alert Fatigue
Clinical Guideline Adherence … as well as apply the Subjective Workload Assessment Technique54 and the
NASA-TLX.
3.3.4 Clinical Guideline … Factors influencing implementation success of guideline-based
clinical decision support systems: A systematic … 3.3.1 Usability
3.3.2 User Satisfaction
3.3.3 Alert Fatigue
3.3.4 Clinical Guideline Adherence.
3.3.5
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cdsic.ahrq.gov/sites/default/files/2024-09/Final%20IAS%20PC%20CDS%20Case%20Studies%20Report_2.pdf
January 01, 2024 - Challenges in guideline translation and integration into clinical workflows are
addressed through strategies … This approach
involved identifying relevant clinical guideline recommendations; defining key concepts … Challenges and Solutions for Promoting Adoption of PC CDS Interventions
Challenges Solutions
Guideline … Health Issue: Asthma
PC CDS Factors:
• Knowledge: Uses asthma guideline
recommendations
• Patient … Evaluation of
Revised US Preventive Services Task Force Lung Cancer Screening Guideline Among
Women
-
cdsic.ahrq.gov/sites/default/files/2023-08/Final%20TPC%20P3_Source%20Credibility%20to%20AHRQ%208.2.23_508c%20Version.pdf
January 01, 2023 - correct, and thus for PC CDS to be
accurate, the underlying evidence (i.e., that supports the clinical guideline … receiving PC CDS alerts or order sets should also receive reference links for
12
underlying guideline … The GUIDES checklist: development of a tool to improve the
successful use of guideline-based computerised … Guidelines 2.0: systematic development of a comprehensive
checklist for a successful guideline enterprise … Clinical practice guideline development manual: a quality-driven approach for
translating evidence into
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cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20IAS%20Workgroup%20Charter.pdf
January 01, 2024 - Implementation, Adoption, and Scaling Workgroup: Charter – Option Year 2
Implementation, Adoption, and
Scaling Workgroup: Charter –
Option Year 2
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the…
-
cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20MO%20Workgroup%20Charter.pdf
January 01, 2024 - Measurement and Outcomes Workgroup: Charter – Option Year 2
Measurement and Outcomes
Workgroup: Charter – Option Year 2
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University…
-
cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20SRF%20Workgroup%20Charter.pdf
January 01, 2024 - Standards and Regulatory Frameworks Workgroup: Charter – Option Year 2
Standards and Regulatory
Frameworks Workgroup:
Charter – Option Year 2
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepar…
-
cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20TPC%20Workgroup%20Charter.pdf
January 01, 2024 - Trust and Patient-Centeredness Workgroup: Charter – Option Year 2
Trust and Patient-Centeredness
Workgroup: Charter – Option Year 2
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at…
-
cdsic.ahrq.gov/sites/default/files/2023-10/TPC%20Pat%20Engage%20Handbook%20Final.pdf
January 01, 2023 - Using Online Modified-Delphi Approaches to Engage Patients
and Other Stakeholders in Clinical Practice Guideline … While focused on clinical practice guideline development, the methods discussed here can be
adopted … modified-delphi: a potential method for
continuous patient engagement across stages of clinical practice guideline … using online modified-Delphi approaches to engage patients and other
stakeholders in clinical practice guideline
-
cdsic.ahrq.gov/sites/default/files/2023-08/SMD%20Workflow%20Measurement%20Approaches%20Report_to%20AHRQ%208.9.23_508.pdf
January 01, 2023 - Change in workflow
appropriateness
The tool’s support of and effect on clinicians’ completion of guideline … tend to assess distal or proxy measures, such as time spent
using the EHR, clinician performance, guideline … that were observed in the literature, adoption of shared decision-
making processes, completion of guideline-recommended … including patient and clinician adoption, clinician time
spent on clinical tasks, clinician completion of
guideline-recommended … Considering health equity when moving from
evidence-based guideline recommendations to implementation
-
cdsic.ahrq.gov/sites/default/files/2024-09/Final_MO%20PC%20CDS%20User%20Guide%20(1)_0_0.pdf
January 01, 2024 - CDS Five Rights.34,35 For example,
users could report on the approach used to translate a
clinical guideline … Uncovering healthcare practitioners'
information processing using the think-aloud method: From paper-based guideline … Factors influencing implementation success of guideline-based
clinical decision support systems: A systematic … The GUIDES checklist: development of a tool to improve the successful use
of guideline-based computerised
-
cdsic.ahrq.gov/cdsic/workgroup-viewpoint
February 03, 2023 - guidance on facilitating inclusion of patient-centric input into the entire PC CDS life-cycle — including guideline
-
cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20Stakeholder%20Center%20Operational%20Framework.pdf
January 01, 2024 - Stakeholder Community and Outreach Center: Operational Framework – Option Year 2
Stakeholder Community
and Outreach Center:
Operational Framework –
Option Year 2
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D0001…
-
cdsic.ahrq.gov/sites/default/files/2023-08/User%20Guide_SMD%20Planning_%20Implementation_%20Reporting_508.pdf
January 01, 2023 - Five Rights.35,36 For example,
implementers could report on the approach used to translate a clinical guideline … Key Search Terms for the Scoping Literature Review
#1 CDS Search
String
#2 Guideline/Checklist … The GUIDES checklist: development of a tool to improve the successful use
of guideline-based computerised … Uncovering healthcare practitioners'
information processing using the think-aloud method: From paper-based guideline … Factors influencing implementation success of guideline-based
clinical decision support systems: A systematic
-
cdsic.ahrq.gov/sites/default/files/2022-05/Innovation%20Center%20Progress%20Report%20May%202022_DTP%20Formatted_508_0.pdf
January 01, 2022 - Innovation Center Progress Report May 2022
INNOVATION CENTER PROGRESS REPORT
M A Y 2 0 2 2
CDSiC Innovation Center
Quarterly Report
Presented by:
Prashila Dullabh, Dean Sittig, Aziz
Boxwala, Adam Wright, Courtney
Zott, and Emre Sezgin
NORC at the University of Chicago
4350 East-West Highway
Suite 800
B…
-
cdsic.ahrq.gov/sites/default/files/2024-09/Final_MO%20PC%20CDS%20Planning%20and%20Reporting%20Tool_0.pdf
January 01, 2024 - PC CDS Planning, Implementation, and Reporting Checklist
Measurement and Outcomes
Workgroup: Patient-Centered
Clinical Decision Support Planning
and Reporting Tool
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
P…