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41. GLIDESUP.ppt (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/GLIDESUP_0.pdf
    November 01, 2009 - 2008 – June 2009 June-November 2009 Evaluation Asthma Obesity Pre-Implementation 3 Narrative Guideline … Semi- structured Semi- formal Formal Input Documentation Published Guideline - NHLBI EPR3 Clinical … GLIDES Design Documentation Semi- structured Semi- formal Formal Input Documentation Published Guideline … GLIDES Design Documentation Semi- structured Semi- formal Formal Input Documentation Published Guideline … - NHLBI EPR3 Clinical Objectives (to focus guideline selection) Documentation Produced COGS, GLIA

42. Microsoft PowerPoint - 7-11-08 glides-presentation.ppt [Read-Only] (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/7-11-08%20glides-presentation%201.pdf
    November 01, 2009 - Implement evidence-based guideline recommendations that address prevention of pediatric obesity and … Knowledge Electronically Black Box elinePublished Guid Computer-Based Guideline Implementation … • GEM Cutter II – Parses guideline text into components of the Guideline Elements Model – Creates … GEM Cutter MORO Reuse OftenMarkup Once, Perform Guideline Quality Appraisal • COGS (GEM-COGS … guideline authors to anticipate and address obstacles before a draft guideline is finalized • Assists

43. AHRQ CDS TEP GLIDES Challenges (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/TEP_Feb_2010_Challenges.pdf
    January 01, 2010 - Challenges Key Challenges • Project Organization • Project Scoping • Knowledge Transformation • Guideline … Organization and Staffing Challenges • Engaging and retaining committed, respected and visible “guideline … UI and CDS logic programming 3 Project Scoping Challenges • Narrow focus on implementation of guideline … Challenges • Knowledge transformation was relatively straightforward (moving from the Narrative Guideline … For example – Mandate vs guideline – Prescriptive vs critiquing – Choice of appropriate CDS modality

44. Guidelines into Decision Support (GLIDES) - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/guidelines-decision-support-glides/annual-summary/2010
    January 01, 2010 - A centerpiece of GLIDES strategy is the Guideline Elements Model (GEM). … GEM is an XML-based knowledge model for guideline documents that incorporates a set of more than 100 … tags to categorize guideline content. … Continue to design, develop, implement, and demonstrate guideline-based CDS. … improve guideline development and reporting processes.

45. Sample Questions & Answers | Digital Healthcare Research
    digital.ahrq.gov/sample-questions-answers-2
    January 01, 2023 - Many of the references cited above mention that guideline adherence improved after adoption of EHR systems … in the no-reminder group) Reference 5 : The percent of upper-GI radiology tests that conformed to guideline … the frequency based electronic order forms, 88% of all tests were ordered electronically and for the guideline … Physicians randomized to the guideline based software ordered 20% fewer tests per order form. … The absolute decrease per order form was 1.4 tests per order form (5.5 tests vs. 6.9).Use of the guideline-based

46. Overall Presentation Title (pdf file)
    digital.ahrq.gov/sites/default/files/docs/AHRQ_Webinar_09192008%20(2).pdf
    January 01, 2010 - Implement evidence-based guideline recommendations that address prevention of pediatric obesity and … Knowledge Electronically Black Box Published Guideline Computer-Based Guideline Implementation … JAMIA 1998 Black Box Narrative Guideline Semi-structured Semi-formal Formal Narrative Guideline … to guideline authors to anticipate and address obstacles before a draft guideline is finalized • … GEM Markup Guideline • GEM Cutter II – Parses guideline text into components of the Guideline Elements

47. GLIDES - Technical Expert Panel In-Person Meeting (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/4-GLIDES-LegalAspects.pdf
    March 02, 2011 - The guideline is published in the society’s flagship journal. • Who owns what? … Scenario 3 • A clinician reading the guideline interprets it and applies his understanding to treat … a patient in a manner consistent with the guideline. … The guideline incorporates the disclaimer shown on the next slide. … • Is the physician shielded by his/her use of the guideline?

48. van Wijk MAM et al. 2001 "Assessment of decision support for blood test ordering in primary care - a randomized trial." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/van-wijk-mam-et-al-2001
    January 01, 2001 - Results: General practitioners who used [the guideline version] requested 20% fewer tests on average … Guideline-driven decision support systems can be effective in reducing the number of laboratory tests … [The restricted version] initially displays a reduced list of tests, whereas [the guideline version] … If there is no guideline or indication, "other indication" can be selected and the practitioner is able … Of the 12668 orders placed by the practices using [the Guideline version], 9091 (71%) were generated

49. The impact of a guideline-driven computer charting system on the emergency care of patients with acute low back pain | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-guideline-driven-computer
    January 01, 1995 - The impact of a guideline-driven computer charting system on the emergency care of patients with acute … Purpose of Study:  Determine the impact of a computerized guideline system on the appropriateness of … department Intervention:  Optional use of a computerized charting system with an embedded clinical guideline

50. AHRQ CDS TEP In-Person Meeting - August 2011 - GLIDES Challenges (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/5_GLIDES_Challenges_TEP_August_2011.pdf
    January 01, 2011 - Yale (patient-centered data collection) • Adding new implementation partner: Alliance of Chicago – Guideline … development • AAP and AAO-HNS continue to integrate BridgeWiz/GLIA • GLIDES to add 2 new guideline … GEM-cut rules to operational CDSS – Flexibility allows support for local workflows/methodologies/guideline … – Tendency for developers to back-pedal from BridgeWiz – defined key action statements as text of guideline … is written – Challenge: Addiction to vagueness • New Guideline Developer Partnerships – AUA, ASCO

51. Yale University | Digital Healthcare Research
    digital.ahrq.gov/organization/yale-university
    January 01, 2023 - R21 HS022114 Principal Investigator(s) Shorten, Allison Improving Guideline … Project Name Improving Guideline Development and Implementation Guidelines … Project Name Guidelines Into Decision Support (GLIDES) Improving Guideline … Project Name Improving Guideline Development and Implementation Electronic

52. Assessment of decision support for blood test ordering in primary care. a randomized trial | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/assessment-decision-support
    February 20, 2001 - In the guideline based test order package, first an overview of available guidelines was shown. … The provider picked a guideline based on the clinical indication for which the test was being ordered … the frequency based electronic order forms, 88% of all tests were ordered electronically and for the guideline … Physicians randomized to the guideline based software ordered 20% fewer tests per order form. … Benefits:  Use of the guideline based electronic order forms decreased utilization of laboratory testing

53. A comparison of the effects of computer and manual reminders on compliance with a mental health clinical practice guideline | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/comparison-effects-computer-and
    of the effects of computer and manual reminders on compliance with a mental health clinical practice guideline … effectiveness of computer and manual reminder systems on the implementation of a clinical practice guideline … Intervention:  The two reminder systems assessed were: 1) a computer system that reminded clinicians when guideline-recommended

54. AHRQ CDS TEP In-Person Meeting - May 29, 2012 - GLIDES Status Demonstration to Practice (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/GLIDES_TEP_May2012_V2.pdf
    May 29, 2012 - A tool for guideline authors to improve clarity, transparency, and validity GLIA BRIDGE-Wiz eGLIA … Elements Model • Knowledge model for guideline documents • XML-base • ANSI standard (ASTM E2210 … -06) • Parses guideline text into chunks compatible with the Guideline Elements Model schema • … checklists •Design documents/forms •Lessons Learned/Dos-Don’ts •CDS System Examples Tools For Guideline … Developers Tools For Guideline Implementers OPERATIONAL CDS SYSTEMS/DESIGNS Asthma Control

55. Improving diagnostic testing and reducing overuse of antibiotics for children with pharyngitis: a useful role for the electronic medical record. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/improving-guideline-development-and-implementation/citation/improving
    January 01, 2023 - Project Name Improving Guideline Development and Implementation Technology Clinical Decision

56. AHRQ CDS TEP Teleconference – August 2012 (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/AHRQ_CDS_TEP_Teleconference_8_15_12.pdf
    August 15, 2012 - • List is NOT comprehensive 8 From Demonstration To Standard Practice P2 in Guideline Development … developer) and how much adaptation must take place (locally by implementation teams) • Many guideline … 9 From Demonstration To Standard Practice BRIDGE-Wiz Building Recommendations in a Developer’s Guideline … • Mistaken interpretations of ambiguous guideline statements • Fail to abide by the “10 Commandments … Development BRIDGE-Wiz�Building Recommendations in a Developer’s Guideline Editor P2 in Implementation

57. Clinical Decision Support Technical Expert Panel (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/Eval_Plan_Presentation_05.01.09_508%20Compliant.pdf
    May 01, 2009 - Text Guidelines Into Decision Support •Plan Overview – Evaluation of feasibility and replicability of guideline … knowledge transformation, – Compare Yale and Nemours approaches to implementing the same guideline … posed by: • “Decidability” and “Actionability” of recommendations – Feed lessons learned back to guideline … Evaluation Of Effect Of CDS On Guideline-Directed Care •Specifics – Assess quantitative metrics of guideline … optimal way to categorize, document and disseminate CDS implementation best practices across the guideline

58. Automating Assessment of Obesity Care Quality - 2011 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/automating-assessment-obesity-care-quality/annual-summary/2011
    January 01, 2011 - care recommended by the guidelines; 2) correlates of overweight and obesity diagnosis and treatment guideline … characteristics, and health system characteristics; and 3) changes in health status as a function of guideline … (Ongoing) Evaluate the association between measures of obesity guideline adherence to recommended obesity … Initially, the team planned a 24-month evaluation period because they interpreted the NHLBI guideline … They have re-interpreted the guideline to mean that BMI should be assessed at all primary care visits

59. AHRQ CDS TEP Teleconference – June 2011 (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/AHRQ_CDS_TEP_Teleconference_6-1-11.pdf
    June 01, 2011 - How “should” we write guideline recommendations? … AAP Acute Otitis Media Guideline Development Panel. Elk Grove Village, IL. June 28, 2010. … AAP Sinusitis Guideline Development panel. Elk Grove Village, IL. August 6, 2010. … • Building Better Guideline Recommendations With a Software Wizard. … Knowledge Representation • GEM©: Guideline Elements Model • Knowledge model for guideline documents

60. Designing User-Centered Decision Support Tools for Chronic Pain in Primary Care | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/designing-user-centered-decision-support-tools-chronic-pain-primary-care
    January 01, 2023 - decision support tools to guide clinicians’ perceptions and judgments of noncancer pain to increase use of guideline-based … preliminarily evaluate new decision support designs to meet clinicians’ information needs and guide them toward guideline-based … could have altered the use of clinical information or altered care plan choices to better align with guideline … The project team conducted a design workshop and usability testing to produce prototypes for guideline-based … to be key for EHR and clinical decision support developers to help clinicians be more efficient and guideline-concordant