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pcmh.ahrq.gov/gam/about/index.html
July 01, 2018 - More topics in this section
Guidelines and Measures
About NGC and NQMC
Guideline … users a place to find information about its legacy guidelines and measures clearinghouses, National Guideline … National Guideline Clearinghouse (NGC)
NGC was an initiative of AHRQ, U.S.
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pbrn.ahrq.gov/gam/about/index.html
July 01, 2018 - More topics in this section
Guidelines and Measures
About NGC and NQMC
Guideline … users a place to find information about its legacy guidelines and measures clearinghouses, National Guideline … National Guideline Clearinghouse (NGC)
NGC was an initiative of AHRQ, U.S.
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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-slides.html
October 01, 2020 - Guideline
Applicability.
Ease of compliance. … Does the clinician know how to comply with the guideline? … Attitude regarding the guideline
Does the clinician believe that following the guideline will reduce … Perceived guideline adherence
How often does the clinician do everything right? … Performance monitoring/feedback
How do clinicians know they are following the guideline?
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cmext.ahrq.gov/confluence/pages/diffpagesbyversion.action?pageId=114991627&selectedPageVersions=18&selectedPageVersions=19
October 14, 2021 - computable evidence and guidance in general and for the targets Sandy Lewis / EBQ Consulting (liaison to guideline … developers) C19 Digital Guideline WG (develop computable CPGs for some targets) COKA, EBM on FHIR, Computable … evidence for targets) ECRI (ECRI Guideline Trust for guideline access for targets) Cochrane CA / GRADE … pain/opioids)] Create / Enhance Ecosystem Tooling Tools: Knowledge Portal Computable Clinical Practice Guideline … MAGIC Evidence Ecosystem Foundation ( support for Knowledge Portal and related standards) C19 Digital Guideline
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cmext.ahrq.gov/confluence/pages/diffpagesbyversion.action?pageId=114991614&selectedPageVersions=15&selectedPageVersions=16
October 14, 2021 - computable evidence and guidance in general and for the targets Sandy Lewis / EBQ Consulting (liaison to guideline … developers) C19 Digital Guideline WG (develop computable CPGs for some targets) COKA, EBM on FHIR, Computable … evidence for targets) ECRI (ECRI Guideline Trust for guideline access for targets) Cochrane CA / GRADE … pain/opioids)] Create / Enhance Ecosystem Tooling Tools: Knowledge Portal Computable Clinical Practice Guideline … MAGIC Evidence Ecosystem Foundation ( support for Knowledge Portal and related standards) C19 Digital Guideline
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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
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cmext.ahrq.gov/confluence/plugins/viewsource/viewpagesrc.action?pageId=114992867
recognized, not an easy way to signal the need from stakeholders (e.g., clinicians, CDS developers) to guideline … prompt) broad and diverse input from all stakeholders across research questions, priority setting, guideline … design for toolset Collaboration tools to facilitate re-use, partnerships, and collective efforts in guideline … Update signal for a guideline is NOT specific enough to know if it relates to my CDS artifact For the … Maria Michaels R6 Guideline disseminator Show my recommendation in Recommendation Summary Browser Breadth
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cmext.ahrq.gov/confluence/plugins/viewsource/viewpagesrc.action?pageId=114990914
recognized, not an easy way to signal the need from stakeholders (e.g., clinicians, CDS developers) to guideline … prompt) broad and diverse input from all stakeholders across research questions, priority setting, guideline … design for toolset Collaboration tools to facilitate re-use, partnerships, and collective efforts in guideline … Update signal for a guideline is NOT specific enough to know if it relates to my CDS artifact For the … Maria Michaels R6 Guideline disseminator Show my recommendation in Recommendation Summary Browser Breadth
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cmext.ahrq.gov/confluence/exportword?pageId=114990914
recognized, not an easy way to signal the need from stakeholders (e.g., clinicians, CDS developers) to guideline … prompt) broad and diverse input from all stakeholders across research questions, priority setting, guideline … Mary Butler
R4 Guideline developer Find the recommendations and basis from others that match my … Update signal for a guideline is NOT specific enough to know if it relates to my CDS artifact For the … Maria Michaels
R6 Guideline disseminator Show my recommendation in Recommendation Summary Browser
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ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/imaging-quality-long-desc.html
April 01, 2021 - of the CDS intervention, the PIQs Lab found that while the intervention improved the main outcome of guideline … An evaluation of guideline-discordant ordering behavior for CT pulmonary angiography in the emergency … Automated pulmonary embolism risk classification and guideline adherence for computed tomography pulmonary … Automated pulmonary embolism risk classification and guideline adherence for computed tomography pulmonary … An evaluation of guideline-discordant ordering behavior for CT pulmonary angiography in the emergency
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-full/slides.ppt
August 01, 2009 - Ten Key Guideline Recommendations
*
PHS
*
Ten Key Guideline Recommendations
4. … *
PHS
*
Ten Key Guideline Recommendations
10. … in the previous Guideline. … (Strength of Evidence = C).
2008 Guideline Update: Recommendation: Provision of guideline-based … *
PHS
*
Obtaining the 2008 Guideline
The full text of the 2008 Guideline, the general references
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-6mon-post-intervention.pdf
January 01, 2014 - for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-6mon-post-intervention.pdf
January 01, 2014 - for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-6mon-post-intervention.pdf
January 01, 2014 - for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-6mon-post-intervention.pdf
January 01, 2014 - for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-6mon-post-intervention.pdf
January 01, 2014 - for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-6mon-post-intervention.pdf
January 01, 2014 - for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-table11-figures1-2.pdf
May 15, 2015 - Clinical Practice Guideline—Febrile
Seizures: Guideline for the
neurodiagnostic evaluation of the … Clinical
guideline
The American Academy of Pediatrics
convened a Steering Committee on Quality
Improvement … Febrile seizures: clinical practice
guideline for the long-term
management of the child with
simple
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cmext.ahrq.gov/confluence/pages/diffpagesbyversion.action?pageId=114991636&selectedPageVersions=21&selectedPageVersions=22
October 15, 2021 - computable evidence and guidance in general and for the targets Sandy Lewis / EBQ Consulting (liaison to guideline … developers) C19 Digital Guideline WG (develop computable CPGs for some targets) COKA, EBM on FHIR, Computable … evidence for targets) ECRI (ECRI Guideline Trust for guideline access for targets) Cochrane CA / GRADE … leverage ACTS Standards & Infrastructure WG report ) Knowledge Portal Computable Clinical Practice Guideline … MAGIC Evidence Ecosystem Foundation ( support for Knowledge Portal and related standards) C19 Digital Guideline
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cmext.ahrq.gov/confluence/pages/diffpagesbyversion.action?pageId=114991632&selectedPageVersions=20&selectedPageVersions=21
October 14, 2021 - computable evidence and guidance in general and for the targets Sandy Lewis / EBQ Consulting (liaison to guideline … developers) C19 Digital Guideline WG (develop computable CPGs for some targets) COKA, EBM on FHIR, Computable … evidence for targets) ECRI (ECRI Guideline Trust for guideline access for targets) Cochrane CA / GRADE … leverage ACTS Standards & Infrastructure WG report ) Knowledge Portal Computable Clinical Practice Guideline … MAGIC Evidence Ecosystem Foundation ( support for Knowledge Portal and related standards) C19 Digital Guideline