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cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS_for%20Repository_0.pdf
July 23, 2024 - for Public Release
Training Agenda
▪ Brief background on the CDS Connect project
▪ Evidence-based guidelines … recommendations
• Clinicians are encouraged to use their
medical knowledge and awareness of
evidence-based guidelines … ▪ Flags
– Are intended to draw the clinicians eye to an entry of potential
concern, based on CDC guidelines … Provide info on what data was pulled to populate the Summary and
references, at times
▪ URLs
– To guidelines
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cds.ahrq.gov/sites/default/files/workgroups/226/mar-2017-cholesterol-wg-notes.docx
January 01, 2017 - · ACC/AHA guidelines vs. … US Preventative Task Force (USPTF) Recommendations:
· Consider reconciling the two guidelines in the
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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 - Clinicians today face an unending stream of new research findings, new or updated clinical
practice guidelines … Transforming these guidelines and best practices into
actionable knowledge that can be integrated into … The table’s “Decision Category” was informed by the Tso et al. journal article titled “Automating Guidelines … Lipid Management Guidelines for Adults with Chronic Kidney Disease. … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and 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 - CDS artifacts, who may find this document helpful as a guideline for the process by which clinical guidelines … Guideline Interpretation and Clinical Decisions
It is often necessary to interpret or adjust clinical guidelines … which incorporates and extends steps that Shiffman et al.5 outlined for translating clinical practice guidelines … Choosing specific guidelines and specific recommendations within the selected guidelines to be implemented … Automating Guidelines for Clinical Decision Support: Knowledge Engineering and Implementation.
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cds.ahrq.gov/sites/default/files/workgroups/143366/CDS_Connect_WG_April_2022_Summary.pdf
January 01, 2022 - The WG also found consensus about the importance of having patients involved in the development
of guidelines … Patient and caregiver input should be prioritized along the development process,
from the drafting of guidelines … capture updates to the source information and align the artifacts more closely with FHIR Clinical
Guidelines
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cds.ahrq.gov/sites/default/files/workgroups/241/jun-2017-cholesterol-wg-notes.docx
January 01, 2017 - This aligns with the ACC/AHA guidelines.
· Population 2:
· By the time they are 75, do patients truly … · Providers make clinical decisions based on patient condition and the guidelines. … message (i.e., consider statin based on ASCVD, consider statin based on high LDL, etc.)
· Information on guidelines
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_CDS_Connect_IG_Statin_CVD_Patient_Facing_2.pdf
January 01, 2024 - Clinicians today face an unending stream of new research findings, new or updated clinical
practice guidelines … Transforming these guidelines and best practices into
actionable knowledge that can be integrated into … The table’s “Decision Category” was informed by the Tso et al. journal article titled “Automating Guidelines … Lipid Management Guidelines for Adults with Chronic Kidney Disease. … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and Implementation.
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2023_CDS_Connect_IG_Statin_CVD_Patient_Facing.pdf
January 01, 2023 - Clinicians today face an unending stream of new research findings, new or updated clinical
practice guidelines … Transforming these guidelines and best practices into
actionable knowledge that can be integrated into … The table’s “Decision Category” was informed by the Tso et al. journal article, titled “Automating Guidelines … Lipid Management Guidelines for Adults with Chronic Kidney Disease. … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and Implementation.
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cds.ahrq.gov/sites/default/files/workgroups/27826/CDS_Connect_WG_Summary_July_2021.pdf
January 01, 2021 - review of meeting objectives and agenda
• Lessons Learned with CDS Connect: CDS for Asthma Management Guidelines … recommendations in the National Institutes of Health’s 2020
Focused Updates to the Asthma Management Guidelines … working with the Centers for
Disease Control and Prevention (CDC) to advance adapting clinical practice guidelines
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cds.ahrq.gov/sites/default/files/cds/artifact/106/HWI_2017.pptx
January 01, 2017 - Management guidelines include documentation of weight status and laboratory screening for co-morbidities … In our primary care network, adherence to guidelines was low and uneven across individual clinicians
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cds.ahrq.gov/sites/default/files/cds/artifact/1071/2024_CDS_Connect_IG_Healthy_Diet_Physical_Activity.pdf
January 01, 2024 - Clinicians today face an unending stream of new research findings, new or updated clinical
practice guidelines … Transforming these guidelines and best practices into
actionable knowledge that can be integrated into … Guideline Translation Summary
It is often necessary to interpret or adjust clinical guidelines to make … This version differs from the
originally piloted CQL due to changes in the source guidelines and implementation … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and Implementation.
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cds.ahrq.gov/sites/default/files/workgroups/184656/CDS_Connect_WG_June_2022_Summary.pdf
January 01, 2022 - clinical quality language (CQL), improved support for CQL versions 1.4 and 1.5, integrated FHIR
Clinical Guidelines … Examples of
such factors include guidelines, clinical quality measures, and even sudden changes to the
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cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - Effective use of the CDS requires clinician training on the CDC guidelines, the scope of
the CDS, and … based upon CDC recommendations, the CDC
knowledge stewards urged alignment to components of their guidelines … • Develop CDS logic to generate directive guidance (e.g., an order set) derived from the
CDC guidelines
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Enhanced%20CDS%20Artifact%20Based%20on%20Pilot%20Implementation_Final.docx
October 01, 2017 - grade-definitions-after-july-2012]
To align implementation of the Statin Use artifact to organizational guidelines … Assurance (NCQA), and other organizations should be used wherever possible.
1.1.1 Conditions
Published guidelines … anti-hypertensive medication presents challenges in inclusiveness as well as in granularity, as different guidelines … · Demographics: Guidelines, particularly for invasive procedures and long-term therapies, may have … antibiotic treatment specified in a CDS artifact (i.e., an order set).
1.2.4 Evidence level
Clinical guidelines
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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 - Automating Guidelines for Clinical Decision Support: Knowledge Engineering and Implementation.
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cds.ahrq.gov/sites/default/files/workgroups/221/feb-2017-cholesterol-wg-notes.docx
January 01, 2017 - on the Framingham risk scores and LDL targets, which are no longer recommended in the latest ACC/AHA guidelines … The measure is based on the 2013 ACC/AHA guidelines but it focuses on high risk populations most likely
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cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2020.pdf
January 01, 2020 - Applied Clinical Practice Guidelines (CPG)-on-Fast Healthcare Interoperability
Resources (FHIR®) to … In 2020, the first version of the FHIR Clinical Guidelines Implementation
Guide (IG) was released as … Guidelines for the Digital
Age initiative. … https://www.cdc.gov/ddphss/clinical-guidelines/index.html
https://www.cdc.gov/ddphss/clinical-guidelines … is an emerging standard, CDS Connect could help inform
and improve the FHIR Clinical Guidelines IG
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_CDS_Connect_IG_Diabetes_Part_One_Screening_0.pdf
January 01, 2024 - Clinicians today face an unending stream of new research findings, new or updated clinical
practice guidelines … Transforming these guidelines and best practices into
actionable knowledge that can be integrated into … This version differs from the
originally piloted CQL due to changes in the source guidelines and implementation … lists a “Decision Category,” which was informed by the Tso et al. journal article titled “Automating
Guidelines … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and Implementation.
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cds.ahrq.gov/sites/default/files/cds/artifact/1066/2024_CDS_Connect_IG_Diabetes_Part_Two_Counseling_1.pdf
January 01, 2024 - Clinicians today face an unending stream of new research findings, new or updated clinical
practice guidelines … Transforming these guidelines and best practices into
actionable knowledge that can be integrated into … Guideline Translation Summary
It is often necessary to interpret or adjust clinical guidelines to make … This version differs from the originally
piloted CQL due to changes in the source guidelines and implementation … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and Implementation.
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cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2022.pdf
January 01, 2022 - The CPG-on-FHIR was created as part of the
CDC’s Adapting Clinical Guidelines for the Digital
Age initiative … https://cds.ahrq.gov/cdsconnect/community/reports
https://www.cdc.gov/ddphss/clinical-guidelines/index.html … https://www.cdc.gov/ddphss/clinical-guidelines/index.html
http://build.fhir.org/ig/HL7/cqf-recommendations … • Providing artifact metadata that aligns with the FHIR Clinical Guidelines specification. … The team’s criteria for
considering updates included a review of new relevant professional guidelines