-
cds.ahrq.gov/sites/default/files/workgroups/143366/CDS_Connect_WG_April_2022_Presentation.pdf
January 01, 2022 - Prioritize approaches for establishing best practices for patient
involvement in CDS development and implementation … patient advocates and students in co-creating research
• Desired impact: Open door for innovation and implementation … • Share your experience working with patients in development and/or implementation: Work from
where … , operations, design, learning
• Share your experience working with patients in development and/or implementation … :
RN; clinical manager; QM leader, EMR implementation consultant; and Board of Governors
of PCORI
•
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cds.ahrq.gov/sites/default/files/workgroups/251/aug-2017-cholesterol-wg-notes.docx
January 01, 2017 - Prior to kicking off the first agenda item, CAMH shared that the pilot implementation of the USPSTF Statin … much information should be posted in the metadata fields for each artifact versus being housed in the Implementation … In particular, they felt that the Decision Log information would be best incorporated in to the Implementation … CAMH mentioned that a “shim” was built to facilitate the AllianceChicago pilot implementation to serve … Their guidance helped to shape the definition of nine CDS artifacts and led to a successful pilot 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 - Implementation Guide: Statin Use for the Primary Prevention of CVD in Adults: Patient-Facing CDS Intervention … Implementation Guide
Statin Use for the Primary Prevention of CVD in
Adults: Patient-Facing CDS … Guide Changes
Date Action Notes
October 2017 Published
Implementation Guide
Original Implementation … April 2021 Updated the
Implementation Guide
based on annual CDS
artifact updates
Updated the Implementation … CQL-to-ELM Translator Reference Implementation.
-
cds.ahrq.gov/sites/default/files/cds/artifact/711/Anthrax%20Post%20Exposure%20Prophylaxis%20Implementation%20Guide%20v2.0%2020190607.pdf
June 07, 2019 - Centers for Disease Control and Prevention
Anthrax Post-Exposure Prophylaxis
Implementation Guide … Centers for Disease Control and Prevention
Anthrax Post-Exposure Prophylaxis
Implementation Guide … sites
• Enhanced precision in guideline implementation
• Reduced redundancy at implementation level … A reference implementation
written in CoffeeScript is available online [26]. … [25] HL7, "CQL-to-ELM Translator Reference Implementation," [Online].
-
cds.ahrq.gov/sites/default/files/cds/artifact/71/Implementation_Guide_CMS_Million_Hearts_ASCVD_Risk_Assessment.pdf
September 01, 2021 - Million Hearts Model Longitudinal ASCVD Risk Assessment Tool for Baseline 10-Year ASCVD Risk
1
Implementation … Implementation Guide. Prepared under Contract No. 75FCMC18D0047. … Updated the
Implementation Guide
based on annual
artifact updates
Updated the Implementation … CQL-to_ELM Translator Reference Implementation. … Bridging the Guideline Implementation
Gap: A Systematic, Document-Centered Approach to Guideline Implementation
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - Could the
CDS implementation process be replicated in the future? … The reporting was performed at
predetermined intervals (e.g., pre-pilot site implementation, during … In turn, the
successful implementation of patient-facing CDS helped support quality and safety, and … Pilot Implementation and Testing
The integration and implementation of these preventive health artifacts … More
information on development testing is found in each artifact Implementation Guide.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - Could the
CDS implementation process be replicated in the future? … The reporting was performed at
predetermined intervals (e.g., pre-pilot site implementation, during … In turn, the
successful implementation of patient-facing CDS helped support quality and safety, and … Pilot Implementation and Testing
The integration and implementation of these preventive health artifacts … More
information on development testing is found in each artifact Implementation Guide.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1066/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - Could the
CDS implementation process be replicated in the future? … The reporting was performed at
predetermined intervals (e.g., pre-pilot site implementation, during … In turn, the
successful implementation of patient-facing CDS helped support quality and safety, and … Pilot Implementation and Testing
The integration and implementation of these preventive health artifacts … More
information on development testing is found in each artifact Implementation Guide.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1071/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - Could the
CDS implementation process be replicated in the future? … The reporting was performed at
predetermined intervals (e.g., pre-pilot site implementation, during … In turn, the
successful implementation of patient-facing CDS helped support quality and safety, and … Pilot Implementation and Testing
The integration and implementation of these preventive health artifacts … More
information on development testing is found in each artifact Implementation Guide.
-
cds.ahrq.gov/sites/default/files/cds/artifact/71/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - Could the
CDS implementation process be replicated in the future? … The reporting was performed at
predetermined intervals (e.g., pre-pilot site implementation, during … In turn, the
successful implementation of patient-facing CDS helped support quality and safety, and … Pilot Implementation and Testing
The integration and implementation of these preventive health artifacts … More
information on development testing is found in each artifact Implementation Guide.
-
cds.ahrq.gov/sites/default/files/cds/artifact/76/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making.pdf
April 01, 2021 - Million Hearts Model Longitudinal ASCVD Risk Assessment Tool for Shared Decision Making (2021)
1
Implementation … Implementation
Guide. Prepared under Contract No. 75FCMC18D0047. … the
Implementation Guide
based on annual
artifact updates
Updated the Implementation Guide’s Introduction … April 2021 Updated the
Implementation Guide
based on annual
artifact updates
Applied minor edits … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and Implementation.
-
cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_Work_Group_February_2022_slides.pdf
January 01, 2022 - ACTIVATE project (Katherine Kim, MITRE)
3:35 – 3:50 Discussion about co-design for CDS development and implementation … Discuss how co-design principles can inform improvements in
patient involvement with CDS development and implementation … toolkits
Services
• Community Health Center consultation, planning and ACTIVATE platform implementation … donor.
24
DISCUSSION:
HOW CAN CO-DESIGN INFORM PATIENT
INVOLVEMENT WITH CDS DEVELOPMENT
AND IMPLEMENTATION … Acknowledgements
Discussion: How Can Co-Design Inform Patient Involvement with CDS Development and Implementation
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cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_Work_Group_December_2021.pdf
January 01, 2021 - resources are widely known
and accessible
• Several levels of involvement can occur in
development and implementation … with patients to
adapt the system for local use, and to what works well, and what can
be improved in implementation … • How did the phase of development/implementation impact how easy or hard it was
to involve patient-caregiver … impact: [Stated in lay terms]
• Share your experience working with patients in development
and/or implementation
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/2019%20CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
January 01, 2019 - Could the
CDS implementation process be replicated in the future? … The reporting was performed at
predetermined intervals (e.g., pre-pilot site implementation, during … In turn, the
successful implementation of patient-facing CDS helped support quality and safety, and … Pilot Implementation and Testing
The integration and implementation of these preventive health artifacts … More
information on development testing is found in each artifact Implementation Guide.
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2023.pdf
January 01, 2023 - Freely available on GitHub, these tools complement the Authoring Tool capabilities and encourage
implementation … documentation forms, data summaries, multimodal formats, and calculators) and represent different degrees
of implementation … From narrative summaries to implementation guides up through the results of piloting the artifact in … MITRE completed an annual review and update of their eight
Implementation Guides (IG) and associated … artificial intelligence tools and synthetic patient data to test and pilot
patient outcomes prior to CDS implementation
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cds.ahrq.gov/sites/default/files/cds/artifact/81/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%2010-Year%20ASCVD%20Risk.pdf
January 01, 2010 - Hearts Model Longitudinal ASCVD Risk Assessment Tool for Updated 10-Year ASCVD Risk (April 2021)
1
Implementation … Implementation Guide. Prepared under Contract No. 75FCMC18D0047. … the
Implementation Guide
based on annual
artifact updates
Updated the Implementation Guide’s Introduction … April 2021 Updated the
Implementation Guide
based on annual
artifact updates
Applied minor edits … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and Implementation.
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/CDSConnectPilotFinalReport508gel10012018.pdf
September 01, 2018 - Development of systematic and replicable processes for CDS creation and
implementation, honed through … Could the CDS implementation process be replicated in the
future? … The
initial work plan established the proposed timeline and implementation details, as well as the … Pilot Implementation and Testing
As mentioned previously, the integration and implementation of the … Mapping is a resource intensive process and can impact the implementation
timeline.
-
cds.ahrq.gov/sites/default/files/workgroups/28166/CDS_Connect_WG_Slides_August%202021.pdf
August 01, 2021 - these goals, AHRQ and MITRE are developing the CEPI
Evidence Discovery And Retrieval (CEDAR) reference implementation … )
16
PILOT DISCUSSION
17
Pilot Goal and Objectives
• Goal: Demonstrate the CEDAR reference implementation … Value Set Authority Center (VSAC) integration to use new FHIR R4 API endpoints
► Ongoing work toward implementation … Bug fixes and continued updates to support reusability and maintainability
• Artifacts
► Updating Implementation
-
cds.ahrq.gov/sites/default/files/cds/artifact/71/Implementation%20Guide_CMS%20Million%20Hearts_ASCVD%20Risk%20Assessment_Level3_Final.pdf
February 01, 2018 - CMS's Million Hearts Model Longitudinal ASCVD Risk Assessment Tool for Baseline 10-Year ASCVD Risk
Implementation … Implementation Guide: Longitudinal
ASCVD Risk Assessment Tool for Baseline 10-Year ASCVD Risk. … This is not a standard EHR data
element, and currently each implementation needs to identify where … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and Implementation. … Bridging the Guideline Implementation
Gap: A Systematic, Document-Centered Approach to Guideline Implementation
-
cds.ahrq.gov/sites/default/files/workgroups/71451/CDS_Connect_WG_March_2022_Presentation.pdf
January 01, 2022 - Update to clinical logic based on evidence change
• Updates that warrant a Minor number change:
► Implementation … warrant a Revision number change:
► Update to artifact metadata fields
► Correction of typos or errors in implementation … ► If the implementation of the artifact changes, should that trigger a new artifact if it
eases understanding