-
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/18/Implementation_Guide_CDS_Connect_Statin_CVD_Clinician_Facing_0.pdf
September 01, 2022 - Implementation Guide: Statin Use for the Primary Prevention of CVD in Adults: Clinician-Facing CDS Intervention … Implementation Guide
Statin Use for the Primary Prevention of CVD in
Adults: Clinician-Facing … 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 content … CQL-to-ELM Translator Reference Implementation.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/508_2022_CDS_Connect_IG_Statin_CVD_Patient_Facing_final.pdf
January 01, 2022 - 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/476/ImplementationGuidePainManagementSummary50810012018.pdf
December 01, 2018 - Implementation Guide: Factors to Consider in Managing Chronic Pain: A Pain Management Summary … Implementation Guide
Factors to … Implementation Guide. Prepared under Contract No. HHSM-500-2012-
00008I. … about the development, implementation, and
routine operation of the “Factors to Consider in Managing … Patients and Family Caregivers who are interested in the process of CDS
development and implementation
-
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 … 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/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 … 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
-
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
-
cds.ahrq.gov/sites/default/files/cds/artifact/26/Implementation%20Guide_Aspirin%20Therapy%20for%20the%20Prevention%20of%20CVD%20and%20CRC_final_2.pdf
April 01, 2021 - USPSTF Aspirin Therapy for Primary Prevention of CVD and CRC (April 2021)
1
Implementation Guide … Implementation Guide.
Prepared under Contract No. 75FCMC18D0047. … Preventive Services Task Force (USPSTF) Leadership Team
4
Record of Implementation Guide Changes … Date Action Notes
October 2017 Published
Implementation Guide
January 2020 Updated the
Implementation … April 2021 Updated the
Implementation Guide
based on annual
artifact updates
Applied minor edits
-
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/cds/artifact/1071/Implementation%20Guide_Healthful%20Diet%20and%20Physical%20Activity_Final.pdf
September 01, 2019 - Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors
1
Implementation … Implementation Guide. Prepared under Contract No. HHSA290201600001U. … Scope, Purpose, and Audience of This Implementation Guide
This document provides information about … CQL-to_ELM Translator Reference Implementation. … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and 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/cds/artifact/26/Implementation%20Guide_Aspirin%20Therapy%20for%20the%20Prevention%20of%20CVD%20and%20CRC_final.pdf
January 01, 2020 - USPSTF Aspirin Therapy for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer
1
Implementation … Implementation Guide.
Prepared under Contract No. 75FCMC18D0047. … Preventive Services Task Force (USPSTF) Leadership Team
4
Record of Implementation Guide Changes … Date Action Notes
October 2017 Published
Implementation Guide
January 2020 Updated the
Implementation … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and Implementation.
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2019.pdf
January 01, 2019 - This compounds data
mapping efforts, impacting resource needs as well as the implementation timeline. … Pilot Implementation Planning ....................................................................... … The CDS Connect
Repository served as reference implementation for the pilot, which was demonstrated … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and Implementation. … Pilot Implementation Planning
3.3.
-
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_Sept_08.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/reports/AHRQ_Final_Report_2017.pdf
January 01, 2017 - AHRQ’s priority areas of focus are for
improving health care quality by accelerating implementation … These Work Groups guide the
development, implementation, and inclusion of cholesterol management CDS … Automating Guidelines for Clinical Decision Support: Knowledge Engineering
and Implementation. … This challenge confirmed the need for rigorous integration testing prior to
implementation. … These suggestions were
incorporated into each Implementation Guide.
-
cds.ahrq.gov/cedar/AHRQ_CEDAR_Environmental_Scan_2020_508.pdf
January 01, 2020 - Initiative,
available at https://www.ahrq.gov/pcor/ahrq-dissemination-and-implementation-initiative … https://www.ahrq.gov/pcor/ahrq-dissemination-and-implementation-initiative/pcortf-faq.html
2 … The API implementation is available on GitHub84 and maps CDS artifacts
between the CDS Connect data … The Centers for Medicare & Medicaid Services
(CMS) has developed Blue Button 2.0, an implementation … C.1.7 CDS Hooks
CDS Hooks is a SMART® on FHIR117 implementation that describes how a third-party CDS
-
cds.ahrq.gov/sites/default/files/reports/AHRQ_Final_Report_2018.pdf
January 01, 2018 - Documentation and sharing of the development and implementation
processes promotes transparency and … Pilot Implementation Planning ....................................................................... … Additional pilot details are
available in the Pilot Final Report, including the implementation plan, … and
implementation details as well as the critical path activities and risks. … Pilot Implementation Planning
3.3.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1071/Implementation%20Guide_Healthful%20Diet%20and%20Physical%20Activity_Final_0.pdf
September 01, 2021 - Implementation Guide. Prepared under Contract No. H75FCMC18D0047. … Preventive Services Task Force Leadership Team
4
Record of Implementation Guide Changes
Date … Action Notes
September 2019 Published
Implementation Guide
September 2020 Updated the
Implementation … September 2021 Updated the
Implementation Guide
based on annual
artifact updates
Updated the Implementation … CQL-to_ELM Translator Reference 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