-
cds.ahrq.gov/sites/default/files/workgroups/1116/AHRQ%20-%202020%20January%20CDS%20Connect%20Workgroup%20slides-508.pdf
November 07, 2018 - Prevention and Treatment of Cardiovascular Disease
Electronic Clinical Quality Measure
− Updated Implementation … is very general and is meant to be customized [2]
• FHIR Clinical Guidelines is what is known as an implementation … trial use (STU) [5]
► Is based on FHIR R4
7
Introduction (2 of 2)
• CPG on FHIR is meant to reduce implementation … augmented
• Profile [8]
► A set of constraints on a resource
► May include one or more extensions
• Implementation … within the Authoring Tool
► Currently users can only define CDS logic (exportable as CQL)
• Propose implementation
-
cds.ahrq.gov/cedar/AHRQ_CEDAR_Final_Project_Report_09_29_2022.pdf
January 01, 2022 - • The team developed and launched CEDAR, a comprehensive reference implementation
that includes the … • Reference Implementation: MITRE developed and iterated on a comprehensive CEDAR
reference implementation … Reference Implementation
The core of the CEDAR project is the Reference Implementation (RI), a web-based … • It supported piloting the CEDAR API by serving as a reference implementation. … MITRE and AAFP tested CEDAR in a real-
world setting to assess the feasibility of its implementation
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/Implementation%20Guide_Statin%20Use%20for%20CVD%20Prevention%20in%20Adults_Patient%20Facing%20CDS%20Intervention_Final_1.pdf
April 01, 2021 - Use for the Primary Prevention of CVD in Adults: Patient-facing CDS Intervention (April 2021)
1
Implementation … Preventive Services Task Force Leadership Team
4
Record of Implementation Guide Changes
Date … Action Notes
October 2017 Published
Implementation Guide
Original Implementation Guide content … April 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/2246/CDS_Connect_WG_May_2021_Summary.pdf
January 01, 2021 - updating CDS artifacts (e.g., different viewpoints on evaluating evidence, value sets, logic, and the
Implementation … including evidence, logic (including new VS), knowledge level, interoperability standard, and receipt of
implementation … The updater should revise technical implementation content if it has
been changed, as well as include … Nevertheless, the decision to update must
be balanced with implementation; some of these specifications … AHRQ added that hospital systems have all types of means
of tracking decision support and implementation
-
cds.ahrq.gov/cedar/AHRQ_CEDAR_Final_Outreach_Report_October_2022_508.pdf
January 01, 2022 - This plan broke the engagement work into four
phases—Exploration, Strategy, Implementation, and Refinement—as … These discussions also
helped inform the initial design of the reference implementation (RI). … Phase 3: Implementation
Phase 3, spanning much of the project’s 2-year span, involved implementation … Other activities during the implementation phase included presentations, direct engagement with
interested … Key words to tag: use, search, review, up-to-date, current, leverage, incorporate
Implementation This
-
cds.ahrq.gov/sites/default/files/AHRQ_CDSIC_Project_Summary_OCT2022_final_508.pdf
October 01, 2022 - • Engage stakeholders to identify PCOR findings for implementation via CDS, define and
recommend CDS … currently focused on creating 15
products and projects that will inform and advance the development, implementation
-
cds.ahrq.gov/sites/default/files/workgroups/1191/CDS%20Connect%20Work%20Group%20June%202020%20Meeting%20Summary.pdf
June 18, 2020 - from a member developing CDS Artifacts using the CDS Authoring Tool (AT)
• View demonstrations on implementation … • It was clarified that CQF Ruler is a HAPI (HAPI is an open source implementation of HL7® application … Current implementation includes 1) AT now guides authors towards using the full
CPG on FHIR® versioning
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Implementation_Guide_Pain_Management_Summary.pdf
September 01, 2021 - Factors to Consider in Managing Chronic Pain: A Pain Management Summary
1
Implementation Guide … Implementation Guide. Prepared under Contract
No. 75FCMC18D0047. … Guide Changes
Date Action Notes
September 2018 Published
Implementation Guide
April 2020 … Updated the
Implementation Guide
based on annual
artifact updates
Updated the Implementation Guide … CQL-to_ELM Translator Reference Implementation.
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_Statin%20Use%20for%20CVD%20Prevention%20in%20Adults_Clinician%20Facing%20CDS%20Intervention.pdf
January 01, 2020 - Statin Use for the Primary Prevention of CVD in Adults: Clinician-Facing CDS Intervention
1
Implementation … Notes
October 2017 Published
Implementation Guide
Original Implementation Guide content
January … 2020 Updated the
Implementation Guide
based on annual
artifact updates
Updated the Implementation … CQL-to_ELM Translator Reference Implementation. … Automating Guidelines for Clinical Decision Support:
Knowledge Engineering and Implementation.
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_Statin%20Use%20for%20CVD%20Prevention%20in%20Adults_Clinician%20Facing%20CDS%20Intervention_2.pdf
April 01, 2021 - Use for the Primary Prevention of CVD in Adults: Clinician-Facing CDS Intervention (April 2021)
1
Implementation … Notes
October 2017 Published
Implementation Guide
Original Implementation Guide content
October … 2019 Updated the
Implementation Guide
based on annual
artifact updates
Updated the Implementation … April 2021 Updated the
Implementation Guide
based on annual
artifact updates
Updated content to … CQL-to_ELM Translator Reference Implementation.
-
cds.ahrq.gov/sites/default/files/workgroups/1136/CDS%20Connect%20Work%20Group%20April%202020%20Meeting%20Summary.pdf
April 16, 2020 - His work highlighted three different CQL engines and a summary comparison of implementation
characteristics … differ in how they manage patient data, so better performance is
dependent on defining the goal of implementation
-
cds.ahrq.gov/cedar/AHRQ_CEDAR_Environmental_Scan_2023_508.pdf
January 01, 2023 - • Develop a “quick implementation kit” for CEDAR. … • Identification of Risks – Discussion of gaps that may impact development and
implementation. … o Key Finding: All information within the reference implementation should be
accessible from mobile … o Opportunity: The creation of a “quick-start implementation” kit to integrate the
CEDAR API into an … • Develop a quick implementation kit for CEDAR.
-
cds.ahrq.gov/sites/default/files/workgroups/1216/CDS_Connect_Work_Group_October_2020_Slides.pdf
January 01, 2020 - support of CPG on FHIR constructs in CDS AT
Perform FHIR server callbacks in CQL Services CDS Hooks implementation … site redesign to include ease of artifact search by knowledge type, new pages
for dissemination and implementation
-
cds.ahrq.gov/sites/default/files/workgroups/1216/CDS_Connect_Work_Group_October_2020_Summary.pdf
January 01, 2020 - A work group member who worked closely with organizations involved with implementation emphasized that … node package manager [NPM]) which in turn could be distributable as part
of a package list for an implementation … the use of hydroxychloroquine, now
used in some COVID treatments, was triggering results in older implementation
-
cds.ahrq.gov/sites/default/files/workgroups/27826/CDS_Connect_WG_Slides_July_2021.pdf
January 01, 2021 - Informatics)
4
Outline
• Asthma guidelines – 2020 Focused Updates
• CDS effort to support guideline implementation … that is shareable, standards-based, publicly-available, and
patient-centered
• Part of the overall implementation … error messages, including suggestions to address the error (when applicable)
► Ongoing work toward implementation
-
cds.ahrq.gov/sites/default/files/workgroups/1261/CDS_Connect_WG_March2021_Slides.pdf
March 01, 2021 - purposes: Created by Anatoi Babii from Noun Project
8
Exploring Patient and Caregiver Roles During
CDS Implementation … ► As an invitation for feedback from the patient and caregiver community on
implementation, to further … Caregiver Community Roles During CDS Development
Exploring Patient and Caregiver Roles During CDS Implementation
-
cds.ahrq.gov/sites/default/files/workgroups/1191/CDS%20Connect%20Work%20Group%20June%202020%20Meeting%20Slides.pdf
June 01, 2020 - learned from a member developing CDS Artifacts
using the CDS Authoring Tool
• View demonstrations on implementation … URL-based value set identifiers; bug fix for incorrect Windows file paths
• Repository
► CPG-on-FHIR implementation
-
cds.ahrq.gov/sites/default/files/cds/artifact/106/AMIA_presentation.pptx
January 01, 2012 - )
Stage 3
Interactivity, data handling, processing speed (integration testing)
6
Before and After Implementation … Testing before implementation
Everything functions as expected
Patient data is appropriately handled … The CDS does not break the EHR
Testing after implementation
How do different clinical workflows impact
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2021.pdf
January 01, 2021 - • Applied Clinical Practice Guidelines (CPG)-on-FHIR® to the Repository to ease
their implementation … Pursued a collective effort to encourage patient partnering in CDS development
and implementation ( … o Revised metadata and
Implementation Guides (IG)
to reflect recent changes. … • Perform FHIR server callbacks in CQL
Services CDS Hooks implementation. … • Monitor for equity in CDS
development and implementation.
-
cds.ahrq.gov/sites/default/files/CDS_Connect_2024_Final_Report.pdf
January 01, 2024 - documentation forms, data summaries,
multimodal formats, and calculators) that represent different degrees of implementation … From posting narrative summaries and Implementation Guides (IG) to piloting an artifact in a health system … available on GitHub, these tools complement the Authoring Tool’s capabilities and encourage
their implementation