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cdsic.ahrq.gov/sites/default/files/2023-09/SMD%20PC%20CDS%20Performance%20Measurement%20Inventory%20User%20Guide_FINAL_9.19.23.pdf
January 01, 2023 - The included measure constructs that implementers reported using to monitor
adoption focused on measures … Researchers reported primarily using
EHR data to measure alert data integrity, with a few measures requiring … Researchers developed study-specific tools, thresholds, and scales to evaluate
clinicians’ decision … Fairness and Equity: Measures of fairness and
equity were identified as key measure
constructs to ensure … Reviewers identified measures, measure definitions,
and measurement guidance from data abstraction and
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cdsic.ahrq.gov/sites/default/files/2023-08/SMD%20Workflow%20Measurement%20Approaches%20Report_to%20AHRQ%208.9.23_508.pdf
January 01, 2023 - Sample Workflow Impacts and Measures for Measure Concepts ........................... 16
Exhibit 12 … • Availability of relevant data
• EHR capabilities
• Relevance of existing validated
tools and scales … • Ability to create study-specific
tools/scales
14
4.1 Clinician-centered Measures
Here … Sample Workflow Impacts and Measures for Measure Concepts
Measure Concept
Workflow Impact
Measure … specific to the decision aid content.55
• Develop validated, intervention- and disease-agnostic
scales
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cdsic.ahrq.gov/sites/default/files/2023-10/Final%20OO%20Patient%20Outcomes%20of%20PC%20CDS%20to%20AHRQ%2010.6.23.pdf
January 01, 2023 - Collectively, these primary scales and subscales represent 22 of the 25 satisfaction measures
identified … One of six scales in the 24-item Press Ganey®
Outpatient Medical Practice Survey instrument
which measures … One of six scales in the 24-item Press
Ganey® Outpatient Medical Practice Survey
instrument which measures … One of six scales in the 24-item
Press Ganey® Outpatient Medical Practice
Survey instrument which measures … One of six scales
in the 24-item Press Ganey® Outpatient Medical
Practice Survey instrument which measures
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cdsic.ahrq.gov/sites/default/files/2024-06/Copy%20of%20Final_MO_Patient%20Preference%20Inventory_6.7.24_508_0.xlsx
January 01, 2024 - Measures are categorized by domains of the Taxonomy of Patient Preferences. … HOW TO USE THE INVENTORY • Users can use the drop-down menus to filter measures by patient preference … The items are grouped into four scales: 1. Patient participation and patient orientation (PPO), 2. … notes in EHR Used in clinic/health system Palliative care Palliative care End of life No N/A No N/A Measure … medical form Used in clinic/health system Palliative care Palliative care End of life No N/A No N/A Measure
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cdsic.ahrq.gov/sites/default/files/2024-09/Final%20IAS%20PC%20CDS%20Case%20Studies%20Report_2.pdf
January 01, 2024 - Approximately 60
percent of the concepts used to measure adherence to the clinical guideline recommendations
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cdsic.ahrq.gov/sites/default/files/2024-10/IAS_Key%20Factors%20and%20Considerations%20for%20Assessing%20the%20Value%20of%20PC%20CDS.pdf
January 01, 2024 - Some complexity stems from limitations of the data used in evaluations to
measure the economic, financial … In describing approaches to measure the value of
health information technology interventions, including … alert and/or clinical reminder fatigue) as a component of clinician burnout and a potential
outcome to measure … "Time to" is a
measure of the elapsed time to implement a recommended action, such as time to antibiotic … organization will turn off the CDS if it does not meet an identified key
performance indicator [e.g., quality measure
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cdsic.ahrq.gov/sites/default/files/2023-09/SMD%20PC%20CDS%20Performance%20Measurement%20Inventory_FINAL_9.19.23.xlsx
January 01, 2023 - Measure Inventory
Performance Areas of Measurement Measure Specifications
Implementation Phase … Measurement Category Measure Construct Assessed Measure Construct Description Intervention Type Donabedian … Self-developed user experience survey containing visual analog scales of the workload domains in the … Reynolds Intellectual Assessment Scales (RIAS)
3. … Patient Activation Measure (PAM)
4.
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cdsic.ahrq.gov/sites/default/files/2024-09/Quartz%20Assessment%20Report_Public%20Version_0.pdf
January 01, 2024 - Quartz App to Support Medication Adherence: Usability and Feasibility Assessment
Quartz App to Support
Medication Adherence:
Usability and Feasibility
Assessment
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
Nikk…
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cdsic.ahrq.gov/sites/default/files/2023-07/Updated_OOPatientPreferenceTaxonomy.pdf
January 01, 2023 - (s) Notes
Degner Scale73 Engagement
• Decision making
Autonomy
Preference
Index148
Two scales … Measures of decision quality
may offer another avenue for assessment. … In addition, how these types of measures should be used is questionable. … o What is the best way to measure if this is being done well (i.e.,
how do we measure if this is happening … how do we measure if
this is happening with the desired level of quality)?
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cdsic.ahrq.gov/sites/default/files/2023-08/Final%20TPC%20P3_Source%20Credibility%20to%20AHRQ%208.2.23_508c%20Version.pdf
January 01, 2023 - audience, the relative impact of each attribute on source credibility most greatly, and the ways
to measure … How do you measure trust in the health system? A systematic review of the literature. … Public Trust in Health Information Sharing: A Measure of System Trust. … Diagnostic accuracy measures. … Measures of Diagnostic Accuracy: Basic Definitions.
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cdsic.ahrq.gov/sites/default/files/2024-09/Final_MO%20PC%20CDS%20User%20Guide%20(1)_0_0.pdf
January 01, 2024 - Example Quantitative and Qualitative Measures for PC CDS Evaluation
Quantitative Measures
The “what … ”
Qualitative Measures
The “why” or “how”
• Numerical measures related to adoption and use
(e.g … Defining Patient Health Journey Measures
The CDSiC previously defined patient health
journey measures … ☒
Not Applicable ☐
Task Description
• Measures used to assess PC CDS adoption. … We did not measure patient number of cancer diagnoses or patient
deaths as the study was not powered
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cdsic.ahrq.gov/sites/default/files/2023-09/TPC_Codesign%20Report%20to%20AHRQ%20FINAL.pdf
January 01, 2023 - health-related decisions and actions using evidence-based
information that incorporates outcomes and measures … efficient opportunity for gathering
feedback from patients on components of the tool using
standardized scales … Measuring the quality of patient-centered care: why
patient-reported measures are critical to reliable