-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pain%20Management%20Summary%20Clincial%20Decision%20Support%20Toolkit_for%20Repository_0.xlsx
January 01, 2003 - six months
• Adjuvant analgesic medication recorded on meds list within last six months Risk Factors … six months
• Adjuvant analgesic medication recorded on meds list within last six months Risk Factors … - Referral to Massage (within last 2 years)
- Referral to Massage (within last year)
Patient 3 Problem … six months
• Adjuvant analgesic medication recorded on meds list within last six months Risk Factors … six months
• Adjuvant analgesic medication recorded on meds list within last six months Risk Factors
-
cds.ahrq.gov/sites/default/files/cds/artifact/171/NIOSH_Occupational%20Factors%20Impacting%20Diabetes_Decision%20Log_condensed.pdf
February 01, 2018 - this CDS does not appear if the patient has been asked about
these job features within the past 6 months … this CDS does not
appear if the patient has
been asked about these
job features within the
past 6 months … an error message if at least one of the occupational
factors does not have a date as to when it was last … It displays a warning
message if at least one of the factor’s last assessment date is greater than 6 … months “WARNING: At least one occupational factors response is more
than 6 months old and should
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-09/Wells%20Criteria.txt
January 01, 2023 - points)
- Previous DVT/PE (1.5 points)
- Hemoptysis (1 point)
- Malignancy (on treatment, treated in the last … 6 months or palliative) (1 point)
Reference:
1.
-
cds.ahrq.gov/sites/default/files/cds/artifact/136331/Tricyclic%20Antidepressant%20Patient%20Handout.pdf
July 18, 2023 - Withdrawal symptoms can last
for a few weeks. … care provider may recommend that you gradually lower the dose
of the medication for several weeks or months
-
cds.ahrq.gov/sites/default/files/workgroups/34806/CDS_Connect_WG_October_2021_Presentation.pdf
January 01, 2021 - and announcements
• Concluding comments, review next steps, and adjourn
2
Objectives
• Recap last … Connect
3
SHARE AND DISCUSS CDS CONNECT
PRIORITIES THROUGH SEPTEMBER 2021
Lacy Fabian, MITRE
4
Last … the National Library of Medicine’s (NLM) API key authentication in CDS AT and Prototype Tools.
5
Last … Work Group Call
Agenda
Objectives
Share and Discuss CDS Connect Priorities through September 2021
Last … Year’s General Themes and New Features
Last Year’s Trust Attributes to Rank Potential Stories within
-
cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_Work_Group_February_2022_slides.pdf
January 01, 2022 - coaching, education, care coordination, teamlet huddles
5) Outcomes & Maintenance
Follow-up at 3 & 6 months … Feasibility Pilot Outcomes
Eligibility Criteria
• Adults over 18 years
• 2 visits and/or new diagnosis in
last … Feasibility pilot
• 12 patients enrolled Apr – Jul 2021
• Hemoglobin A1c for patients with diabetes at
3 months … = 2.4-point reduction
• Blood pressure for patients with
hypertension at 3 months = 10-point
reduction
-
cds.ahrq.gov/sites/default/files/workgroups/236/may-2017-cholesterol-wg-notes.docx
January 01, 2017 - Consider establishing a prompt for providers to order a new LDL or lipid panel if values within the last … Artifact Specifications
· No concerns were raised about changes to the logic that were made based on last … Demo #2:
· Disease Management Advisor displays last observed values for risk and can calculate a new
-
cds.ahrq.gov/sites/default/files/workgroups/246/jul-2017-cholesterol-wg-notes.docx
January 01, 2017 - Dialysis is an exclusion (i.e., diagnosis of end stage renal disease or dialysis in the last seven days … One practice has a dyslipidemia tip sheet that is a living document changed every 6 months. … within an organization)
Close and Next Steps
CAMH announced that the August WG Meeting would be the last
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/2024_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2024 - Delta in the past 6 months.
Dr. Charlie decides to recommend physical therapy to Mr. … Any nonpharmacologic treatments ordered or referrals made for the patient within
the last two years, … Any adjuvant pain medications ordered or recorded within the last two years
including the name, type … Stool softeners and laxatives ordered or recorded for the patient within the last six
months, including … Benzodiazepine medications ordered or recorded for the patient within the last
two years, including
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2022.pdf
January 01, 2022 - The WG held its last meeting in June 2022. … In the months after the upgrade was pushed to production, the team performed several follow-up
tasks … In the
remaining months of Year 6, the team aims to additionally complete the following
enhancements … In the
remaining months of Year 6, the team hopes to additionally complete the following
enhancements … developed last year) for updating each component of a CDS artifact.
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2021.pdf
January 01, 2021 - prompted AHRQ
to develop plans with MITRE to upgrade
CDS Connect Repository to Drupal 9.x
several months … Last,
the team upgraded the testing component’s
CQL execution framework library to its
latest 2.x … • Sort their CDS artifact list based on
name, version, date last changed,
and date created. … role the Food and Drug
Administration will have in the
regulation of certain types of CDS,
this last … Recommendation: With last year’s
efforts to create easily accessed
information about CDS Connect
-
cds.ahrq.gov/sites/default/files/cds/artifact/171/Occupational%20Factors%20which%20Impact%20Diabetes,%20%20A%20Final%20Knowledge%20Resource%20Report%20(2015).pdf
January 01, 2015 - Vitals: BP 130/80 Pulse 88 R 16 Pox 98% BMI 37
Labs: HgA1c, 3 months ago: 9.6, last week: 9.0*. … No
STOP
No
>6 months since
employment data
updated? … Yes
STOPNo
Has your job
changed since last
visit? … www.eeoc.gov/laws/types/disability.cfm.
4 See Diabetes Basics, www.diabetes.org/diabetes-basics (last … See National
Diabetes Fact Sheet (2011), http://www.cdc.gov/diabetes/pubs/factsheet11.htm (last visited
-
cds.ahrq.gov/sites/default/files/workgroups/1266/CDS_Connect_April2021_WG_Meeting_Slides.pdf
April 01, 2021 - abilities
6
Intersection Study – Standards Engagement
Uncertainty and Risk
Consider when you last … Date written, last updated, reviewed by someone
Do they have a vested interest? Who paid for it?
-
cds.ahrq.gov/sites/default/files/workgroups/13461/CDS_Connect_WG_June_2021_Slides_0.pdf
January 01, 2021 - ► Order-sign
− Last step in the prescribing workflow
Additional Requirements? … • DDInteract is a novel SDM tool for managing drug-drug
interactions
► App-based approach for the last
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - milligram equivalent (MME) calculation (most recent, verified, value [as
quantity], date in past 6 months … • Risk assessments relevant to pain management (total score, range, interpretation,
date in past 6 months … This was a “lessons learned” from
the pilot partnership last year with
a health center affiliate … 1
year for risk
assessments
(Intervention
logic)
Initially the lookback was defined
as 6 months … Risk Considerations:
• MME calculation (most recent, verified, value [as quantity], date in past 6 months
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_CDS_Connect_IG_Diabetes_Part_One_Screening_0.pdf
January 01, 2024 - screening test performed (hemoglobin A1C,
fasting plasma glucose, glucose tolerance test) within the last … type 1 or 2), prediabetes,
impaired fasting glucose, or impaired glucose tolerance noted within the last … 12
months. … (active, relapse)
OR prediabetes within the past 12 months (active, relapse)
OR impaired fasting … Exclusions “within the past
12 months”
Occurring within 12 months of the CDS trigger.
-
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 - For example,
a value set last updated in 2014 may not be current. … Implementers should expect the first translation of a semistructured artifact into CQL code to
take several months … It addresses the last of three clinical scenarios where CMS’s Million Hearts® Model Longitudinal ASCVD … active anti-hypertensive
medication)
Display diabetes (yes/no)
Display current smoker within the last … Need to data input
from the clinician
The field “If the patient smoked at baseline, for how many months
-
cds.ahrq.gov/sites/default/files/cds/artifact/1066/2024_CDS_Connect_IG_Diabetes_Part_Two_Counseling_1.pdf
January 01, 2024 - Bravo is a 28-year-old woman who developed gestational diabetes during her last
pregnancy. … Diagnosis of diabetes mellitus noted within the past 12 months.
2. Exclusion:
a. … MOST RECENT VALUE within
the past 3 years (final, amended)
OR diabetes mellitus within the past 12 months … the following:
25
Behavioral counseling for nutrition and activity referral within the past 12 months … accepted, completed)
OR behavioral counseling for nutrition and activity order within the past 12 months
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/2023_CDS_Connect_IG_Statin_CVD_Patient_Facing.pdf
January 01, 2023 - cholesterol (HDL-C)
and high LDL-C levels (as evidenced by repeat cholesterol tests in the past 6
months … ’, or ‘recurrence’ (R4 only)
no abatement[x] attributes are present
Breastfeeding
(within the last … confirmed'
clinicalStatus is ‘active’
no abatement[x] attributes are present
Dialysis
(within the last … recurrence’ (R4 only)
no abatement[x] attributes are present
Pregnancy Observation
(within the last
-
cds.ahrq.gov/sites/default/files/cds/artifact/81/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%20Risk_Final_0.docx
October 01, 2017 - For example, a value set last updated in 2014 may or may not be current. … Implementers should expect the first translation of a semi-structured artifact into CQL code to take several months … guidance
Need for data input from provider
The field "If the patient smoked at baseline, for how many months