-
cds.ahrq.gov/sites/default/files/workgroups/28166/CDS_Connect_WG_Slides_August%202021.pdf
August 01, 2021 - engagement process
19
Estimated Pilot Timeline
• Identify and engage potential pilot partners 2 months … • Contracting and planning 2 months
• Pilot kick-off and live pilot 3 months
• Pilot close and wrap … up 2 months
20
QUESTIONS?
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pain%20Management%20Summary%20Clincial%20Decision%20Support%20Toolkit_for%20Repository_0.xlsx
January 01, 2003 - • Adjuvant analgesic medication recorded on meds list within last six months Risk Factors display … )
- STarT Back (within past 6 months)
Risk Screening:
- GAD-7 (within past 12 months)
- PHQ-9 (within … (within past 12 months)
- UDS resulted (within past two years)
- UDS resulted (within past 6 months) … (within past 12 months)
- Single Substance (SSASQ) completed (more than 12 months in the past)
TESTCASE … )
- AUDIT completed (within past 12 months)
- DAST completed (within past 12 months)
Orders: Referral
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/CDS%20Pain%20Management%20Summary%20Quick%20Start%20Guide_final_1.pdf
July 23, 2024 - patients > 18 yrs with a condition associated with chronic pain, or an opioid medication in the past 6
months … , or an adjuvant analgesic in the past 6 months.
-
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 … 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 be re-assessed
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-09/Wells%20Criteria.txt
January 01, 2023 - Previous DVT/PE (1.5 points)
- Hemoptysis (1 point)
- Malignancy (on treatment, treated in the last 6 months
-
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
• 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/cds/artifact/136331/Tricyclic%20Antidepressant%20Patient%20Handout.pdf
July 18, 2023 - care provider may recommend that you gradually lower the dose
of the medication for several weeks or months
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS_for%20Repository_0.pdf
July 23, 2024 - Non-pharmacologic treatments – over the past 2 years
– Stool softeners and laxatives – over the past 6 months … condition associated with
chronic pain
▪ An opioid medication
entered in their record in
the past 6 months … ▪ An adjuvant analgesic
entered in their record in
the past 6 months
13
The Summary will display
-
cds.ahrq.gov/sites/default/files/cds/artifact/136331/Opioid%20Patient%20Handout.pdf
July 18, 2023 - .
• A common goal is to lower the dose of opioids by 10%-20% every 1-4 weeks or
months.
-
cds.ahrq.gov/sites/default/files/cds/artifact/66551/Osteoporosis%20Patient%20Handout.pdf
July 18, 2023 - These medicines can work
quickly to lower your risk of broken
bones (fracture) within 6 to 12 months.
-
cds.ahrq.gov/sites/default/files/cds/artifact/136331/Monthly%20Tapering%20Calendar.pdf
July 18, 2023 - Updated Handouts
Monthly Tapering Calendar: 10-15% of dose every month
Adapted from “Tapering-off Program”, Cara Tennenbaum and Institut Universitaire de Gériatrie de Montréal.
Medication:________________________________________
Current dose:_______________________________________
We recommend that you follow this…
-
cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_WG_February_2022_Summary.pdf
January 01, 2022 - After three and six months of these activities, the
ACTIVATE team evaluates the patient’s outcomes and … After three months, participants reported an average 2.4-point reduction
in hemoglobin A1C, 10-point
-
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 … 1
year for risk
assessments
(Intervention
logic)
Initially the lookback was defined
as 6 months … Management Summary
Historical Treatments (lookback of 2 years for all except stool softeners, which is 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/1071/2024_CDS_Connect_IG_Healthy_Diet_Physical_Activity.pdf
January 01, 2024 - Interventions involve a median of 12 contacts over 6 – 18
months, depending on their intensity.5
https … accepted, completed)
OR Behavioral counseling for nutrition and activity order within the past 12 months … Inclusions “Within the past 12
months”
Occurring within 12 months of the CDS trigger; places restrictions … must be related to the patient’s current CVD risks
and usually occurs over a time span of 9 to 12 months … Interventions involved a median of 12 contacts over 6 –
18 months, depending on their intensity.
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/2024_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2024 - functional status has been unacceptably low, and his pain level
remained elevated over the past 6 months … Delta in the past 6 months.
Dr. Charlie decides to recommend physical therapy to Mr. … Alpha reviews her urine drug
screening results for the past 6 months, noting no aberrant findings; however … Stool softeners and laxatives ordered or recorded for the patient within the last six
months, including … to pain management (represented by a value set) – (total score, range, interpretation, date in 12
months
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2022.pdf
January 01, 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
-
cds.ahrq.gov/sites/default/files/cds/artifact/136331/Bisphosphonates%20Patient%20Handout.pdf
July 18, 2023 - Osteoporosis Patient Handout
Bisphosphonates are the safest choice for most people like you, who have thin
or fragile bones, because this risks of falling and breaking a bone are greater
than the risks of side effects.
Your medication is: _______________________________________
Orally (by mouth)
I.V. (infusion)
D…
-
cds.ahrq.gov/sites/default/files/cds/artifact/66551/Bisphosphonates%20Patient%20Handout.pdf
July 18, 2023 - Osteoporosis Patient Handout
Bisphosphonates are the safest choice for most people like you, who have thin
or fragile bones, because this risks of falling and breaking a bone are greater
than the risks of side effects.
Your medication is: _______________________________________
Orally (by mouth)
I.V. (infusion)
D…
-
cds.ahrq.gov/sites/default/files/workgroups/34806/CDS_Connect_WG_October_2021_Presentation.pdf
January 01, 2021 - October 2021 CDS Connect Work Group Call
October 2021 CDS Connect Work Group Call
Agenda
Schedule Topic
3:00 - 3:02 Roll Call, Michelle Lenox (MITRE)
3:02 - 3:05 Review of the Agenda, Maria Michaels (CDC)
3:05 - 3:50 Share and Discuss CDS Connect Priorities through September 2022,
Lacy Fabian (MITRE)
3:50 - …
-
cds.ahrq.gov/sites/default/files/workgroups/236/may-2017-cholesterol-wg-notes.docx
January 01, 2017 - Cholesterol Management Work Group
Meeting Summary
Date
05/09/2017
Time
5:00 – 7:00 PM EST
AGENDA
· Welcome
· Gather Feedback on Lookback Periods, Notifications for the USPSTF Artifacts and Value Sets
· CDS Connect Pilot Overview
· Statin CDS Demos: Options for Providing CDS Notifications
· Next Ste…