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cds.ahrq.gov/sites/default/files/workgroups/27826/CDS_Connect_WG_Slides_July_2021.pdf
January 01, 2021 - the Agenda, Maria Michaels (CDC)
• 3:05 - 3:50 • Lessons Learned with CDS Connect: CDS for Asthma Management … guideline implementation
• CDS Connect Authoring Tool feedback
• Questions and Discussion
5
Expert Panel … #12 (L1)
► “In individuals aged 4 y and older with moderate to severe persistent asthma, the
Expert Panel … strength of recommendation, certainty of evidence
• Artifact proposals reviewed with asthma Expert Panel … Guidelines
�Outline�
Expert Panel Report 3
Focused Updates, Not Complete Revision of �2007 Guidelines
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cds.ahrq.gov/sites/default/files/cds/artifact/106/AMIA_presentation.pptx
January 01, 2012 - PowerPoint Presentation
Decision Support to Improve Childhood
Obesity Management
Jeremy Michel, MD, … BMI ≥ 95th %tile)
We conducted a needs assessment at CHOP to gage the interest level in an obesity management … Obesity at CHOP:
Needs Assessment Findings
Strong clinician interest in “something” to help with obesity management … Many clinicians reported using other resources (links, websites, and handouts)
4
1 AST + ALT + Lipid panel … + Glucose for obese patients OR Lipid panel for overweight patients
90% report always or frequently
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cds.ahrq.gov/sites/default/files/workgroups/33746/CDS_Connect_WG_Presentation_September_2021.pdf
January 01, 2021 - Clinical Quality Language (CQL) V1.5
► Usability Improvements
► Maintainability
• Patient Partnering Panel … updates; metadata updated with the posted IG
• Factors to Consider in Managing Chronic Pain: A Pain Management … and visual note taking
• 3 drafts of content to be shaped in
coming year
29
Patient Partnering Panel … CDS Authoring Tool: Usability Improvements
CDS Authoring Tool: Maintainability
Patient Partnering Panel … : Draft Content
Patient Partnering Panel
Next Steps
Announcements, Open Discussion, and Close-Out
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cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_WG_December_2021_Summary.pdf
January 01, 2021 - Patient Partnering Efforts Review: “One More Step” Campaign
After thanking the panel members for their … Lenox summarized the efforts of the
CDS Patient Partnering Panel which had met over the summer months … Panel
discussions produced further questions on what defines patient and caregiver partnering, identified … University) discussed his focus on patient-facing factors in
addressing blood pressure monitoring and management … Dorr’s current CDS topic of interest—blood pressure management—is a relatively common health
issue with
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cds.ahrq.gov/sites/default/files/workgroups/27826/CDS_Connect_WG_Summary_July_2021.pdf
January 01, 2021 - brief review of meeting objectives and agenda
• Lessons Learned with CDS Connect: CDS for Asthma Management … medication recommendations in the National Institutes of Health’s 2020
Focused Updates to the Asthma Management … : A Report from the National Asthma Education and
Prevention Program Coordinating Committee Expert Panel … Focused Update, as well as the results of collaboration among NHLBI, Westat,
Elimu Informatics, and a panel … This artifact underwent two phases of development, receiving ongoing feedback from a panel of asthma
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cds.ahrq.gov/sites/default/files/workgroups/33746/CDS_Connect_WG_Summary_September_2021.pdf
January 01, 2021 - year, including developments on the Repository, Authoring Tool, artifacts, and
patient partnering panel … MITRE upgraded the web content management system from Drupal 8.9 to Drupal 9.2. … Because this
change is mainly an upgrade of the underlying content management infrastructure, few (if … Panel to advise on
the inclusion of patient stakeholders in the development of CDS Connect. … Since then, the panel has
met four times, with the last session convening in late August 2021
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2021.pdf
January 01, 2021 - o Conducted Patient Partnering Panel
to support ongoing development
of resource materials for CDS … • CDS for Asthma Management
Guidelines. … UW conference organizers invited the CDS
Connect team to participate in the panel,
“FHIR in Public … As part of the panel, a member of the CDS
Connect team presented an overview
of the Pain Management … Task Management
3. Trust Framework
4.
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cds.ahrq.gov/sites/default/files/workgroups/71451/CDS_Connect_WG_March_2022_Summary.pdf
January 01, 2022 - OBJECTIVES
• Welcome; brief review of meeting objectives and agenda
• CDS artifact versioning
• Panel … A panel presented three instances when creators were faced with choosing how to
capture an update to … Panel discussion on versioning choices
Susan Haas (MITRE) reviewed an ongoing decision MITRE is facing … provider-facing application based on an artifact entitled
Factors to Consider in Managing Chronic Pain: A Pain Management … MEETING OBJECTIVES
ACTION ITEMS
MEETING SUMMARY
Welcome
CDS Artifact Versioning: Introduction
Panel
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cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_Work_Group_December_2021.pdf
January 01, 2021 - Objectives
• Discuss this year’s patient partnering effort, building on last year’s
patient partnering panel … KICK-OFF “ONE MORE STEP” IN
PATIENT PARTNERING
Michelle Lenox, MITRE
4
Patient Partnering Panel … methods/best practices can better support
patient involvement
Lessons Learned from Patient Partnering Panel … patient-facing clinical decision support tool
(using SMART on FHIR and CQF-RULER) for high blood
pressure management … Group Call
Agenda
Objectives
Kick-Off “One More Step” in Patient Partnering
Patient Partnering Panel
-
cds.ahrq.gov/sites/default/files/workgroups/143366/CDS_Connect_WG_April_2022_Presentation.pdf
January 01, 2022 - – Person-First Safe Living in a Pandemic
(Patient Partnering)
• Summer 2021 – Patient Partnering Panel … co-production
• April 2022 – Partnering Perspectives/Patient Editors/Prioritization
4
Patient Partnering Panel … methods/best practices can better support
patient involvement
Lessons Learned from Patient Partnering Panel … PATIENT INVOLVEMENT
IN CDS DEVELOPMENT
11
Approaches
• Finalize and disseminate Patient Partnering Panel … Call
Agenda
Objectives
Past Discussions on Patient and Caregiver Partnering
Patient Partnering Panel
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2022.pdf
January 01, 2022 - Developed handouts and prioritized patient partnering in CDS through expansion of the
Patient-Partnering Panel … • Reviewed the materials the WG Patient-Partnering Panel subgroup developed. … Building on the Patient-Partnering Panel work of the prior year, the team provided perspectives
from … Their examples, the discussion it fostered, and
additional Patient-Partnering Panel materials continued … Task Management
3. Trust Framework
4.
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cds.ahrq.gov/sites/default/files/workgroups/184656/CDS_Connect_WG_June_2022_Presentation.pdf
January 01, 2022 - CDS Repository and website
• Developed prototype Authoring Tool
• Two advisory groups –
Cholesterol Management … and CDS Repository
• Developed and published six CDS artifacts around
cholesterol management
• Piloted … community stakeholders
• Update Emails regularly sent to CDS Community
• Convened the Patient Partnering Panel
-
cds.ahrq.gov/sites/default/files/workgroups/221/feb-2017-cholesterol-wg-notes.docx
January 01, 2017 - Cholesterol Management Work Group
Meeting Summary
Date
02/08/2017
Time
1:30 – 3:30 PM ET
AGENDA … Long lookback times exacerbate this problem.
· Population management CDS artifacts would be innovative … Based on recommendations from the Technical Expert Panel (TEP) advising on the development of the measure … For further information, please contact The MITRE Corporation, Contracts Management Office, 7515 Colshire … CDS Connect
Cholesterol Management Work Group
Approved for Public Release. Distribution Unlimited.
-
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 … appropriate for a lookback period; Consider establishing a prompt for providers to order a new LDL or lipid panel … Demo #2:
· Disease Management Advisor displays last observed values for risk and can calculate a new … For further information, please contact The MITRE Corporation, Contracts Management Office, 7515 Colshire … CDS Connect
Cholesterol Management Work Group
Approved for Public Release. Distribution Unlimited.
-
cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_Work_Group_February_2022_slides.pdf
January 01, 2022 - Improving Self-Management and Care Coordination with
Person-Generated Health Data and Mobile Health … establish readiness and needs: technical,
digital literacy, health literacy, care coordination, self-management … Architecture to
Bring Data to the Point of Need
17
ACTIVATE Platform v.1 for Data at the Point of Need
Panel … Management RPM Ranges and Thresholds
18
ACTIVATE Platform v.1 for Data at the Point of Need (cont … migration to a new server environment
• Ongoing refactoring to improve maintainability and reusability
Pain Management
-
cds.ahrq.gov/sites/default/files/reports/CDS_Connect_Pain_Management_Environmental_Scan.pdf
December 01, 2017 - Change management challenges: Recent shifts in pain management protocols and prescribing
practices urge … Evaluation or Interview for Risk of Opioid Misuse – a 2017 and 2018
MIPS measure [47]
In 2014, a panel … Multi-panel smart data displays (dashboards),
another form of CDS, can give comprehensive information … and opioid management concerns. … Chronic Nonmalignant Pain Management
4.1 Patient-Centered Pain Management
4.2 Pain Management Clinical
-
cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation%20Guide_Statin%20Therapy%20for%20the%20Prevention%20and%20Treatment%20of%20CVD%20eCQM_Final.docx
October 01, 2017 - including the CDS Consortium (2008), Advancing CDS contract (2010), National Quality Forum CDS Expert Panel … Population health: Inclusion in a requested or periodic screening scan of an entire patient panel or … Epsilon, a patient, had a new cholesterol blood test panel done as part of a recent visit; when the test … patients greater than age 21, and thus implies that all patients over that age should have a lipoprotein panel … Exception: Document why the provider and patient have decided on a management strategy differing from
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_USPSTF%20Statin%20Use%20for%20the%20Primary%20Prevention%20of%20CVD%20in%20Adults_Final.docx
October 01, 2017 - including the CDS Consortium (2008), Advancing CDS contract (2010), National Quality Forum CDS Expert Panel … Population health: Inclusion in a requested or periodic screening scan of an entire patient panel or … Epsilon, a patient, had a new cholesterol blood test panel done as part of a recent visit; when the test … Exception: Document why the provider and patient have decided on a management strategy differing from … In addition, the CDS Connect Cholesterol Management Work Group provided insight to clarify exclusions
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/ImplementationGuidePainManagementSummary50810012018.pdf
December 01, 2018 - including the CDS Consortium (2008), Advancing CDS contract (2010),
National Quality Forum CDS Expert Panel … Summary” (“Pain Management Summary”) artifact. … Both concepts are crucial to effective pain management. … Providing Patient-Centered Care Using the Pain
Management Summary CDS
The Pain Management Summary CDS … Community/agency standards for pain management.
-
cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation_Guide_Statin_Therapy_CVD_eCQM_0.pdf
September 01, 2022 - Population health: Inclusion in a requested or periodic screening scan of an entire patient
panel or … Epsilon, a patient, had a new cholesterol blood test panel performed as part of
a recent visit; when … The eCQM applies to all patients greater than age 21; a lipoprotein panel should
be performed for all … The Cholesterol Management Work Group, in interpreting “hepatic disease or failure,”
concluded that … Based
on the Cholesterol Management Work Group’s recommendations, two decisions were made.