-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/2019%20CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
January 01, 2019 - Possessed the required ability and experience to implement the integration to address
patient-facing … Do patients value the pilot CDS? … The b.well technical team did not have prior experience using CQL and CDS Hooks and had
limited experience … , and only limited experience with FHIR. … Engaging patients as CDS end users: Patient-facing, evidence-based CDS may
ultimately be one of the
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - Possessed the required ability and experience to implement the integration to address
patient-facing … Do patients value the pilot CDS? … The b.well technical team did not have prior experience using CQL and CDS Hooks and had
limited experience … , and only limited experience with FHIR. … Engaging patients as CDS end users: Patient-facing, evidence-based CDS may
ultimately be one of the
-
cds.ahrq.gov/sites/default/files/cds/artifact/71/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
September 01, 2019 - Possessed the required ability and experience to implement the integration to address
patient-facing … Do patients value the pilot CDS? … The b.well technical team did not have prior experience using CQL and CDS Hooks and had
limited experience … , and only limited experience with FHIR. … Engaging patients as CDS end users: Patient-facing, evidence-based CDS may
ultimately be one of the
-
cds.ahrq.gov/sites/default/files/workgroups/1251/CDS_Connect_WG_Jan2021_Summary.pdf
January 21, 2021 - After briefly
discussing the four USPSTF artifacts and their applicability to b.well’s patient population … solutions to further enhance the management of high-risk and complicated births—to the
benefit of clients … Based on the
piloting of four (out of fifty) recommendations, how did this experience help position … This, in turn, made the organization’s
patient processing more efficient and inspired thinking on its … A WG member asked about b.well’s experience with ongoing maintenance of the CDS in that it remains
deployed
-
cds.ahrq.gov/cedar/AHRQ_CEDAR_Information_Sheet.pdf
October 01, 2022 - It can be accessed and used by researchers,
clinicians, policymakers, patients, and others who rely … CEDAR provides quick and easy access to patient-centered
outcomes research (PCOR) information. … Users can experience
how CEDAR works by searching for
resources through a demonstration of two
user
-
cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_WG_December_2021_Summary.pdf
January 01, 2021 - – to find opportunities for incremental progress in incorporating patients
and caregivers into their … He also noted past success when consulting
patients at early stages of the design and adaptation phases … experience. … A larger and more diverse network of patients is needed to better identify the right
people to partner … Dykes’s experience confirmed that routine involvement of patients and care partners in early
phases
-
cds.ahrq.gov/sites/default/files/CDS_Connect_2024_Final_Report.pdf
January 01, 2024 - interoperable CDS
expressions—known as CDS artifacts—that support decision making by clinicians and patients … expanded automated tests
• Implementing a variety of enhancements and bug fixes to improve the user experience … Substitutable Medical Applications, Reusable Technologies
(SMART) on FHIR application enabling clinicians and patients … to view all individual patient data that might be
relevant to managing that patient’s pain. … documentation and training resources for artifact authors and developers to further enhance
the user experience
-
cds.ahrq.gov/sites/default/files/cds/artifact/171/NIOSH_Occupational%20Factors%20Impacting%20Diabetes_Decision%20Log_condensed.pdf
February 01, 2018 - The clinician does not
have to ask the patient about each job feature individually, but could pose a … The clinician could click on one or
more materials to be printed for the patient. … HgbA1C level, this is the recommendation of the
SME’s but the time frame may be altered based on clinic experience … and patient population). …
Reference: Allen, A, Welch, L, Kirkland, K, et al. … level,
this is the
recommendation of the
SME’s but the time
frame may be altered
based on clinic
experience
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2023.pdf
January 01, 2023 - interoperable CDS
expressions—known as CDS artifacts—that support decision making by clinicians and patients … • Implemented a variety of enhancements and bug fixes to improve user experience. … Substitutable Medical Applications, Reusable
Technologies (SMART) on FHIR® application enabling clinicians and patients … • Consider incorporating machine learning and artifical intelligence that improves the user experience … test and pilot
patient outcomes prior to CDS implementation
-
cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_Work_Group_February_2022_slides.pdf
January 01, 2022 - monitoring devices
• Resident digital experience
and skills
• Clinic staff and providers with … digital experience
• Technology and equipment in
the clinic
• Programs adapted to culture
and setting … 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 in systolic and … Evaluation Interviews
• All patients interview (n=7) reported
• Increased knowledge of their health
-
cds.ahrq.gov/sites/default/files/cds/artifact/111/implementation-checklist_1.docx
October 08, 2020 - Resources
Time – Analyst 2
Resources
Financial Resources (if any)
Resources
Patient … Volume
Resources
Call to provide feedback
Post Implementation
Submit implementation experience
-
cds.ahrq.gov/sites/default/files/workgroups/71451/CDS_Connect_WG_March_2022_Presentation.pdf
January 01, 2022 - implementors confidence in the relevance and accuracy of the artifact
8
DISCUSSION:
WHAT’S YOUR EXPERIENCE … Preventative Services Task Force (USPSTF) guideline
− It triggers on a prescribe action instead of on patient … abnormalities AMONG a different
age range with different pre-existing status IN ORDER TO give the patient … information
which is now different because they're different patients
− Not considering CVD risk factors … Discussion: What’s Your Experience with CDS Artifact Versioning?
-
cds.ahrq.gov/sites/default/files/workgroups/1256/CDS_Connect_WG_Feb2021_Summary.pdf
February 24, 2021 - Lacy Fabian, Michelle Lenox, Chris Moesel (5)
MEETING OBJECTIVES
• Discuss with WG members their experience … individual pilot implementation efforts (CDS for Chronic Pain
Management (CDS4CPM) and Tapering in Patient … IT departments have varying levels of experience with interoperability standards
and may be faced with … From their experience, it would be helpful to have information related to sustainability—in particular
-
cds.ahrq.gov/sites/default/files/workgroups/34806/CDS_Connect_WG_October_2021_Summary.pdf
January 01, 2021 - MITRE will review the feedback internally—as well as
with AHRQ, patient partners, and other relevant … MITRE improved the content and design of the CDS Connect website by incorporating
patient partnership … increase trust and
bolster the use of artifacts could include improvements that facilitate the user experience … health or patient-recorded data. … The WG member had a positive experience using CDS Connect in locating artifacts while working on a
project
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2020.pdf
January 01, 2020 - outcomes research (PCOR) findings, with focus on
the topics, questions, and outcomes most important to patients … Synthetic Test Patients Using FHIR R4 and FHIR5 DSTU2 ........................................ 13
Figure … Synthetic Test Patients Using FHIR R4 and FHIR5 DSTU2
https://www.federalregister.gov/documents/2020 … included refactoring the application to use a
popular library, “Create React App,” and upgrading the FHIR client … To provide a patient perspective, Danny van Leeuwen (HealthHats) continued to serve as a
patient/caregiver
-
cds.ahrq.gov/sites/default/files/workgroups/2246/CDS_Connect_WG_May_2021_Summary.pdf
January 01, 2021 - panel
ACTION ITEMS
• WG members interested in participating in the upcoming patient-partnering panel … In addition, this
review should include any needed changes to clinician- or patient-facing text, as … Step 2: Optimize Chosen Value Sets
• In one WG member’s experience, many VSs were created for quality … Announcements/Other Questions
MITRE announced an upcoming CDS Connect Patient Partnering Panel, which … MITRE extended an invitation to interested and
engaged WG members—along with their patient or caregiver
-
cds.ahrq.gov/sites/default/files/workgroups/1136/CDS%20Connect%20Work%20Group%20April%202020%20Meeting%20Summary.pdf
April 16, 2020 - which CQL engine had better performance, it was
emphasized that the engines differ in how they manage patient … Questions from Work Group (WG) Members
A WG member asked about how they can share their experience with
-
cds.ahrq.gov/sites/default/files/workgroups/1131/CDS%20Connect%20Work%20Group%20March%202020%20Meeting%20Summary.pdf
March 19, 2020 - Discussion
• Was noted by a WG member that patients and caregivers appeared absent from the view shown … in the current state but that the AHRQ CDS initiative is working
to improve this through patient engagement … with
risk factors, but rather chose to trigger on patients with reversible risk factors. … borderline risk,
rather than high-risk patients. … A
member shared that in their experience, transitioning their tool was challenged by the perception
-
cds.ahrq.gov/sites/default/files/workgroups/71451/CDS_Connect_WG_March_2022_Summary.pdf
January 01, 2022 - One WG member offered her experience in informing clinical practice when an established practice is … She recommended having the option to display this evidence information for both patients
and practitioners … Another WG member with guideline-writing experience noted the importance about how this
recommendation … If an artifact’s update includes the identification of
patients who will be specifically called out … Many
WG members agreed, noting that the artifact could be expanded to consider individual patient
characteristics
-
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 - and
patient population). … and
patient population). … id=6813
Further reading for patients
http://www.eatright.org/Public/content.aspx? … past month, a receptionist has missed numerous phone
calls and has not been at her desk to greet clients … Instead, the employer should evaluate each individual
on her skills, knowledge, experience and how