-
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/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/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/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/cds/artifact/111/implementation-checklist_1.docx
November 06, 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/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/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/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
-
cds.ahrq.gov/sites/default/files/workgroups/1266/CDS_Connect_April2021_WG_Meeting_%20Summary.pdf
April 15, 2021 - Guests Natalka Slabyj (1)
MEETING OBJECTIVES
• Second of two-part discussion on partnering with the patient … Outcomes Research Institute (PCORI)
Board of Governors, and a patient-caregiver activist] presented … community; making patient-centered design a central feature; and
including examples of how developers … A WG member, expressing their perspective as a patient in the pandemic, reflected on their own experience … The presenter responded that
patients already have this responsibility—for example, patients ultimately
-
cds.ahrq.gov/sites/default/files/workgroups/1266/CDS_Connect_April2021_WG_Meeting_Slides.pdf
April 01, 2021 - • Review of the Agenda, Maria Michaels (CDC)
3:05 - 3:50
• Discussion Part 2: Partnering with the Patient … review next steps and adjourn
2
Objectives
• Second of two-part discussion on partnering with the
patient … patient preferences, needs and
values, and ensuring that patient
values guide all clinical
decisions … Wuhan, China: a cross-sectional study
• Effect of Hydrocortisone on Mortality and Organ Support in Patients … pccds-ln.org/sites/default/files/2018-09/TFWG%20White%20Paper_final.pdf
Context of Trust
• Circumstances, experience
-
cds.ahrq.gov/sites/default/files/workgroups/33746/CDS_Connect_WG_Presentation_September_2021.pdf
January 01, 2021 - Integration Updates
► Clinical Quality Language (CQL) V1.5
► Usability Improvements
► Maintainability
• Patient … • Next Steps
5
Site: Graphics Changes on Welcome and
About Pages
• Proposed Changes:
► Make patient … • How can I share my experience using CDS
Connect and ways to improve the platform
with the CDS Connect … Partnering Panel
• 4 sessions
• Average of 10 attendees/session
• Discussion facilitated by
patient … Partnering Panel: Draft Content
Patient Partnering Panel
Next Steps
Announcements, Open Discussion
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2022.pdf
January 01, 2022 - • Continued discussions on how to best involve patients and caregivers in CDS development,
implementation … The enhancements improved the user experience for
Repository contributors and consumers. … Medical Applications, Reusable
Technologies (SMART) on FHIR application that allows clinicians and patients … • Roundtable and Discussion on Patient-Partnering Experience. … This
manuscript describes the CDS-Sandbox, its use in the AMIA workshop, participants’ experience
of
-
cds.ahrq.gov/sites/default/files/workgroups/34806/CDS_Connect_WG_October_2021_Presentation.pdf
January 01, 2021 - ► Expand the Use of Existing Artifacts
− Expand site redesign to include patients, ease of CDS artifact … Added four CDS artifacts to the Repository (totals 65)
► Updated site content and graphics to include patients … : Increase Trust/Expand Use of Existing Artifacts
• Make the site easier to use and making the user experience … Patient-centeredness: When possible, a knowledge artifact should leverage
patient-centered outcome research … findings and/or patient-specific
information.
9.
-
cds.ahrq.gov/sites/default/files/workgroups/33746/CDS_Connect_WG_Summary_September_2021.pdf
January 01, 2021 - New FAQ entries address the needs of more-experienced CDS Connect users about how to share user
experience … Patient Partnering Panel
The March and April 2021 WG meetings discussed creating a Patient Partnering … Panel to advise on
the inclusion of patient stakeholders in the development of CDS Connect. … An overarching takeaway from these meetings is that the concept of patient partnering is
still new to … The panel drafted content to facilitate discussions on what
patient partnering entails, the lessons
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/CDSConnectPilotFinalReport508gel10012018.pdf
September 01, 2018 - integration of the artifact into the clinical site’s EHR system; and the clinical demonstration, user
experience … results and implementation findings; and 4) gaining an
understanding of pilot stakeholder views as they experience … requirements, testing results, required enhancements to the
specifications, and outcomes from the pilot experience … Do clinicians and patients believe there is greater patient
engagement when using the CDS? … (Figure 2
displays the final list of flags)
Counts As a result of user experience expert
review,
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_Intervention_Content_Prediabetes_and_Type_2_Diabetes_Part_one_Screening.xlsx
January 01, 2024 - Example Intervention Text
Example Patient-Facing Intervention Text: Prediabetes and Type 2 Diabetes … Intervention Text for Prediabetes and Type 2 Diabetes: Part 1, Screening
DISPLAY notification to patient … free-web-content/apis-developers
The myhealthfinder API provides the ability to create a customized experience … Incorporate those which match your method of delivery to patients and your population.
-
cds.ahrq.gov/sites/default/files/workgroups/28166/CDS_Connect_WG_Slides_August%202021.pdf
August 01, 2021 - Testing FAIRness
• Pilot Discussion
• Questions
5
Background
• AHRQ is required to disseminate patient-centered … Applications
• CEDAR will develop at least one Client Application
► Based on functional requirements … ► Demonstrates CEDAR capabilities
► Guides development of future context-specific client applications … future needs that CEDAR
can fulfill
► Develops, consumes, or applies PCOR evidence and findings
► Experience … applications using the CEDAR API, or ability to
deploy client applications incorporating the CEDAR
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/2024_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2024 - Healthcare Systems interested in promoting patient experience beyond traditional brick-
and-mortar care … recommendation statements within the guideline by providing a consolidated view of the
patient’s pain experience … Patient-centered clinical decision support informs and facilitates care for specific patients by
their … of the patient’s changing life and health circumstances, clinician experience, and
community standards … • Clinician experience and training in pain management.
-
cds.ahrq.gov/sites/default/files/workgroups/231/apr-2017-cholesterol-wg-notes.docx
January 01, 2017 - · Providers prefer information on all sub-sets of patients, even if the strength of the recommendation … diagnosis’ and high level ‘bleeding disorder’ codes, but that will only get us so far
· From their experience … Patients can receive the score in numerous ways also.
· Include labs as a part of the clinical encounter … This is not easy to implement, but would be helpful to patients and providers.
· One system displays … · Metrics allow for discussion and negotiation with the patient for softer contraindications.