-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/Implementation%20Guide_Statin%20Use%20for%20CVD%20Prevention%20in%20Adults_Patient%20Facing%20CDS%20Intervention_Final_1.pdf
April 01, 2021 - factors for heart disease and stroke.
• Provide educational resources about the risks for developing … factors, and identification of resources to address
those risks. … Suggested Action: Provide educational materials that explain CVD risks pertinent to this
recommendation … levels” instead of clinical descriptions), along with
ways to modify those risks, such as taking a … Estimating Longitudinal Risks and Benefits
From Cardiovascular Preventive Therapies Among Medicare Patients
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/Implementation%20Guide_Statin%20Use%20for%20CVD%20Prevention%20in%20Adults_Patient%20Facing%20CDS%20Intervention_Final.pdf
September 01, 2019 - factor for heart disease and stroke, (2) provide
educational resources about the risks for developing … appointment, the primary care clinician provides educational information
to the patient about their risks … factors, and identification of resources to address
those risks. … Suggested Action: Provide educational materials that explain CVD risks pertinent to this
recommendation … language (having high blood pressure or high
cholesterol levels), along with ways to modify those risks
-
cds.ahrq.gov/sites/default/files/cds/artifact/76/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making_Final_0.docx
October 01, 2017 - to address this risk.
2. … on his overall cardiac risk. … The risk score display is presented as part of the assessment, showing his current risk. … Provide the patient with information resources that outline benefits, risks, effects, and evidence behind … Estimating Longitudinal Risks and Benefits From Cardiovascular Preventive Therapies Among Medicare Patients
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/2023_CDS_Connect_IG_Statin_CVD_Patient_Facing.pdf
January 01, 2023 - • Provide educational resources about the risks for developing CVD and the role that statin
therapy … factors, and identification of resources to address
those risks. … Suggested Action: Provide educational materials that explain CVD risks pertinent to this
recommendation … levels” instead of clinical descriptions), along with
ways to modify those risks, such as taking a … Estimating Longitudinal Risks and
Benefits From Cardiovascular Preventive Therapies Among Medicare Patients
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/508_2022_CDS_Connect_IG_Statin_CVD_Patient_Facing_final.pdf
January 01, 2022 - • Provide educational resources about the risks for developing CVD and the role that statin
therapy … factors, and identification of resources to address
those risks. … Suggested Action: Provide educational materials that explain CVD risks pertinent to this
recommendation … levels” instead of clinical descriptions), along with
ways to modify those risks, such as taking a … Estimating Longitudinal Risks and
Benefits From Cardiovascular Preventive Therapies Among Medicare Patients
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/2023_CDS_Connect_IG_Statin_CVD_Clinician_Facing.pdf
January 01, 2023 - in reducing their risk. … appointment, the primary care clinician provides educational information to the
patient about their personal risks … factors, and
identification of resources to address those risks. … Patient has a terminal condition, and the risks of preventive treatment outweigh
benefits.
9 … Estimating Longitudinal Risks and
Benefits From Cardiovascular Preventive Therapies Among Medicare Patients
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS%20for%20Repository.pdf
May 24, 2023 - Non-pharmacologic & non-opioid therapies preferred
§ Establish treatment goals with patients
§ Assess and discuss risks … and benefits
– Prescribe naloxone if at high risk
§ Prescribe immediate-release opioids
§ Prescribe … the lowest effective dose
§ Monitor PDMP
– ≤50 MME/day preferred
– ≥90 MME/day is high risk
§ Urine … screenings relevant to pain management – all within the past 1 year
– Opioid Risk Tool, PHQ 2, PHQ … – Always flag if present: “Factor that may place the patient at risk for an opioid-related harm.”
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation_Guide_CDS_Connect_Statin_CVD_Clinician_Facing_0.pdf
September 01, 2022 - assist in reducing their risk. … appointment, the primary care
clinician provides educational information to the patient about their personal risks … factors, and identification of resources to address
those risks. … Patient has a terminal condition, and the risks of preventive treatment outweigh
benefits. … Estimating Longitudinal Risks and
Benefits From Cardiovascular Preventive Therapies Among Medicare Patients
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_Statin%20Use%20for%20CVD%20Prevention%20in%20Adults_Clinician%20Facing%20CDS%20Intervention_2.pdf
April 01, 2021 - assist in reducing their risk. … appointment, the primary care clinician provides educational information to the
patient about their personal risks … factors, and identification of resources to address
those risks. … Patient has a terminal condition, and the risks of preventive treatment outweigh
benefits.
15 … Estimating Longitudinal Risks and
Benefits From Cardiovascular Preventive Therapies Among Medicare Patients
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_Statin%20Use%20for%20CVD%20Prevention%20in%20Adults_Clinician%20Facing%20CDS%20Intervention.pdf
January 01, 2020 - assist in reducing their risk. … appointment, the primary care clinician provides
educational information to the patient about their risks … factors, and identification of resources to address
those risks. … Estimating Longitudinal Risks and
Benefits From Cardiovascular Preventive Therapies Among Medicare Patients … CMS’s Million Hearts® Model Longitudinal ASCVD Risk
Assessment Tool for Baseline 10-Year ASCVD Risk
-
cds.ahrq.gov/cdsconnect/artifact/cmss-million-heartsr-model-longitudinal-ascvd-risk-assessment-tool-shared
August 22, 2017 - Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
-
cds.ahrq.gov/sites/default/files/workgroups/1131/CDS%20Connect%20Work%20Group%20March%202020%20Meeting%20Summary.pdf
March 19, 2020 - Miller showed a video
demonstrating the implemented risk calculator being activated and used within … not on all patients with
risk factors, but rather chose to trigger on patients with reversible risk … KM elaborated that
they found the risk calculator activated by clinicians more for those patients with … borderline risk,
rather than high-risk patients. … The ready access to the risk calculation value was enough in supporting
clinician’s decision making
-
cds.ahrq.gov/sites/default/files/workgroups/211/dec-2016-cholesterol-wg-notes.docx
January 01, 2016 - ASCVD risk after interventions have been initiated)
· PQRS #438 – Statin use for Primary Prevention … · MESA CAC Score, which can double or triple a patient’s risk that was estimated by a calculator. … This score uses a sub-clinical marker, but does not estimate the risk of stroke. … The USPTF guidelines send the clinician to the calculator only if at least 1 risk factor is present. … Assessment Tool (determine if use of this tool occurs immediately if no ASCVD or if at least 1 risk
-
cds.ahrq.gov/sites/default/files/workgroups/1131/CDS%20Connect%20Work%20Group%20March%202020%20Meeting%20Slides.pdf
March 01, 2020 - American College
of Cardiology recommend use of the Atherosclerotic
Cardiovascular Disease (ASCVD) risk … estimator:
evaluates 10-year and lifetime risk for ASCVD … score and patient values into dynamic risk
calculator.
o Option for MD to free type and edit value … • Consider different graphic representations of risk besides bar. … Risk Level Indicators • Explore risk bar to provide context and “best case” scenario.
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS_for%20Repository.pdf
September 21, 2018 - Non-pharmacologic & non-opioid therapies preferred
▪ Establish treatment goals with patients
▪ Assess and discuss risks … and benefits
– Prescribe naloxone if at high risk
▪ Prescribe immediate-release opioids
▪ Prescribe … the lowest effective dose
▪ Monitor PDMP
– ≤50 MME/day preferred
– ≥90 MME/day is high risk
▪ Urine … screenings relevant to pain management – all within the past 1 year
– Opioid Risk Tool, PHQ 2, PHQ … – Always flag if present: “Factor that may place the patient at risk for an opioid-related harm.”
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS_for%20Repository_0.pdf
September 21, 2018 - Non-pharmacologic & non-opioid therapies preferred
▪ Establish treatment goals with patients
▪ Assess and discuss risks … and benefits
– Prescribe naloxone if at high risk
▪ Prescribe immediate-release opioids
▪ Prescribe … the lowest effective dose
▪ Monitor PDMP
– ≤50 MME/day preferred
– ≥90 MME/day is high risk
▪ Urine … screenings relevant to pain management – all within the past 1 year
– Opioid Risk Tool, PHQ 2, PHQ … – Always flag if present: “Factor that may place the patient at risk for an opioid-related harm.”
-
cds.ahrq.gov/sites/default/files/cds/artifact/1146/Warfarin%20and%20SSRIs%20Graph%20V.%205.pdf
March 11, 2019 - Warfarin
Type of
Antidepressant
Assess risk … and
take action if
necessary
Increased GI and
non-GI bleeding
risk is possible
Assess risk and … Increased
bleeding risk
unlikely
And
SNRIs:
clomipramine,
desvenlafaxine,
duloxetine, … No Yes
Use only if
benefit
outweighs risk
Increased GI and
non-GI bleeding
risk is likely … RED: Class 1: Avoid Combination
YELLOW: Class 2/3: Usually Avoid Combination
or Minimize Risk
GREEN
-
cds.ahrq.gov/sites/default/files/cds/artifact/1141/Warfarin%20and%20NSAIDs%20V.8.pdf
September 08, 2020 - And
Yes No
Assess risk and take
action if necessary
Possible increased risk
of bleeding Is patient … Yes
Start patient on proton
pump inhibitor
Assess risk and take
action if necessary
Possible increased … risk of bleeding
No
Use NSAIDS only if
benefit outweighs risk
Increased bleeding risk
likely … Topical, Ophthalmic,
Non-oral NSAIDs
Excluding
Risk Factors
Affecting Bleeding … Risk
- history of upper
gastrointestinal
bleeding
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-10/hook.json
January 01, 2023 - "conditionExpression": "NoDDimerNoWells",
"card": {
"summary": "Please assess PE risk … and D-dimer before ordering a CTPA.",
"detail": "It is recommended to assess the patient's risk … Use the following link to evaluate the risk.",
"indicator": "info",
"links": [{ … "label": "Launch PE Risk Assessment Tool",
"url": "https://smartcds.alunahealth.com/", … ": "Evaluate D-dimer before Proceeding with CTPA",
"detail": "Well's score indicates a low risk
-
cds.ahrq.gov/sites/default/files/cds/artifact/1141/Warfarin-NSAIDs%20MDIA%20Implementation%20Guide.docx
November 11, 2019 - Implementing and Using This Artifact
Description and Purpose of the artifact
This artifact aims to address risks … · For Warfarin – NSAIDS rule:
· Recommendation: Assess risk and take action if necessary
· Rationale … : Possible increased risk of bleeding
· Class 1: Red: Avoid Combination
· For Warfarin – NSAIDS rule: … · Recommendation: Use only if benefit outweighs risk
· Rationale: Increased bleeding risk likely … and take action if necessary
Possible increased risk of bleeding
1496
56
Patient is not on PPI