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cds.ahrq.gov/sites/default/files/workgroups/1266/CDS_Connect_April2021_WG_Meeting_Slides.pdf
April 01, 2021 - with a wide variety of
abilities
6
Intersection Study – Standards Engagement
Uncertainty and Risk … and user
• Meet them where they are
• Learn where they find info
• Assess attitude and capacity
► Risk … with uncertainty
► Critical thinking skills
10
Carlos
• Symptoms
• Living and work density
• Job risk … rights and social responsibility
• Critical thinking:
► Managing trust in belief versus fact
16
Risk … 17
https://theapna.org/covid-19-risk-tolerance-scale/
Critical Thinking
18
A Trust “Nutrition
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cds.ahrq.gov/sites/default/files/workgroups/33746/CDS_Connect_WG_Presentation_September_2021.pdf
January 01, 2021 - CQL updated for R4; metadata updated with posted IG
• CMS’s Million Hearts® Model Longitudinal ASCVD Risk … not applicable; metadata updated with the posted IG
• CMS’s Million Hearts® Model Longitudinal ASCVD Risk … Assessment Tool for Updated 10-
Year ASCVD Risk
► No new evidence, per CMS; Value sets and CQL are not … Assessment Tool for Baseline
10-Year ASCVD Risk
► No new evidence, per CMS; Value sets and CQL to R4 … the posted IG
• Healthy Diet and Physical Activity for CVD Prevention in Adults With
Cardiovascular Risk
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cds.ahrq.gov/sites/default/files/workgroups/226/mar-2017-cholesterol-wg-notes.docx
January 01, 2017 - The WG members offered their comments on several topics:
· Scenarios for calculation of ASCVD risk:
· … There should be a minimum set of data required to compute the risk score but most variables shouldn’ … t block the risk calculation … display the original value beside the substituted value.
· If desired, limitations of the presented risk … ).
· Allowing users to select parameters for risk calculation:
· Provide a small number of variations
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cds.ahrq.gov/sites/default/files/reports/CDS_Connect_Pain_Management_Environmental_Scan.pdf
December 01, 2017 - to improve
the prevention and management of pain, and increase awareness of treatment options and risks … prescribing practices, and shared decision making between patients and
providers based on the benefits and risks … therapy (e.g., assess baseline
pain and function, patient goals and preferences, discuss benefits and risks … • Consider all treatment options, weighing benefits and risks of opioid therapy, and using
opioids … Choosing Wisely recommends avoiding the prescription of long-
term opioids for non-cancer pain unless risks
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cds.ahrq.gov/sites/default/files/cds/artifact/1066/2024_CDS_Connect_IG_Diabetes_Part_Two_Counseling_1.pdf
January 01, 2024 - Provide educational materials that explain their risks and how reduce those risks.
3. … interventions such
as counseling to promote a healthy diet and physical activity which can mitigate those risks … Bravo to
review regarding her risk factors and ways she could reduce her risk through lifestyle
changes … factors, and identification of resources to
address those risks. … having a family history of diabetes or a history of gestational
diabetes) and how to reduce those risks
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_Intervention_Content_Statin_Patient_1.xlsx
January 01, 2024 - Patient-Facing CDS Intervention Text
DISPLAY notification to patient: You may have some things putting you at risk … Common risk factors for cardiovascular disease (CVD) include high blood pressure, high LDL cholesterol … Preventive Services Task Force) find that if you are 40 years or older and have one or more risk factors … It lists questions to ask the doctor about personal risk as well as about taking a statin. … cholesterol-and-statins-infographic
Medline Plus: How to take Statins Medline Plus information on risks
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cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-10/CQL%20to%20CDS%20Hooks%20cards_0.txt
January 01, 2023 - conditions to CDS Hooks cards
Condition: NoDDimerNoWells
Card: It is recommended to assess the patient's risk … Use the following link to evaluate the risk. … Launch Questionnaire: Yes
Condition: NoDDimerWellsLessThanOrEqualTo4
Card: Wells score indicates a low risk … Use the following link to evaluate the risk. … Use the following link to evaluate the risk.
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cds.ahrq.gov/sites/default/files/workgroups/221/feb-2017-cholesterol-wg-notes.docx
January 01, 2017 - 1:30 – 3:30 PM ET
AGENDA
· Welcome
· Discuss Remaining Repository Questions
· Clarify 10-Year Risk … Clarify 10-Year Risk Assessment Details
Evaluation of the patient record to appropriately identify risk … appropriate representation and constraints for certain data elements used to calculate the 10-year risk … 6 years for the LDL-c laboratory result, citing the 2013 ACC/AHA guideline recommendation to assess risk … Currently, providers may have to navigate to a different screen/application to obtain the risk score,
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2023_Intervention_Content_Statin_Patient.xlsx
January 01, 2023 - Patient-Facing CDS Intervention Text
DISPLAY notification to patient: You may have some things putting you at risk … Common risk factors for cardiovascular disease (CVD) include high blood pressure, high LDL cholesterol … Preventive Services Task Force) find that if you are 40 years or older and have one or more risk factors … It lists questions to ask the doctor about personal risk as well as about taking a statin. … https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm293330.htm
Medline Plus information on risks
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cds.ahrq.gov/sites/default/files/workgroups/1126/CDS_Connect_Work_Group__Slides%20February%202020.pdf
March 01, 2020 - user guide link to documentation page
• Artifacts
► CMS’s Million Hearts® Model Longitudinal ASCVD Risk … Assessment Tool for Shared Decision Making
► CMS’s Million Hearts® Model Longitudinal ASCVD Risk Assessment … Tool for Updated 10-Year ASCVD Risk
− Updated Implementation Guide and metadata
Link to CDS Connect … AHRQ-CDS-Connect-API
https://cds.ahrq.gov/cdsconnect/artifact/cmss-million-heartsr-model-longitudinal-ascvd-risk-assessment-tool-shared … https://cds.ahrq.gov/cdsconnect/artifact/cmss-million-heartsr-model-longitudinal-ascvd-risk-assessment-tool-updated
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_CDS_Connect_IG_Diabetes_Part_One_Screening_0.pdf
January 01, 2024 - for developing diabetes and ways to reduce the risks.
3. … Bravo
to review regarding her risk factors and ways she could reduce her risk through
lifestyle changes … appointment, the primary care clinician provides educational information to the
patient about their risks … factors, and identification of resources to
address those risks. … based on certain risk factors.
2.
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/Implementation%20Guide_Abnormal%20Blood%20Glucose%20and%20Type%202%20DM_Part%20One,%20Screening_Final.pdf
September 01, 2019 - benefit from being
screened for abnormal blood glucose, (2) provide educational resources about the risks … developing diabetes, the role abnormal glucose metabolism and diabetes play in CVD, and ways
to reduce the risks … factors, she may be at risk for developing
high blood sugar and diabetes. … appointment, the primary care clinician provides
educational information to the patient about their risks … factors, and identification of resources to address those
risks.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_Intervention_Content_Prediabetes_and_Type_2_Diabetes_Part_one_Screening.xlsx
January 01, 2024 - Prediabetes and Type 2 Diabetes: Part 1, Screening
DISPLAY notification to patient: You may be at risk … for (in other words, more likely to get) prediabetes or type 2 diabetes based on risk factors you may … If you can prevent or delay getting Type 2 diabetes, you can lower your risk for all those other conditions … Many factors increase a person’s risk for high blood sugar including: being 35 years or older; being … CDC website that provides risk information https://www.cdc.gov/prediabetes/risktest/index.html?
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cds.ahrq.gov/sites/default/files/cds/artifact/1066/Implementation%20Guide_Abnormal%20Blood%20Glucose%20and%20Type%202%20DM_Part%20Two%20Counseling_Final.pdf
September 01, 2019 - system (e.g., a patient portal,
health app) to (1) provide educational resources for learning about the risks … for developing
diabetes, (2) provide resources on how reduce those risks, (3) provide information on … eating and increased physical activity to reduce CVD
risks. … factors, and identification of resources to address those
risks. … blood glucose levels and other pertinent risk factors.
2.
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2022_Intervention_Content_Statin_Patient.xlsx
January 01, 2022 - Patient-Facing CDS Intervention Text
DISPLAY notification to patient: You may have some things putting you at risk … Common risk factors for cardiovascular disease (CVD) include high blood pressure, high LDL cholesterol … Preventive Services Task Force) find that if you are 40 years or older and have one or more risk factors … It lists questions to ask the doctor about personal risk as well as about taking a statin. … https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm293330.htm
Medline Plus information on risks
-
cds.ahrq.gov/sites/default/files/cds/artifact/1066/Implementation%20Guide%20Abnormal%20Blood%20Glucose%20and%20Type%202%20DM%20Counseling.pdf
September 01, 2021 - (e.g., a patient portal or health app) to 1) provide educational
resources for learning about the risks … for developing diabetes, 2) provide resources on how
reduce those risks, 3) provide information on … Bravo to review about her risk factors and ways she could reduce her risk through
lifestyle changes … eating and
increased physical activity to reduce CVD risks. … factors, and
identification of resources to address those risks.
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cds.ahrq.gov/sites/default/files/workgroups/1251/CDS_Connect_WG_Jan2021_Slides.pdf
January 01, 2021 - CVD Prevention
Offering or referring adults who are overweight or obese and
have had additional CVD risk … activity for CVD prevention
Statin Use for Primary Prevention of CVD
(includes logic/artifact for ASCVD risk … Screening for Abnormal Blood Glucose
Part 1
Screening for abnormal blood glucose as part of CVD risk … We include at-risk population for users
without a verified diagnosis in our normal workflow. … At-risk users have data
to confirm a probable diagnosis or condition, without a diagnosis code.
12
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/IG%20Abnormal%20Blood%20Glucose%20Type%202%20DM%20Screening.pdf
September 01, 2021 - benefit from being screened for abnormal blood glucose; 2) provide educational resources
about the risks … developing diabetes, the role abnormal glucose metabolism and diabetes play
in CVD, and ways to reduce the risks … Bravo to review regarding her risk factors and ways she could reduce her risk
through lifestyle changes … appointment, the primary care
clinician provides educational information to the patient about their risks … factors, and identification of resources to
address those risks.
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cds.ahrq.gov/sites/default/files/cds/artifact/476/ImplementationGuidePainManagementSummary50810012018.pdf
December 01, 2018 - patient and the provider regarding the
effectiveness of existing treatments, and the benefits and risks … Before starting, and periodically during opioid therapy, clinicians
should discuss with patients known risks … Echo’s subsequent risk assessments show no elevated risk factors for
opioid misuse or abuse. Dr. … the patient and the provider regarding the effectiveness of existing treatments
and the benefits and risks … Intervention “Risk
Considerations”
A contextual category that lists additional risks not expressed
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/Abnormal_Glucose_Screening_Part%201_Intervention_Content.xlsx
January 01, 2012 - Diabetes Mellitus: Part 1, Screening Intervention Text
DISPLAY notification to patient: You may be at risk … for (in other words, more likely to get) high blood sugar and type 2 diabetes based on risk factors … Many factors increase a person’s risk for high blood sugar including: being 45 years or older; being … the American Diabetes Association website that provides risk information http://www.diabetes.org/are-you-at-risk … /diabetes-risk-test/
b.