-
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
-
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
-
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
-
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.
-
cds.ahrq.gov/sites/default/files/cds/artifact/1146/Warfarin%20and%20SSRIs%20Graph%20V.%205.pdf
May 18, 2020 - 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/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
-
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,
-
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/476/2024_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2024 - the 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
6
no elevated risk factors for opioid misuse or abuse. … 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 in
-
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.
-
cds.ahrq.gov/cdsconnect/source/healthy-diet-and-physical-activity-cardiovascular-disease-prevention-adults
April 07, 2025 - Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
-
cds.ahrq.gov/sites/default/files/cds/artifact/26/Implementation%20Guide_USPSTF%20Aspirin%20Therapy%20for%20the%20Prevention%20of%20CVD%20and%20CRC_Final.docx
October 01, 2017 - Data-driven screening, when a new 10-year ASCVD risk score is documented
Ms. … This changed her estimated ASCVD risk from 8.3% to 10.9%. … Bravo begin taking aspirin based on her risk factors. … Defer the threshold values for lab tests that indicate increased bleeding risks, such as INR and platelet … The ACC/AHA recommends assessment of ASCVD risk every 4-6 years.
-
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?
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/CDS%20Pain%20Management%20Summary%20Quick%20Start%20Guide_final_1.pdf
July 23, 2024 - History (unrestricted lookback)
Conditions Associated with Chronic Pain – and their date of onset
Risk … with dates
Stool Softeners and Laxatives - orders and statements with dates
(6-month lookback)
Risk … year lookback)
Naloxone Medications - orders and statements with dates
(unrestricted lookback)
Risk … score and date (1-
year lookback)
*Pain Management Summary Flags
Pertinent Medical History
Risk … Stool Softeners and Laxatives: Flag if not present AND at least one
opioid medication is present
Risk
-
cds.ahrq.gov/sites/default/files/cds/artifact/66551/ASPIRE_GuidanceForOsteoporosisFlow.pdf
July 18, 2023 - for Osteoporosis
Patient 65+
Patient is not qualified
for recommendation
No
Patient has
fall risk … Bisphosphonate
treatment < 5 years
Yes
active Bisphosphonate
treatment > 5 years
Yes
General Info on
Fall Risk … Handout
No
No
General Info on
Fall Risk Handout
General Info on Bisphosphonate
Handout
Recommendation
-
cds.ahrq.gov/sites/default/files/cds/artifact/127731/ASPIRE_ExerciseGuidanceforFallPreventionIntegration_Flowchart.pdf
July 18, 2023 - EHR service
to obtain patient's
observation info on
fall risk assessment and
conditions
Process … returned from the
Exercise Guidance for Fall Prevention
CDS Service
Patient demographics,
Fall risk … conditions
Exercise Guidance for
Fall Prevention
CDS Service
Patient demographics,
fall 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/cds/artifact/127731/ASPIRE_ExerciseGuidanceForFallPrevention_Flow_0.pdf
July 18, 2023 - Yes
NoPatients 65+ Not qualified for
recommendation
Yes
No
Fall Risk Assessment
Resulted with At … Risk for Fall
(finding) SNOMED
code129839007
Patient has fall risk
conditions
Foundation Exercise
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - patient and the provider regarding the effectiveness of
existing treatments, and the benefits and risks … the need to evaluate for risk
factors prior to initiating opioid
therapy. … Risk factors outlined in the
guideline include: depression,
anxiety, substance use disorder,
suicide … , active or
recurring status, onset date, asserted date, abatement date)
o Encounter Risk Diagnosis … LOINC
representatives are currently expanding representation of pain and opioid risk assessments as