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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
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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.
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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/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/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/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.
-
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/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/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/cdsconnect/artifact/healthy-diet-and-physical-activity-cvd-prevention-adults-cardiovascular-risk
June 01, 2019 - Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
-
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/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/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
-
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.
-
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/sites/default/files/cds/artifact/476/Implementation_Guide_Pain_Management_Summary.pdf
September 01, 2021 - the patient and the provider regarding the effectiveness
of existing treatments and the benefits and risks … 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 … 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
-
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.
-
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
-
cds.ahrq.gov/sites/default/files/cds/artifact/1061/2023_CDS_Connect_IG_T2DM_Part_One_Screening_1.pdf
January 01, 2023 - benefit from being screened for abnormal blood glucose, 2) provide educational resources about
the risks … for developing diabetes and ways to reduce the risks, and 3) encourage conversations
between patients … 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.