-
cds.ahrq.gov/sites/default/files/cds/artifact/21/2024_CDS_Connect_IG_Statin_Therapy_CVD_eCQM.pdf
January 01, 2024 - Updated measurement of 10-year
ASCVD risk score calculation to use either of two ACC-
endorsed risk … Individuals 40 to 75 years of age with a 10-year ASCVD risk score (i.e., 2013 ACC/AHA
ASCVD Risk Estimator … or the ACC Risk Estimator Plus) of ≥20 percent and who are not in
the other subpopulations. … • Patients aged 40 to 75 at the beginning of the measurement period with a 10-year ASCVD risk score … (i.e., 2013 ACC/AHA
ASCVD Risk Estimator or the ACC Risk Estimator Plus) of ≥20 percent during the
-
cds.ahrq.gov/sites/default/files/CDS_Connect_2024_Final_Report.pdf
January 01, 2024 - Highlighting the work of MITRE and the greater CDS community, artifacts span a variety of functions (alerts,
risk … artifacts:
• Healthy Diet and Physical Activity for CVD Prevention in Adults With Cardiovascular Risk … cds.ahrq.gov/cdsconnect/artifact/healthy-diet-and-physical-activity-cvd-prevention-adults-cardiovascular-risk
-
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 - Does treatment of his diabetes change because he is in a job with
risk for serious falls? … In determining whether to require periodic documentation,
the employer should consider the safety risks … Given the safety risks associated with the repair technician's job,
his change in medication, and recurrent … Do heat events pose a
greater health risk for individuals with type 2 diabetes? … Some
medications increase the risk of dehydration.
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2021.pdf
January 01, 2021 - ASCVD Risk
Assessment Tool for Shared
Decision Making
No N/A No Yes
CMS’s Million Hearts® Model … Longitudinal ASCVD Risk
Assessment Tool for Updated 10-
Year ASCVD Risk
No N/A No Yes
Factors … Yes Yes Yes
Healthful Diet and Physical Activity
for CVD Prevention in Adults With
Cardiovascular Risk … cds.ahrq.gov/cdsconnect/artifact/healthy-diet-and-physical-activity-cvd-prevention-adults-cardiovascular-risk … cds.ahrq.gov/cdsconnect/artifact/healthy-diet-and-physical-activity-cvd-prevention-adults-cardiovascular-risk
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/USPSTFStatinUseForPrimaryPreventionOfCVDInAdults_Change_Log.txt
January 01, 2024 - Hypercholesterolemia" (2.16.840.1.113762.1.4.1047.100)
- Replace LOINC 79423-0 code with "Cardiovascular disease 10Y risk … value set
- Update "Rationale" and "Errors" messages to consistently use the term "10-year
ASCVD risk … Hypercholesterolemia" (2.16.840.1.113762.1.4.1047.100)
- Replace LOINC 79423-0 code with "Cardiovascular disease 10Y risk … value set
- Update "Rationale" and "Errors" messages to consistently use the term "10-year
ASCVD risk
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/FactorsToConsiderInManagingChronicPain_Change_Log.txt
January 01, 2024 - from the initially piloted version of the
artifact:
- Added the following value sets for identifying Risk … Previous local code is still supported (but discouraged)
- Added logic to display the range for Opioid Risk … - Add note (in comments) about excluding patients with sickle cell disease
- Add opioid tapering to risk … - Add note (in comments) about excluding patients with sickle cell disease
- Add opioid tapering to risk
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2023.pdf
January 01, 2023 - Highlighting the work of MITRE and the greater CDS community,
artifacts span a variety of functions (alerts, risk … artifacts:
• Healthy Diet and Physical Activity for CVD Prevention in Adults with Cardiovascular Risk … cds.ahrq.gov/cdsconnect/artifact/healthy-diet-and-physical-activity-cvd-prevention-adults-cardiovascular-risk
-
cds.ahrq.gov/sites/default/files/workgroups/28166/CDS_Connect_WG_Summary_August%202021.pdf
August 19, 2021 - Implementation Guides and CQL
logic for four artifacts:
• CMS’s Million Hearts® Model Longitudinal ASCVD Risk … Assessment Tool for Baseline 10-Year
ASCVD Risk
• Abnormal Blood Glucose and Type 2 Diabetes Mellitus … Counseling
• Healthful Diet and Physical Activity for CVD Prevention in Adults with Cardiovascular Risk
-
cds.ahrq.gov/sites/default/files/cds/artifact/632331/Flowchart_Popoola_new.pdf
April 03, 2024 - Not qualified for
recommenda,on
Risk of VTE in EHR,
defined as presence of
VTE, history of VTE or
-
cds.ahrq.gov/sites/default/files/workgroups/71451/CDS_Connect_WG_March_2022_Presentation.pdf
January 01, 2022 - patient information
which is now different because they're different patients
− Not considering CVD risk … factors in who it screens nor screening ”as part of a CV
risk assessment”
11
Example #3: New
-
cds.ahrq.gov/sites/default/files/workgroups/246/jul-2017-cholesterol-wg-notes.docx
January 01, 2017 - development team did not want to rush the creation of a value set to represent this concept and run the risk … CDS warnings about high risk meds is a consideration. … This is a low risk test and easy to gain patient compliance since it does not involve initiating and
-
cds.ahrq.gov/sites/default/files/cds/artifact/66551/GuidanceForOsteoporosis_Integration_FlowChart.pdf
July 18, 2023 - medications
Recommendations,
label, talking point and
button associated with
the active fall
risk
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/CDSConnectPilotFinalReport508gel10012018.pdf
September 01, 2018 - Pain Management Summary – Risk Considerations ..................................................... 21 … established the proposed timeline and implementation details, as well as the
critical path activities and risks … Risk Factors and Assessments
• tMost Recent MME: Flag if MME is greater than or equal to 50. … llJVl)t,
Q) Risk Consldoratlons (7) O Non-Opioid Medications ()
Name• Typeo St!!...!_ End;. … Risk Considerallons (7) C)
e Mo!>t R.Pt.11nt MME
• Urine D11J9 S-c:r.•na
O Bcn.zodl.'
-
cds.ahrq.gov/sites/default/files/Topics%20to%20Explore%20Summary%20Sheet%20CDS%20Connect%20Patient%20Partnering%20Panel%202021.pdf
July 18, 2023 - • How can we best communicate risk to patients?
-
cds.ahrq.gov/sites/default/files/cds/artifact/136331/Tricyclic%20Antidepressant%20Patient%20Handout.pdf
July 18, 2023 - achy muscles and chills
• Nausea
• Electric shock sensations
• Return of symptoms
To minimize the risk
-
cds.ahrq.gov/sites/default/files/cds/artifact/136331/Opioid%20Patient%20Handout.pdf
July 18, 2023 - health care provider to see what resources are available in your area
Adapted from “You may be at risk
-
cds.ahrq.gov/sites/default/files/cds/artifact/171/NIOSH_Occupational%20Factors%20Impacting%20Diabetes_Decision%20Log_condensed.pdf
February 01, 2018 - eating
regularly) or in which incapacitation of the employee could place the
employee or others at risk … Incapacitation of the employee performing these activities in a job could
place the employee or others at risk
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_Data_Requirements_Statin_CVD_Patient_Facing.xlsx
January 01, 2024 - OID/code/specification #2 Additional OID/code/specifications
Age Patient birthDate N/A
10 year CVD risk … OID/code/specification #2 Additional OID/code/specifications
Age Patient birthDate N/A
10 year CVD risk
-
cds.ahrq.gov/sites/default/files/workgroups/251/aug-2017-cholesterol-wg-notes.docx
January 01, 2017 - artifact within the Authoring Tool (i.e., patients between 40-75 with diabetes, a LDL-C of 70-189 and a risk
-
cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation%20Guide_Statin%20Therapy%20for%20the%20Prevention%20and%20Treatment%20of%20CVD%20eCQM_Final.docx
October 01, 2017 - primary and secondary prevention of cardiovascular disease (CVD) for patients considered to be at high risk … Association (AHA).2
Summary of the Clinical Statement
CMS347v1 measures the number of patients at high risk … Delta runs an overall general health self-assessment or cardiac risk self-screen as part of a self-care …
189
69
->daysAgo(7)
+
FALSE
FALSE
Not Pop 3: No Risk … 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk