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cds.ahrq.gov/cdsconnect/artifact/mental-health-positive-suicide-risk-screening-order-set
April 27, 2018 - Search All AHRQ Sites
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cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS_for%20Repository_0.pdf
July 23, 2024 - ▪ Establish treatment goals with patients
▪ Assess and discuss risks and benefits
– Prescribe naloxone … PDMP
– ≤50 MME/day preferred
– ≥90 MME/day is high risk
▪ Urine drug screening (prior to and annually … Screening Tools
– Patient's goal for pain management
Historical treatments
– Opioid medications … screenings relevant to pain management
– PDMP access
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Objectives:
• Display relevant data to inform … screenings relevant to pain management – all within the past 1 year
– Opioid Risk Tool, PHQ 2, PHQ
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cds.ahrq.gov/sites/default/files/cds/artifact/476/Pain%20Management%20Summary%20Clincial%20Decision%20Support%20Toolkit_for%20Repository_0.xlsx
January 01, 2003 - Factors:
depression diagnosis and noted date (from PL)
Risk Screenings:
PHQ-2 score and date recorded … Factors:
Anxiety and Sleep-disordered breathing diagnosis and noted date (from PL)
Risk Screenings: … Factors:
renal dysfunction and hepatic dysfunction diagnosis and noted date (from PL)
Risk Screenings … Factors:
suicide attempt and pregnancy noted dates (from PL)
Risk Screenings:
SASQ score and date recorded … recorded
Risk Screenings:
1 past PHQ-9 total score and date recorded
Non-Pharmacologic Treatments:
2
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cds.ahrq.gov/sites/default/files/cds/artifact/476/CDS%20Pain%20Management%20Summary%20Quick%20Start%20Guide_final_1.pdf
July 23, 2024 - It includes concepts outlined in the CDC Guideline for Prescribing Opioids for Chronic Pain. … with dates
Stool Softeners and Laxatives - orders and statements with dates
(6-month lookback)
Risk … Screenings Relevant to Pain Management – score and date (1-
year lookback)
*Pain Management Summary … Flags
Pertinent Medical History
Risk factors for Opioid-related Harms: Always flag if any are … present (Depression, Anxiety, Substance Use Disorder, Suicide
attempt, Sleep-disordered breathing, Renal
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cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/FactorsToConsiderInManagingChronicPain_Change_Log.txt
January 01, 2024 - identifying Risk Factors for Opioid-Related
Harms (in addition to existing ones):
- Depression Diagnosis … Pregnancy (New ICD10 codes published in 2018 and 2019)
(2.16.840.1.113762.1.4.1032.80)
- Changed the Suicide … 2.16.840.1.113762.1.4.1032.102
- Removed specific inclusion of SNOMED-CT 86849004 since it is now in the
Suicide … PEG codes to shorter
names
- Added LOINC code for the STarT Back Screening Tool
- Previous local … code is still supported (but discouraged)
- Added logic to display the range for Opioid Risk Tool (ORT
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cds.ahrq.gov/sites/default/files/cds/artifact/476/2024_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2024 - low risk for opioid abuse or diversion. … Echo’s subsequent risk assessments show
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no elevated risk factors for opioid misuse or abuse. … screening the medical
record. … Intervention “Risk Considerations” A contextual category that lists additional risks not expressed in … Decision aids for people facing health treatment or
screening decisions.
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cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - 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 … Implementation Decision: Add
logic to evaluate for evidence of
encounter diagnosis for “Risk
factor … Note: The same approach was not
taken for the STarT Back
Screening Tool, since that has nine … MITRE did
this for the PEG and STarT Back screening tools and anticipates that LOINC codes to express
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cds.ahrq.gov/sites/default/files/cds/artifact/476/CDSConnectPilotFinalReport508gel10012018.pdf
September 01, 2018 - established the proposed timeline and implementation details, as well as the
critical path activities and risks … Disorder, Suicide attempt, Sleep-disordered breathing, Renal dysfunction,
Hepatic dysfunction, Pregnancy … Risk Factors and Assessments
• tMost Recent MME: Flag if MME is greater than or equal to 50. … Risk Considerallons (7) C)
e Mo!>t R.Pt.11nt MME
• Urine D11J9 S-c:r.•na
O Bcn.zodl.' … >>ovone HydtOGnlQni:le 4Q MG/ML NM.JI Spr3Y
Risk Screenings Relevant to Pain Management 0
N~;
Pallant