Evolving Description of ACTS Collaborative Participant's COVID-19 Knowledge Ecosystem Efforts
Overarching Description of VA Knowledge Ecosystem Approach
Identify Studies | Review Evidence | |
|---|---|---|
Current Approach | ||
| Pearls/Tips Learned | ||
| Desired Approach | ||
| Needs to Achieve Desired Approach | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] |
| Support We Can Provide Other Participants |
Produce Guidance | Make Guidance Computable | |
|---|---|---|
Current Approach | ||
| Pearls/Tips Learned | ||
| Desired Approach | ||
| Needs to Achieve Desired Approach | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] |
| Support We Can Provide Other Participants |
Implement Guidance (e.g., as CDS, eCQMs) | Analyze Results (e.g., care outcomes) | Apply Results (e.g., Quality Improvement, create evidence) | |
|---|---|---|---|
Current Approach |
| ||
| Pearls/Tips Learned | Non-standardized workflows/terminology/modeling allow ambiguity in guideline implementation and do not support platform agnostic sharing. | ||
| Desired Approach | Pull together multiple fit-for-purpose standards addressing the whole stack: BPM+, SNOMED, FHIR, ANF | ||
| Needs to Achieve Desired Approach | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] X_Other [Details:] Collaboration with others so that decisions we make about standards to use are compatible with choices made by others. | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] |
| Support We Can Provide Other Participants | We can show them what we are doing, see if they have ideas to contribute. |
Stakeholders can place comments at the bottom of any Learning Community page. If you need editing access to these Participant Window pages, please contact support@ahrq-acts.org.
Drill Down into VA Knowledge Ecosystem Approach for Specific Clinical Targets/CDS Interventions (make multiple copies of these table sets as needed)
Assessment and Management of Post-Acute COVID-19 ("Long COVID")
Identify Studies | Review Evidence | |
|---|---|---|
Current Approach | ||
| Pearls/Tips Learned | ||
| Desired Approach | ||
| Needs to Achieve Desired Approach | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] |
| Support We Can Provide Other Participants |
Produce Guidance | Make Guidance Computable | |
|---|---|---|
Current Approach | ||
| Pearls/Tips Learned | BMJ Review | |
| Desired Approach | ||
| Needs to Achieve Desired Approach | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] |
| Support We Can Provide Other Participants |
Implement Guidance (e.g., as CDS, eCQMs) | Analyze Results (e.g., care outcomes) | Apply Results (e.g., Quality Improvement, create evidence) | |
|---|---|---|---|
Current Approach | |||
| Pearls/Tips Learned | |||
| Desired Approach | |||
| Needs to Achieve Desired Approach | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] |
| Support We Can Provide Other Participants |
[Target 2]
Identify Studies | Review Evidence | |
|---|---|---|
Current Approach | ||
| Pearls/Tips Learned | ||
| Desired Approach | ||
| Needs to Achieve Desired Approach | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] |
| Support We Can Provide Other Participants |
Produce Guidance | Make Guidance Computable | |
|---|---|---|
Current Approach | ||
| Pearls/Tips Learned | ||
| Desired Approach | ||
| Needs to Achieve Desired Approach | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] |
| Support We Can Provide Other Participants |
Implement Guidance (e.g., as CDS, eCQMs) | Analyze Results (e.g., care outcomes) | Apply Results (e.g., Quality Improvement, create evidence) | |
|---|---|---|---|
Current Approach | |||
| Pearls/Tips Learned | |||
| Desired Approach | |||
| Needs to Achieve Desired Approach | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] | Check all that apply __Better source/input materials [Details: ] __Common format/terminologies for managing/sharing data [Details: ] __Other [Details:] |
| Support We Can Provide Other Participants |
Additional Notes
VA Current Process/Needs:
VA team is looking at improving screening. Here are some data points they are interested in:
- Is there a combination of symptoms on presentation that has a high correlation to PCR positive?
- Is there a combination of symptoms on presentation that has a high correlation to admission?
- Is there a combination of symptoms on presentation that has a high correlation to ICU admission?
- Is there a combination of symptoms on presentation that has a high correlation to requiring ventilation?
VA Enhanced Process:
- See this VA slide deck, "Designing Interoperable CPGs_20200831"
For target - optimize work/output of people/process/technology:
DocSearch -> L*VE/Epistemonikos → Abstractor -> SRDR -> COVID-NMA > AU Living Guidelines → C19 Digital Guideline WG - UMN CDS Implementation Team → Evaluation → [back to beginning]
Áttekintés
Community Forums
Tartalomkezelés
AHRQ Privacy Policy: https://www.ahrq.gov/policy/electronic/privacy/index.html
1 megjegyzés
' David Tovey' típus
I think the Cochrane Review 'Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID‐19 disease ( https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013665/full ) may address the first bullet. Even though the evidence is generally not very strong, the abstract states:
"..Of these, fever, myalgia or arthralgia, fatigue, and headache could be considered red flags (defined as having a positive likelihood ratio of at least 5) for COVID‐19 as their specificity was above 90%, meaning that they substantially increase the likelihood of COVID‐19 disease when present."