| INITIAL DRAFT FOR DISCUSSION/UNVETTED |
|---|
The ACTS COVID-19 Guidance-to-Action Collaborative is bringing together organizations and initiatives with the goal of enhancing collaborations to:
...
The initial core focus will be the COVID-19 topics outlined below and described in more detail following the framework. However, broader opportunities to strengthen the ecosystem in ways that drive progress toward implementing the ACTS Roadmap are also of interest. Diagrams on the next several pages are earlier efforts at presenting information of the sort addressed by this framework; this previous work will be incorporated into subsequent efforts to build out and leverage the skeleton below.
Evidence | Guidance | CDS/eCQMs | Implementation/Analysis | |||||||
Produce Evidence | Find Evidence | Synthesize Evidence | Find Syntheses/ Evidence | Produce Guidance | Find Guidance | Create CDS | Create eCQMs | Find CDS/ eCQMs | Implement CDS/ eCQMs | Evaluate/report Results |
Populate family of tables/diagrams with components above with details about: Actors (e.g., participants in ACTS COVID Guidance to Action Collaborative, many other orgs/initiatives; also roles - e.g., CDO leader, care delivery participant, quality person etc. [label discussion threads by these roles] Standards (e.g., from HL7/FHIR, BPM+) Repositories (e.g., SRDR, L*VE/Epistemonikos, CDS Connect) Topics (e.g., core foci for Collaborative: Severity/Risk/Triage, Monitoring, Anticoagulation; others) Tools/Methods/Platforms (Systematic review creation tools, tools from COKA WG, CDS Connect Authoring Tool) | ||||||||||
Questions/Needs Addressed in Collaborative Participant Efforts
...
Activity/Status Summary by Organization implementing the living CDS
Org | Targets addressed | planning/implementation status | Notes (challenges, pearls, needs, etc.) |
UMN | anticoagulation | CDS intervention under development with C19HCC team Preliminary development, implemented, and evaluated (details) | |
VA | Remote triage Patient Manager ICU Severity Assessment | See goals/plan draft in on implementation page; see sample draft charter here | |
Health Centers | *Remote triage *Home management | ||
Others? |
Activity/Status Summary by target
CDS/ Target | Sites Addressing | Evidence/guidance/Measure highlights | Intervention development highlights | Cross-fertilization Needs (e.g., tools, strategies) |
Remote triage | •Health centers (details) •VA (details) | clinical prediction tool preprint | University of Manchester developing the intervention (details?) | |
Home management | •Health centers (details) | |||
Anticoagulation | UMN (14 hospitals) | |||
ED severity/ disposition | TBD by ACEP/ EvidenceCare | Content has been finalized and is in the approval process at ACEP. Shareable assets are being developed. | ||
Inpt. Severity Assessment | VA (ICU) | |||
Others? |
Activity/Status Summary by Supply Chain Component
Supply Chain Component | Overview of efforts to optimize this component |
Gather evidence, produce living systematic reviews | Explorations underway with AHRQ EPCs/SRDR, COKA, COVID-END and others about strengthening this portion of the supply chain |
Produce living guidance and measures | •Explorations with ASH, ACCM, ACEP, C19HCC about collaboration to enhance flow from row above through this row to following row. •Explorations with AU Living Guidelines team and other Collaborative participants about leveraging their living guidelines in living CDS development efforts by Collaborative participants and leveraging efforts in row above to support their living guideline efforts |
Incorporate/update guidance/ measures in CDS interventions | •Collaborations with C19HCC Digital Guideline WG to foster synergies between the CPG IG-based Agile Knowledge Engineering approach they’re applying in the anticoagulation and ED severity work and efforts by other Collaborative participants. |
Deploy CDS interventions | •Collaborations with C19HCC Digital Guideline WG to foster synergies between the CPG IG-based Agile Knowledge Engineering approach they’re applying in the anticoagulation and ED severity work and efforts by other Collaborative participants. |
Measure results and use for continuous improvement | •Collaborations with C19HCC Digital Guideline WG to foster synergies between the CPG IG-based Agile Knowledge Engineering approach they’re applying in the anticoagulation and ED severity work and efforts by other Collaborative participants. |
...
II. Additional notes about initiatives focused on COVID-19 knowledge supply-demand chain/cycle
III. Explorations/efforts above as a seed for the AHRQ Digital Knowledge Platform (DKP) and Knowledge Ecosystem
...