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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:

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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.


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II. Additional notes about initiatives focused on COVID-19 knowledge supply-demand chain/cycle

Supply Chain ComponentInitiatives
Identify / Prioritize Knowledge, Support Needs
Outcomes Data/Research Studies and Results
Evidence/Guidance Syntheses
Guidance/Recommendation Development - Narrative
Guidance Implementation - CDS Interventions
Overarching/Learning Health System


III. Explorations/efforts above as a seed for the AHRQ Digital Knowledge Platform (DKP) and Knowledge Ecosystem

...