Korábbi változatok

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• VA and UMN (for the most part) manage all facets of this supply chain and also consume its results via CDS interventions that support care for your respective patient populations. This suggests that these 2 organizations could each be logical homes/centerpieces for efforts focused on demonstrating the tighter link outlined above between new guidance/evidence and updating the corresponding CDS interventions (e.g., focused on anticoagulation and testing/triage [here is the ACEP/EvidenceCare COVID-19 Severity Classification/Triage/Disposition tool]).

• This would mean having the teams that are responsible in each of these organizations for evidence surveillance/synthesis, guidance development/updating, and CDS development/updating/deployment collaborate among themselves and with other organizations in the Collaborative on this 'update notification' process and tooling.
• We could explore ways to leverage related efforts for content and approaches to apply in the notification system. For example, consider mutually beneficial ways to apply SRDR/COKA, C19HCC Digital Guideline WG, COVID-NMA, COVID-END, AU Living Guidelines, and related efforts to produce a a triggering system to that  suggests to living CDS owners/implementers that updates should be considered.
• For example, below is a sampling of external evidence/guidance sources that could potentially be leveraged to enhance current VA/UMN processes in developing the 'update notification' system. We could start by documenting how evidence/guidance changes are detected and addressed in current VA/UMN processes, and exploring enhancing these approaches to include a scalable notification function that propagates supply chain updates to all pertinent stakeholders throughout the chain, including those responsible for developing/maintaining CDS interventions.  

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