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Under ConstructionEvolving Description of ACTS Collaborative Participant's COVID-19 Knowledge Ecosystem Efforts
Identify Studies | Review Evidence | |
|---|---|---|
Current Approach | UMN Evidence Review (earlier version - updates in progress) | |
| 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 | UMN Anticoagulation Guidance/Protocol (see flowchart under 'expert opinions' - UMN protocol is adapted from this)
| Working with C19HCC Digital Guidelines WG |
| Pearls/Tips Learned | 1.) Generate list of variables needed for input/processing/output/evaluation of CDS 2.) Be comprehensive in generating the list 3.) Reach out to standards companies early as this process can take a few weeks-1 month | |
| Desired Approach | 1.) Collaboration with standards companies for mapping | |
| 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: ] _X_Common format/terminologies for managing/sharing data __Other [Details:] |
| Support We Can Provide Other Participants | 1.) Partnership with data standards companies to facilitate rapid mapping of data elements |
Implement Guidance (e.g., as CDS, eCQMs) | Analyze Results (e.g., care outcomes) | Apply Results (e.g., Quality Improvement, create evidence) | |
|---|---|---|---|
Current Approach |
| 1.) Processing of Epic clarity tables and BPA tables for "pseudo realtime" cleaning and analysis. 1.) Not real time which would be ideal 1.) Doesn't facilitate automated realtime feedback in a timely manner | |
| Pearls/Tips Learned | 1.) Need for CDS to be malleable to facilitate interoperability as various sites (even within same system) may have variation in practices 2.) Need to have expertise in house to implement these solutions | 2.) Ensure that research/implementation scientists and quality members are using same definitions for outcomes/process measures etc | |
| Desired Approach | 1.) Interoperable format leveraging CPG-on-FHIR | 3.) Need for real time tracking of structural, process, and quality metrics 3.) Should facilitate automated feedback and dashboards for structural measures of care. For example, provider or unit based adherence with XYZ guideline | |
| 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:] - We have a lot of expertise in house using native Epic CDS, but limited expertise implementing CDS hooks/Smart on FHIR/etc. Difficult toolset to find to hire also and hiring freeze due to Covid hurts ability to scale team to include additional toolsets. - Need for certification/trainings so current CDS builders can quickly learn new skills | Check all that apply __Better source/input materials [Details: ] _x_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 |
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