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Produce Guidance

Make Guidance Computable

Current 

Approach



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 [Details: ]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 Approach1.) 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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