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Evolving Description of ACTS Collaborative Participant's COVID-19 Knowledge Ecosystem Efforts



Identify Studies

Review Evidence

Current 

Approach

·       Literature search based on key words.

·       Awareness of studies from participants in the content workgroup

·       Folks on the committee review the studies and highlight relevant content

·       The relevant content gets collated into shared spreadsheets that organize the content into various COVID topics

Pearls/Tips Learned

·       None…. we’ve been doing it kind of manually!

·       Shared spreadsheets represent an easy way for folks to collaborate and not have version control issues.

Desired Approach

·       To have a curate list of articles to review every few weeks based on keywords and filters

·       Needs to have direct links to PDFs. Otherwise, we still have to do the 2nd half of the work, which is finding the PDF.

·       A 3rd party would review the studies and give us an output that is summarized key points from the study.

·       Key data would be extracted and presented in an easy to digest format (table, etc.)

Needs to Achieve Desired Approach

Check all that apply

_X_Better source/input materials [Details: a curated source of primary studies]

__Common format/terminologies for managing/sharing data [Details: ]

__Other [Details:]

Check all that apply

_X_Better source/input materials [Details: A source that had pre-digested studies, highlighting the key points and data]

_X_Common format/terminologies for managing/sharing data [Details: agree! ]

_X_Consistency of outcomes [Details: Standardization of the way information is organized and shared]

__Engagement with primary researchers and upstream stakeholders [Details:]

__Engagement with decision makers and other downstream stakeholders [Details:]

__Other [Details:]

Support We Can Provide Other Participants

·       We have clinical experts who can help determine the search terms and filters that will be relevant to our use cases.

·       We are consuming the content on the backend, so have ideas on how to best structure the information for sharing with all stakeholders.



Produce Guidance

Make Guidance Computable

Current 

Approach

·       Assemble a panel of experts in Emergency Medicine to review the COVID literature

·       Previously, we were having weekly meetings as we were developing the tool

·       Will be moving to monthly meetings as we move forward with our cadence

See here for ACEP/EvidenceCare COVID-19 Severity Classification/Triage/Disposition tool 


Pearls/Tips Learned

·       Sometimes the hardest part is scheduling meetings.

·       Potentially move to a more asynchronous model of collaboration that doesn’t require as many meetings.


Desired Approach

·       Seamless collaboration of clinical stakeholders to determine best practice approach in a constantly evolving environment.

·       More asynchronous work processes to optimize efficiency.


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: Better collaboration structure to bring parties together consistently]

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
  • Engagement with ACEP’s group of clinical experts



Implement Guidance (e.g., as CDS, eCQMs)

Analyze Results (e.g., care outcomes)

Apply Results (e.g., Quality Improvement, create evidence)

Current 

Approach




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:]

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


Stakeholders can place comments at the bottom of any Learning Community page. If you need editing access to these Participant Window pages, please contact support@ahrq-acts.org.


Previous Notes

See here for ACEP/EvidenceCare COVID-19 Severity Classification/Triage/Disposition tool 

pertinent study? Development and Validation of the Quick COVID-19 Severity Index: A Prognostic Tool for Early Clinical Decompensation


Current knowledge supply chain processes, including keeping CDS intervention up to date

  • ACEP has a blog where more than 4,000 Emergency Physicians participate across the globe to share their experiences. ACEP meets with CDC, CMS, NIH, and FDA on regular basis. Our Clinical Policies Committee and Clinical Practices Committee collect evidence/knowledge and review/approve them on periodic basis.


Enhanced knowledge supply chain processes, including keeping CDS intervention up to date

  • (details)
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