AHRQ hosted a webinar to provide training on AHRQ’s Clinical Decision Support (CDS) Authoring Tool, which can help develop interoperable, standards-based CDS via a user-friendly application.
Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect
Project Final Report (PDF, 803.9 KB) Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Disclaimer
Disclaimer details
Clinical Decision Support (CDS) Connect provides a public platform for authoring and sharing interoperable CDS resources so that developers, informaticists, and healthcare system leaders can learn from each other and leverage each other’s experiences, thus reducing duplicative effort and the burden to develop CDS independently.
Project Details -
Completed
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Contract Number75FCMC18D0047_ 75Q80123F80001, 75FCMC18D0047_ 75Q80123F80004, 290-16-00001U
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Funding Mechanism(s)
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AHRQ Funded Amount$15,924,066
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Principal Investigator(s)
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Previous Principal Investigator(s)
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Organization
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LocationMcleanVirginia
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Project Dates09/12/2016 - 08/29/2024
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Care Setting
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Population
Beginning in 2016 with funding from the Patient-Centered Outcomes Research (PCOR) Trust Fund, the Agency for Healthcare Research and Quality began a program to advance PCOR findings into practice through clinical decision support (CDS). One of these components has been CDS Connect, a platform that includes a public repository of CDS artifacts, a CDS authoring tool, prototype open source tools, a CDS Connect Work Group, and reports on proof-of-concept pilots based on clinical use cases. CDS Connect uses standards relevant to CDS including Health Level 7 (HL7) Fast Healthcare Interoperability Resources (FHIR), Clinical Quality Language (CQL), Clinical Practice Guideline-on-FHIR, among others. The platform and its tools allow CDS to be more shareable, interoperable, and publicly available. Beginning with the platform’s initial development and demonstrations, this research has expanded over time and has begun to explore how public-private collaboration may provide a sustainability model for the future.
The specific aims of the research were as follows:
- Develop and maintain a platform for sharing CDS that leverages standards as much as possible.
- Build prototypes and demonstrate their use in real-world settings.
- Support a community of CDS developers and implementers through a public work group and system demonstrations.
- Conduct a design challenge for the future of CDS Connect.
- Explore the potential for public-private collaboration for long term sustainability.
Highlights of accomplishments include:
- Developing and releasing standards-based CDS tools for cholesterol management, diabetes, and chronic pain management that were piloted in real-world settings including in community health centers and through patient-facing apps.
- Growing a repository of publicly available CDS resources, contributed by healthcare systems, the Veterans Health Administration, and many others, for a wide variety of clinical domains, such as preventive medicine, cardiovascular health, cancer, and asthma.
- Developing multiple open source, standards-based tools, most notably a CDS Authoring Tool that enables informaticists, students, and non-software engineers to write standards-based logic for CDS rules in an easy-to-use interface.
- Conducting a challenge competition for the potential future design of CDS Connect, awarding standout submissions for Best Overall Design, Most Innovative Concept, Best Technical Functionality, and Best Value Proposition.
Disclaimer
Disclaimer details
Citation: Final Report (Year 8 of CDS Connect) CDS Connect Maintenance and Update Prepared under Contract No. 75FCMC18D0047. AHRQ Publication No. 24-0067. Rockville, MD: Agency for Healthcare Research and Quality; August 2024.
Link:
cds-connect-year-8-final-report-2024.pdf
(803.9 KB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Principal Investigator: Lenox, Michelle
Document Type: Report
Citation: Soares A, Afshar M, Moesel C, Grasso MA, Pan E, Solomonides A, Richardson JE, Barone E, Lomotan EA, Schilling LM. Playing in the clinical decision support sandbox: Tools and training for all. JAMIA Open. 2023 Jun 21;6(2):ooad038. doi: 10.1093/jamiaopen/ooad038. PMID: 37351012; PMCID: PMC10283349.
Principal Investigator: Fabian, Lacy
Document Type: Journal Publication
Research Method: Descriptive, Mixed Methods, Survey
Population: Stakeholder, Vendor
Citation: Final Report (Year 7 of CDS Connect) CDS Connect Maintenance and Update Prepared under Contract No. 75FCMC18D0047. AHRQ Publication No. 23-0072. Rockville, MD: Agency for Healthcare Research and Quality; August 2023.
Link:
cds-connect-year7-final-report-2023.pdf
(714.13 KB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Principal Investigator: Fabian, Lacy
Document Type: Report
Population: Clinical Staff/Clinician, Stakeholder, Vendor
Citation: Final Report (Year 6 of CDS Connect) CDS Connect Maintenance and Update Prepared under Contract No. 75FCMC18D0047. AHRQ Publication No. 22-0049-EF. Rockville, MD: Agency for Healthcare Research and Quality; September 2022.
Link:
cds-connect-year6-final-report-2022.pdf
(2.7 MB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Principal Investigator: Fabian, Lacy
Document Type: Report
Population: Clinical Staff/Clinician, Stakeholder, Vendor
Citation: van Leeuwen D, Mittelman M, Fabian L, Lomotan EA. Nothing for me or about me, without me: codesign of clinical decision support. Appl Clin Inform. 2022;13(3):641-646. doi:10.1055/s-0042-1750355. PMID: 35768012.
Principal Investigator: Fabian, Lacy
Document Type: Journal Publication
Research Method: Focus Group, Mixed Methods
Technology: Clinical Decision Support System
Citation: Final Report (Year 5 of CDS Connect) CDS Connect Maintenance and Update Prepared under Contract No. 75FCMC18D0047. AHRQ Publication No. 21-0059-EF. Rockville, MD: Agency for Healthcare Research and Quality; September 2021.
Link:
cds-connect-year5-final-report-2021.pdf
(5.37 MB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Principal Investigator: Fabian, Lacy
Document Type: Report
Population: Clinical Staff/Clinician, Stakeholder, Vendor
Citation: The MITRE Corporation. CDS Connect - Year 4 Final Report. Prepared under Contract 75FCMC18D0047. AHRQ Publication No. 20-0049-EF. Rockville, MD: Agency for Healthcare Research and Quality. September 2020.
Link:
cds-connect-year4-final-report-2020.pdf
(1.91 MB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Principal Investigator: Fabian, Lacy
Document Type: Report
Citation: The MITRE Corporation. CDS Connect - Year 3 Final Report. Prepared under Contract 290-16-00001U. AHRQ Publication No. 19-0073-2-EF. Rockville, MD: Agency for Healthcare Research and Quality. September 2019.
Link:
cds-connect-year3-final-report-2019.pdf
(3.57 MB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Document Type: Report
Citation: The MITRE Corporation. Factors to Consider in Managing Chronic Pain: a Pain Management Summary - CDS Connect Pilot Final Report. Prepared under Contract No. 500-2012-00008I. AHRQ Publication No. 18-0058-4-EF. Rockville, MD: Agency for Healthcare Research and Quality. September 2018.
Link:
cds-connect-pilot-final-report.pdf
(727.03 KB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ahrqsection508@ahrq.hhs.gov)
Document Type: Report
Citation: The MITRE Corporation. Factors to consider in managing chronic pain: a pain management summary - CDS artifact enhancement based on pilot implementation. Prepared under Contract No. 500-2012-00008I. AHRQ Publication No. 18-0058-1-EF. Rockville, MD: Agency for Healthcare Research and Quality. September 2018.
Link:
cds-artifact-enhancement.pdf
(406.23 KB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ahrqsection508@ahrq.hhs.gov)
Document Type: Report
Citation: The MITRE Corporation. Factors to consider in managing chronic pain: a pain management summary - implementation guide. Prepared under Contract No. 500-2012-00008I. AHRQ Publication No. 18-0058-2-EF. Rockville, MD: Agency for Healthcare Research and Quality. September 2018.
Link:
implementation-guide.pdf
(1.1 MB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ahrqsection508@ahrq.hhs.gov)
Document Type: Report
Citation: The MITRE Corporation. CDS Connect - Year 2 Final Report. Prepared under Contract 290-16-00001U. AHRQ Publication No. 18-0058-3-EF. Rockville, MD: Agency for Healthcare Research and Quality. September 2018.
Link:
cds-connect-year2-final-report-2018.pdf
(2.3 MB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Document Type: Report
Citation: Ricciardelli P, Sebastian S, Teich, J. Implementation guide: longitudinal ASCVD risk assessment tool for baseline 10-year ASCVD risk. Prepared under Contract No. 290-16-00001U. AHRQ Publication No.18-0007-1-EF. Rockville, MD: Agency for Healthcare Research and Quality; October 2017.
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ahrqsection508@ahrq.hhs.gov)
Document Type: Report
Technology: Clinical Decision Support System
Population: Adults, Caregiver, Clinical Staff/Clinician, Implementer, IT Staff, Patient, Vendor
Citation: Ricciardelli P, Sebastian S, Teich, J. Implementation guide: longitudinal ASCVD risk assessment tool for updated 10-year ASCVD risk. Prepared under Contract No. 290-16-00001U. AHRQ Publication No. 18-0007-2-EF. Rockville, MD: Agency for Healthcare Research and Quality; October 2017.
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ahrqsection508@ahrq.hhs.gov)
Document Type: Report
Technology: Clinical Decision Support System
Population: Adults, Caregiver, Clinical Staff/Clinician, Implementer, IT Staff, Implementer, Vendor
Citation: The MITRE Corporation. Pain management resources to support clinical decision support artifact development: an environmental scan. Prepared under Contract 290-16-00001U. AHRQ Publication No. 18-0019-EF. Rockville, MD: Agency for Healthcare Research and Quality. December 2017.
Link:
cds-connect-environmental-scan.pdf
(556.76 KB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ahrqsection508@ahrq.hhs.gov)
Document Type: Report
Citation: Ricciardelli P, Sebastian S, Teich, J. Implementation guide: statin therapy for the prevention and treatment of cardiovascular disease (CVD) electronic Clinical Quality Measure (eCQM). Prepared under Contract No. 290-16-00001U. AHRQ Publication No. 18-0007-4-EF. Rockville, MD: Agency for Healthcare Research and Quality; October 2017.
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ahrqsection508@ahrq.hhs.gov)
Document Type: Report
Technology: Clinical Decision Support System
Population: Adults, Caregiver, Clinical Staff/Clinician, Implementer, IT Staff, Patient, Vendor
Citation: The MITRE Corporation. CDS Connect - Year 1 Final Report. Prepared under Contract 290-16-00001U. AHRQ Publication No. 18-0006-EF. Rockville, MD: Agency for Healthcare Research and Quality. October 2017.
Link:
cds-connect-year1-final-report.pdf
(667.6 KB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ahrqsection508@ahrq.hhs.gov)
Document Type: Report
Research Method: Feasibility/Pilot Study, Interview, Mixed Methods, Review
Technology: Clinical Decision Support System
Citation: Ricciardelli P, Sebastian S, Teich, J. Implementation guide: USPSTF statin use for primary prevention of CVD in adults. Prepared under Contract No. 290-16-00001U. AHRQ Publication No. 18-0007-6-EF. Rockville, MD: Agency for Healthcare Research and Quality; October 2017.
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ahrqsection508@ahrq.hhs.gov)
Document Type: Report
Technology: Clinical Decision Support System
Population: Adults, Caregiver, Clinical Staff/Clinician, Implementer, IT Staff, Patient, Vendor
Citation: Ricciardelli P, Sebastian S, Teich, J. Implementation guide: USPSTF aspirin therapy for the primary prevention of cardiovascular disease and colorectal cancer. Prepared under Contract No. 290-16-00001U. AHRQ Publication No. 18-0007-5-EF. Rockville, MD: Agency for Healthcare Research and Quality; October 2017.
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ahrqsection508@ahrq.hhs.gov)
Document Type: Report
Technology: Clinical Decision Support System
Population: Adults, Caregiver, Clinical Staff/Clinician, Implementer, IT Staff, Patient, Vendor
Citation: Moesel C, Sebastian S, Teich, J. Enhanced clinical decision support artifact based on pilot implementation. Prepared under Contract No. 290-16-00001U. AHRQ Publication No. 18-0009-EF. Rockville, MD: Agency for Healthcare Research and Quality; October 2017.
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ahrqsection508@ahrq.hhs.gov)
Document Type: Report
Technology: Clinical Decision Support System
Population: Adults, Caregiver, Clinical Staff/Clinician, Implementer, IT Staff, Patient, Vendor
Citation: CMS Alliance to Modernize Healthcare. Patient-centered outcomes research clinical decision support prototype development and dissemination. Prepared under Contract No 290-16-00001U. AHRQ Publication No. 18-0010-EF. Rockville, MD: Agency for Healthcare Research and Quality; October 2017.
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ahrqsection508@ahrq.hhs.gov)
Document Type: Report
Technology: Clinical Decision Support System
Population: Clinical Staff/Clinician, Patient, Vendor
Citation: Ricciardelli P, Sebastian S, Teich, J. Implementation guide: longitudinal ASCVD risk assessment tool for shared decision making. Prepared under Contract No. 290-16-00001U. AHRQ Publication No. 18-0007-3-EF. Rockville, MD: Agency for Healthcare Research and Quality; October 2017.
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ahrqsection508@ahrq.hhs.gov)
Document Type: Report
Technology: Clinical Decision Support System
Population: Adults, Caregiver, Clinical Staff/Clinician, Implementer, IT Staff, Patient, Vendor
Disclaimer
Disclaimer details