This Resource Center is intended to accelerate the development of patient-centered clinical decision support to help catalyze the unfolding transformation towards patient-centered health care. To propose an entry to the Resource Center, please complete a submission form.
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Resource Center
HSRProj
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Initiatives
AFA Key Factors
Learning
Justification
An NLM initative that provides a compendium of health services research resources that can inform PCCDS development and implementation.
Information about ongoing health services research and public health projects.
CDS Connect
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Repositories
Justification
A fundamental resource made available by AHRQ's funding for patient-centered CDS initatives.
MITRE’s CDS Connect offers tools that support a systematic and replicable process to transforming findings into shareable Clinical Decision Support artifacts via an online “CDS Repository.”
Clinical Quality Language (CQL)
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Tools
AFA Key Factors
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CQL is a functional language designed for expressing queries.
CQL is a standard for representing executable clinical logic. It can be used with any data model, and it includes both a human-friendly syntax and a computable equivalent.
Mayo Clinic Center for Innovation Decision Aids
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Tools
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Provides content and design strategies for designing patient-facing tools including risk communication.
Patient decision aids from the Mayo Clinic's Center for Innovation.
Clinical Decision Support for Immunization (CDSi)
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Standards
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The target audience for the Logic Specification and Supporting Data includes business and/or technical implementers of immunization CDS engines.
The CDC's Immunization information systems (IIS) group provides "confidential, population-based, computerized databases that record all immunization doses administered by participating providers to persons residing within a given geopolitical area
CDSHooks
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Standards
AFA Key Factors
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It provides a mechanism for integrating patient-centered CDS into the EHR CDS Hooks is quickly emerging as the consensus framework for integrating
Standard for sharing CDS as a service.
Guidelines Clearinghouse
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Evidence
AFA Key Factors
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AHRQ's authoritative repository for evidence including patient-centered outcomes research.
A public resource for summaries of evidence-based clinical practice guidelines.
The GUIDES checklist: development of a tool to improve the successful use of guideline-based computerised clinical decision support
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Evidence
AFA Key Factors
Implementing
Computerised decision support (CDS) based on trustworthy clinical guidelines is a key component of a learning healthcare system.
Immunization Calculation Engine (ICE) Default Immunization Schedule
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Repositories
AFA Key Factors
Implementing
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These rules drive the presentation of immunization CDS to clinicians and patients.
The rules in the default immunization schedule (based on Advisory Committee on Immunization Practices (ACIP) recommendations and informed by the work of the CDC's CDSi project), determine how ICE evaluates the validity of a patient's immunization
Cardiovascular disease: risk assessment and reduction, including lipid modification
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Artifacts
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Provides a paper-based (PDF) walkthrough of a patient decision aid for helping patients understand the benefits and risks to taking statins.
Patient decision aid from the National Institute for Health and Care Excellence (UK)
GUIDES Project
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Tools
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Implementing
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Broadly informs the implementation of PCCDS.
This project aims to improve the impact of computerised clinical decision support systems (CCDSS) through optimised implementation, using high quality evidence-based information.
NHLBI Heart Risk Calculator
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Tools
AFA Key Factors
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A patient-facing evidence-based online calculator (based on the 2013 ACC/AHA Guideline) vetted against the USPSTF guidelines.
Calculate your 10-year risk of heart disease or stroke using the ASCVD algorithm published in 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk.
SMART on FHIR
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Standards
AFA Key Factors
Authoring
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This framework can enable the integration of patient-centered CDS into EHRs SMART on FHIR is becoming a widely accepted approach for integrating ap
Standard framework for integrating apps into EHRs.
The Community Preventive Services Task Force Evidence
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Evidence
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CDC resource describes means for enabling USPSTF evidence through PCCDS.
The Guide to Community Preventive Services (The Community Guide) is a collection of evidence-based findings of the Community Preventive Services Task Force (Task Force). It is a resource to help you select interventions to improve health and preve
My Cancer Genome
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Evidence
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Provides patient-facing and provider-facing decision support evidence
My Cancer Genome is a precision cancer medicine knowledge resource for physicians, patients, caregivers and researchers.
Handout on Osteoarthritis
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Identified by the Opioid Action Plan workgroup as a resource - Topic-specific (e.g., chronic knee pain, renal colic), evidence-informed
Information from the American College of Rheumatology on osteoarthritis. Available as handout (.pdf). Also available in Spanish using link on right side of page
Arthritis of the Knee
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Opioids
AFA Key Factors
Learning
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Identified by the Opioid Action Plan workgroup as addressing Topic-specific (e.g., chronic knee pain, renal colic), evidence-informed
Patient resource handout from American Academy of Orthopaedic Surgeons. Also available in Spanish in link on left side of page.
Decision Aid for Hip or Knee Osteoarthritis
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Opioids
AFA Key Factors
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Identified by Opioid Action Plan Workgroup as Topic-specific (e.g., chronic knee pain, renal colic), evidence-informed information on
A decision aid for hip or knee osteoarthritis that includes many options and engages patients in answering what they are doing now and what their symptoms are.
Patient Information on NLM
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Opioids
AFA Key Factors
Learning
Patient information from NLM on opioids - see especially opioids parts 2, 3, 4
Osteoarthritis
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Opioids
AFA Key Factors
Learning
Justification
Resource identified by Opioid Action Plan Workgroup as Topic-specific (e.g., chronic knee pain, renal colic), evidence-informed
Mayo Clinic information on Osteoarthritis. Available as handout.
Treating Osteoarthritis of the Knee
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Opioids
AFA Key Factors
Learning
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Identified by the Opioid Action Plan Workgroup as resource: Topic-specific (e.g., chronic knee pain, renal colic), evidence-informed
Handout from American Academy of Family Physicians on treating osteoarthritis of the knee. Also available in Spanish by clicking link at top of the page.
AHRQ Academy: Opioids & Substance Use
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Identified by Opioid Action Plan Workgroup for: Topic-specific (e.g., chronic knee pain, renal colic), evidence-informed information o
The AHRQ Academy provides information to support those who are implementing medication-assisted treatment (MAT) for opioid use disorder in primary care settings. Site provides links to several federal resources related to opioids and substance ab
CDC Resources for Patients
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Opioids
AFA Key Factors
Learning
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Resources identified by Opioid Action Plan workgroup to address Topic-specific (e.g., chronic knee pain, renal colic), evidence-informed
CDC resources for patients related to chronic and acute pain management. Page links to several resources.
Development and Initial Validation of the PEG, a Three-item Scale Assessing Pain Intensity and Interference
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Opioids
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Identified by the Opioid Action Plan workgroup as a pain tracking journal
Journal article about developing a ultra-brief pain measure derived from the Brief Pain Inventory (BPI).
Prescribing Opioids for Chronic Non-Cancer Pain
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Opioids
AFA Key Factors
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Identified by the Opioid Action Plan Workgroup as Topic-specific (e.g., chronic knee pain, renal colic), evidence-informed informatio
Intermountain’s Functional Restoration and Chronic Pain Development Team developed this care process model (CPM) to address the complexity of treating chronic pain patients with opioid medication.
American Chronic Pain Association - Pain Log
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Opioids
AFA Key Factors
Learning
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Identified by the Opioid Action Plan Workgroup as a pain journal.
Pain log tool from the American Chronic Pain Association.
Michigan OPEN
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Opioids
AFA Key Factors
Measuring
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Resource identified by Opioid Action Plan Workgroup as Topic-specific (e.g., chronic knee pain, renal colic), evidence-informed infor
Michigan OPEN aims to ensure appropriate acute pain care, while protecting patients and communities. Addressing opioid prescribing during the acute care period among opioid-naïve patients has the greatest potential to reduce the number of chronic
Knee Osteoarthritis: Treatment Options
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Opioids
AFA Key Factors
Learning
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Identified by OAPWG: Shared pain management decision making tool; includes having selected treatment authorized by payer
Option Grid (a commercial product) has features to select options of interest and make customized comparison table for the patient.
Assessing Benefits and Harm of Opioid Therapy
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Opioids
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Identified by OAPWG as resource: Shared pain management decision making tool; includes having selected treatment authorized
Document from CDC describing opioid issue background and describes guidance on prescribing opioids.
Pain Management Doesn't have to be a Pain
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Opioids
AFA Key Factors
Learning
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Identified by OAPWG: Shared pain management decision making tool; includes having selected treatment authorized by payer
"To enhance our current abilities and possibly to acquire additional office-based tools and strategies for addressing chronic pain, this article—the first in a series—discusses the challenges and complexities of treating chronic pain.
Stenosis of Lower Back: Treatment Options for Spinal Narrowing
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Opioids
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Identified by OAPWG: Shared pain management decision making tool; includes having selected treatment authorized by payer
Option Grid (a commercial product) has features to select options of interest and make customized comparison table for the patient.
CDC Pocket Guide to Tapering Opioids for Chronic Pain
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Opioids
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Identified by OAPWG: Condition-specific pain-related care plan creation/tracking tool.
CDC GUIDELINE FOR PRESCRIBING OPIOIDS FOR CHRONIC PAIN. Recommendations focus on pain lasting longer than 3 months or past the time of normal tissue healing, outside of active cancer treatment, palliative care, and end-of-life care.
Establishing Pain Relief Goals
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Opioids
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Identified by the OAPWG: Pre-visit questionnaire (Including setting priorities and realistic goals)
Resource from UW Health Pain Care Services on pain management.
Tracking Tools
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Opioids
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Identified by the OAPWG: Condition-specific pain-related visit/procedure documentation template
Tracking tools from the American Chronic Pain Association. A set of 19 resources for tracking health issues and pain.
Decision Aid Summary: Living Better with Chronic Pain
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Opioids
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Identified by OAPWG: Shared pain management decision making tool; includes having selected treatment authorized by payer
Decision aid from Informed Medical Decisions Foundation on living with chronic pain.