NYSDA Publications

AHRQ Issues CDSiC Newsletter

Nov 19, 2024

The Agency for Healthcare Research and Quality (AHRQ) has issued its Clinical Decision Support Innovation Collaborative (CDSiC) newsletter.

Issue Number 24 | November 19, 2024
In this edition of the Insider, we highlight a new resource focused on assessing the value of patient-centered clinical decision support (PC CDS), reflect on the AHRQ CDSiC's accomplishments over the past year, and share a recent publication from the AHRQ CDSiC team.
Table of Contents:
More insight into the value of PC CDS is needed to promote the implementation and use of these tools. However, the impacts assessed in economic evaluations of CDS vary, which can limit the use of findings to assess value. Further, limited measures exist to gauge PC CDS value from the patient perspective.

To help address these gaps, the AHRQ CDSiC's Implementation, Adoption, and Scaling Workgroup developed a new report that identifies methods that can be used to assess the value of PC CDS. The report summarizes examples of the economic and clinical impacts used in evaluations of decision support interventions, discusses challenges in assessing PC CDS value, and presents alternative considerations. PC CDS stakeholders can use this report to support a more holistic approach to PC CDS value assessments, including by incorporating patient-centered factors. Read the full report here!
JAMIA Open recently published a new Perspective piece from members of the AHRQ CDSiC leadership team. The article summarizes key themes that arose from stakeholder discussions at the first AHRQ CDSiC Annual Meeting.

Meeting participants, including researchers, informaticians, federal representatives, clinicians, patients, and electronic health record developers, discussed seven key opportunities to advance PC CDS.  These opportunities offer guidance on future directions for the PC CDS field. Read more about these key opportunities here!
Since its launch, the AHRQ CDSiC has worked extensively to generate innovation in the field of PC CDS. A new AHRQ CDSiC report presents details on the project's key accomplishments and summarizes critical lessons learned from three years of leading the collaborative. Click here to read the full report and learn more about the AHRQ CDSiC team’s approach to evaluate the project's progress to date.

As described in the report, this project has produced 21 public-facing resources that provide concrete recommendations and guidance to advance the scalability, quality, and effectiveness of PC CDS over the past year. Click here to access all of these resources on the AHRQ CDSiC website.
The 2024 AMIA Annual Symposium took place this month in San Francisco, CA. The Symposium closed with the highly anticipated "Informatics Year in Review" session that featured recent publications AMIA Working Groups found significant and would recommend as part of a "reading list" for AMIA members. We are thrilled to share that during this session, AMIA highlighted a paper authored by AHRQ CDSiC leadership!

The paper, published in JAMIA, focuses on the PC CDS lifecycle framework developed and vetted by members of the AHRQ CDSiC. The article describes the work that must be completed in each of the framework's eight stages to realize the benefits of PC CDS, and identifies opportunities for patient and/or caregiver participation throughout. Read the full article here!
The 2024 MCBK Global Meeting took place virtually on October 23, 2024. The meeting focused on exploring generative artificial intelligence (AI), including the role generative AI can play in improving human health by mobilizing computable knowledge around the world.

Meeting materials, including the meeting program and lightning talk abstracts, are available on MCBK's website, and presentation recordings are accessible on MCBK's YouTube channel.

The CDSiC's work was highlighted in two lightning talks:
  • Prioritizing Patient Preferences for Standardization to Support PC CDS, part of the Standards, Interoperability, Metadata for CBK breakout room. 
  • Considerations and Opportunities for the Use of Artificial Intelligence to Scale PC CDS, part of the Synergy Between Goal-Based CBK and Generative AI breakout room.
Exploring Challenges and Opportunities for Patient Engagement, Implementation, Adoption, and Scaling Through PC CDS Case Studies

Developed by the AHRQ CDSiC's Implementation, Adoption, and Scaling Workgroup, this report offers insights from nine AHRQ-funded PC CDS projects and provides practical guidance across four domains: patient engagement, implementation, adoption, and scaling.
Prioritizing Patient Preferences for Standardization to Support PC CDS

Developed by the AHRQ CDSiC's Standards and Regulatory Frameworks Workgroup, this report identifies key themes related to the routine collection of patient preferences, patient information that should be prioritized for standardization, and challenges with standardizing patient preference information.
 
The Clinical Decision Support Innovation Collaborative (CDSiC) is a community of broad, diverse stakeholders at the forefront of using technology to better support care teams, patients, and caregivers. The CDSiC is working toward healthcare decisions that are driven by both patient-centered and patient-specific information and that align with patient needs, preferences, and values. The CDSiC is funded by the Agency for Healthcare Research and Quality (AHRQ) as part of a multi-component initiative to help advance patient-centered outcomes research into practice through CDS. For any inquiries regarding the CDSiC you may contact the project team at CDSiC@norc.org.