Bringing Evidence & Guidelines Into the Digital Age

Bringing Evidence & Guidelines Into the Digital Age

2 December 2020, 1pm ET (12pm CT; 11am MT; 10am PT)

One of the big challenges with using research findings to inform practice is the long lead time for developing and implementing guidelines. The average 17-year period from research to practice should not be acceptable in the Digital Age, but it does not change automatically. 

Several national and international multi-stakeholder initiatives are developing ways to dramatically improve the efficiency and accuracy of finding, processing, disseminating and implementing evidence and guidelines through shared, agreed technology standards. A standard for health data exchange, named Fast Healthcare Interoperability Resources (FHIR; pronounced “fire”), has overcome the complex challenges to make health data Findable, Accessible, Interoperable and Re-usable (FAIR). The vision is to use and adapt FHIR to make evidence and guidelines FAIR. The method is to define FHIR Resources to express distinct concepts in precise, unambiguous form that can also be called machine-interpretable or computable form.

Computable evidence resources will enable more reliable searching, selection, data extraction, and synthesis of evidence with much less effort. More current, trustworthy systematic reviews and tools to support structured data entry for judgments and interpretations will enable better and faster guideline development. Guideline expression in computable form with FHIR will enable direct integration with electronic health records for clinical decision support, greatly increasing the implementation of guidelines. Digital quality measures and real-world data will complete the cycle as they are analysed to produce computable evidence resources.

The Evidence Ecosystem (Adapted from MAGIC Evidence Ecosystem Foundation)

This webinar will describe the context for integrating the computable and narrative aspects of evidence and guidelines and freely available tools and resources that can potentially help adapt evidence and guidelines for the digital age. 

By the end of the webinar, the participant will be able to:

• Recognise an overview of the data lifecycle and evidence ecosystem in the context of integrated development of narrative and computable evidence and guidelines
• Identify multi-stakeholder initiatives that have led to international standards using FHIR
  • CDC’s Adapting Clinical Guidelines for the Digital Age/ Clinical Practice Guidelines (CPG)-on-FHIR
  • Evidence-Based Medicine (EBM)-on-FHIR
  • COVID-19 Knowledge Accelerator (COKA)
  • AHRQ evidence-based Care Transformation Support (ACTS)
• Describe AHRQ’s Systematic Review Data Repository Plus (SRDR-Plus) – a platform for the management (screening, data extraction, export), archival, and (ultimately) open-access sharing of data gathered during systematic reviews
• Discuss AHRQ’s CDS Connect – a repository and authoring tool for clinical decision support (CDS)
• Identify opportunities to contribute to and/or benefit from four layers of standard development and implementation:
  • Structural layer – shaping the FHIR Resources
  • Terminology layer – defining the code systems for precise interpretation
  • Tools layer – experience a Clinical Trial Results Reporter to convert data entry to computable evidence resources
  • Project layer – work across consortia for shared experience to improve the standard

A flyer for the event with full details on speaker etc can be viewed here.

To register click here.