Lance's Corner

AHRQ Issues CDSiC Newsletter

May 28, 2025

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

Issue Number 29 | May 28, 2025
In this edition of the Insider, we highlight several AHRQ CDSiC updates, including a new publication, products focused on advancing the use of patient-centered clinical decision support (PC CDS) tools by clinicians, upcoming conference presentations, and the project's recent Annual Meeting.
Table of Contents:
The Journal of Medical Internet Research recently published a new paper developed by the AHRQ CDSiC Innovation Center.  The paper presents a framework that incorporates patient-centered principles into traditional health IT and CDS evaluation frameworks to create a unified guide to PC CDS performance measurement.

The new PC CDS performance measurement framework includes six domains – safe, timely, effective, efficient, equitable, and patient-centered – and 34 subdomains.  Stakeholders can select the domains that best align with their particular PC CDS intervention or specific research focus.  The paper also highlights two illustrative use cases that demonstrate how to apply the framework.

Together, these findings support a fuller understanding of the breadth of performance and impact of PC CDS technology.  Read the full paper here!
PC CDS tools are valuable resources for clinicians seeking to foster decision-making informed by both the latest evidence base and patient-reported information.  Given that clinicians are essential to the adoption and use of PC CDS, the AHRQ CDSiC has long prioritized creating resources for this key stakeholder group.

The AHRQ CDSiC has released several products clinicians can use to inform the development and implementation and PC CDS and ultimately advance patient-centered care.  These include:
  • A practical planning and reporting tool and accompanying user guide that clinicians can use before, during, and after PC CDS implementation to consistently describe how PC CDS was designed, deployed, and evaluated.
  • A report that examines how clinical organizations can measure the effect of PC CDS interventions on care team workflows and patient lifeflows.
  • A manuscript, published in Applied Clinical Informatics, which identifies best practices in clinician-facing visualizations of patient-generated health data to inform the design of PC CDS tools.
To see more clinician resources developed by the AHRQ CDSiC, click here!

We look forward to AcademyHealth's upcoming Annual Research Meeting (ARM), which will take place from June 7-10 in Minneapolis, Minnesota.  NORC at the University of Chicago and the AHRQ CDSiC will be featured in two posters of interest to the PC CDS community.

More information about these sessions can be found at the links below.

  • Date: June 9 from 8:00-9:15am CT

On May 6 and 7, 2025, stakeholders were invited to convene virtually for the third AHRQ CDSiC Annual Meeting.  The meeting featured the theme Smarter Health: Supporting Patient-Centered Clinical Decision Support Where It Matters Most.  Throughout the two-day meeting, participants engaged in interactive presentations on the AHRQ CDSiC's innovative work thus far and sessions highlighting new directions for the field, such as strategies to optimize PC CDS for patients, methods to strengthen the implementation of PC CDS in real-world settings, and new frontiers in the use of artificial intelligence.

The meeting also featured a discussion session on opportunities to advance PC CDS, where participants could share their insights on key directions for the field.  The discussion focused on two critical topics:

  • Advancing PC CDS to support evolving national health priorities, such as empowering patients in the prevention and management of chronic conditions.

  • Strategies to leverage PC CDS to facilitate health systems' participation in value-based care models, such as by using PC CDS to support the delivery of evidence-based care and account for patients' unique needs and preferences.
 
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.

USDOL Issues Comprehensive Employer Guidance on Long COVID

The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

Supporting Employees with Long COVID: A Guide for Employers

The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

Download the guide

Accommodation and Compliance: Long COVID

The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

Long COVID, Disability and Underserved Communities: Recommendations for Employers

The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

Read the brief

Long COVID and Disability Accommodations in the Workplace

The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

Download the report

Working with Long COVID

The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

Download the fact sheet

COVID-19: Long-Term Symptoms

This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

Outcomes

  • Investigations1 - 556
  • Indicted/Charged - 9
  • Convictions - 8
  • Civil Settlements/Judgments - 28
  • Recoveries2 - $73,204,518

Resources

  • MFCU Expenditures3 - $55,964,293
  • Staff on Board4 - 257

1Investigations are defined as the total number of open investigations at the end of the fiscal year.

2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

3MFCU and Medicaid Expenditures include both State and Federal expenditures.

4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

CMS Issues Latest Medicare Regulatory Activities Update

The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc