Lance's Corner

AHRQ Issues CDS Program Update

Jun 23, 2025

Per the notice below, the Agency for Healthcare Research and Quality (AHRQ) has issued an update on its Clinical Decision Support (CDS) program.

Updates from AHRQ’s Clinical Decision Support (CDS) Program

This edition of the AHRQ’s Division of Digital Healthcare Research (DHR) CDS bulletin includes program updates and highlights opportunities to weigh in on CDS research by responding to Requests for Information (RFIs) from other federal agencies.

Share your thoughts on CDS!

The Department of Health and Human Services (HHS) is seeking input on two RFIs that involve CDS research and asks for input about where CDS work can continue across the Department.

The first RFI from NIH invites comments on NIH’s future Artificial Intelligence (AI) Strategy.  Its purpose is to develop an institute-wide AI strategy that charts a progression from today’s data-science-driven analytics through semi-autonomous AI agents to fully autonomous, self-documenting biomedical AI beings.  Under the section for ‘Research & Innovation Actions,’ NIH is seeking high-impact use-cases for AI in biomedical discovery, public-health protection, and CDS.  Submit comments by TUE July 15.

The second RFI from NIH’s National Library of Medicine (NLM) invites comments on the future of the NLM Biomedical and Data Science Extramural Research Programs.  In the past, CDS systems have been supported under the clinical informatics umbrella.  Now, NLM is looking for underexplored areas or for specific gaps in its current funding investments.  NLM wants to know how addressing these research gaps can lead to transformative impacts or advancements.  In addition to continuing support for clinical informatics, NLM seeks feedback on how to support emerging AI technologies that hold the most promise for advancing biomedical discovery, clinical decision-making, and public health interventions.  Submit comments by MON July 14.

CDS Program Website

The DHR CDS website formerly located at cds.ahrq.gov now redirects to a new page on the main DHR website.  The updated page features a consolidated project list and helpful links to current and past projects within our CDS portfolio.  Search for specific projects, download information from the database, and access the page any time from the ‘Tools and Resources’ tab on digital.ahrq.gov.

CDS Innovation Collaborative (CDSiC)

Now in its final year, the CDSiC is completing a range of products and resources aimed at advancing patient-centered (PC) CDS.  These innovations are designed for real-world use to empower patients and caregivers and activate shared decision making with clinicians.  Learn more about the project and resources on the project website here.  On May 6-7, 2025, CDSiC stakeholders convened virtually for the third AHRQ CDSiC Annual Meeting, “Smarter Health: Supporting Patient-Centered Clinical Decision Support Where It Matters Most.”  Sessions showcased the initiative’s progress and explored topics such as optimizing PC CDS for patients, real-world implementation strategies, and the role of AI.  In related news, the Journal of Medical Internet Research recently published a new paper from the AHRQ CDSiC Innovation Center outlining a unified framework for measuring PC CDS performance by integrating PC principles into traditional evaluation models.

CDS Connect: Successes and Future Impacts

After nearly a decade, AHRQ has sunset CDS Connect as it realigns its CDS program with HHS priorities.  Launched in 2016 in collaboration with The MITRE Corporation, CDS Connect served as a free web-based platform that enabled the CDS community to identify evidence-based care, translate and codify information using an interoperable health IT standard, and leverage tools to promote a collaborative model of CDS development.  For those interested in continuing to use CDS Connect resources, source code for several tools is freely available at AHRQ’s CDS GitHub site.  The CDS Connect community has already leveraged open-source tools to create new versions, such as the CDS Connect Authoring Tool - Community Edition hosted by HL7 FHIR Foundry.

If you have any questions or comments, please e-mail: clinicaldecisionsupport@ahrq.hhs.gov.

The Digital Healthcare Research Program’s mission is to determine how components of the digital healthcare ecosystem can best come together to positively affect healthcare delivery and create value for patients and their families.
Website: https://digital.ahrq.gov/
Funded Projects Database: https://digital.ahrq.gov/ahrq-funded-projects/search
Contact: DigitalHealthcareResearch@ahrq.hhs.gov

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