Developing a framework for establishing clinical decision support meaningful use objectives for clinical specialties – RAND – 2012

Posted on October 23, 2012. Filed under: Evidence Based Practice, Health Informatics, Knowledge Translation | Tags: , |

Developing a framework for establishing clinical decision support meaningful use objectives for clinical specialties – RAND – 2012

Extract from the preface

“The federal electronic health record (EHR) incentive program includes clinical decision support (CDS) as a central requirement of improving health outcomes; however, a process for identifying and prioritizing the most-promising targets for CDS has not been established. CDS provides those involved in care processes with general and person-specific information, intelligently filtered and organized, at appropriate times, to enhance health and health care.

This report describes a protocol for eliciting high-priority targets for electronic CDS for individual clinical specialties, which could serve to inform policymakers’ deliberations and establishment of CDS meaningful use objectives. Researchers from the RAND Corporation tested the protocol with four clinical specialties: oncology, orthopedic surgery, interventional cardiology, and pediatrics. A CDS target was defined as a clinical performance gap having one or more CDS opportunities that can be implemented to address the gap.  A CDS opportunity is defined as a specific CDS intervention that could be expected to address a clinical performance gap. CDS opportunities include existing CDS tools or interventions that might be developed in the short term.”

… continues on the site

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