Shared Decision Making Programme launches 14 Patient Decision Aids [UK] – 10 January 2013

Posted on January 15, 2013. Filed under: Patient Participation | Tags: |

Shared Decision Making Programme launches 14 Patient Decision Aids [UK] – 10 January 2013

“The aim of the Right Care Shared Decision Making Programme is to embed Shared Decision Making in NHS care. This is part of the wider ambition to promote patient centred care, to increase patient choice, autonomy and involvement in clinical decision making and make “no decision about me, without me” a reality.”

Shared decision making site
“Decision Support is a process for helping individuals to arrive at an evidence based choice regarding their treatment, where there is more than one option for treating their condition.”

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Integrating Clinical Decision Support Into Workflow—Final Report – AHRQ – September 2011

Posted on October 4, 2011. Filed under: Evidence Based Practice, Health Informatics, Knowledge Translation | Tags: , |

Integrating Clinical Decision Support Into Workflow—Final Report – AHRQ – September 2011

Doebbeling BN, Saleem J, Haggstrom D, et al. Integrating Clinical Decision Support Into Workflow—Final Report. (Prepared by Indiana University, Regenstrief Institute under Contract No. HSA290200600013-3.) AHRQ Publication No. 11-0076-EF. Rockville, MD: Agency for Healthcare Research and Quality. September 2011.

Agency for Healthcare Research and Quality – AHRQ Publication No. 11-0076-EF

“Structured Abstract

Purpose: The aims were to (1) identify barriers and facilitators related to integration of clinical decision support (CDS) into workflow and (2) develop and test CDS design alternatives.

Scope: To better understand CDS integration, we studied its use in practice, focusing on CDS for colorectal cancer (CRC) screening and followup. Phase 1 involved outpatient clinics of four different systems—120 clinic staff and providers and 118 patients were observed. In Phase 2, prototyped design enhancements to the Veterans Administration’s CRC screening reminder were compared against its current reminder in a simulation experiment. Twelve providers participated.

Methods: Phase 1 was a qualitative project, using key informant interviews, direct observation, opportunistic interviews, and focus groups. All data were analyzed using a coding template, based on the sociotechnical systems theory, which was modified as coding proceeded and themes emerged. Phase 2 consisted of rapid prototyping of CDS design alternatives based on Phase 1 findings and a simulation experiment to test these design changes in a within-subject comparison.

Results: Very different CDS types existed across sites, yet there are common barriers: (1) lack of coordination of “outside” results and between primary and specialty care; (2) suboptimal data organization and presentation; (3) needed provider and patient education; (4) needed interface flexibility; (5) needed technological enhancements; (6) unclear role assignments; (7) organizational issues; and (8) disconnect with quality reporting. Design enhancements positively
impacted usability and workflow integration but not workload.

Conclusions: Effective CDS design and integration requires: (1) organizational and workflow integration; (2) integrating outside results; (3) improving data organization and presentation in a flexible interface; and (4) providing just-in time education, cognitive support, and quality reporting.”

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Driving Quality and Performance Measurement – A Foundation for Clinical Decision Support – National Quality Forum – December 2010

Posted on January 20, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Health Informatics | Tags: , , , , |

Driving Quality and Performance Measurement – A Foundation for Clinical Decision Support – National Quality Forum – December 2010
Page Count: 58

Abstract

“Increasing deployment, adoption, and meaningful use of electronic health records (EHRs) and health IT systems in the United States offers great potential to im¬prove the healthcare system. An important means to advance this goal is to measure performance, ensuring that relevant clinical knowledge is available at the point of care and implemented in a manner that promotes optimal care delivery. Properly positioned, clinical decision support (CDS) tools can play an important role. This report describes the development of the NQF CDS Taxonomy, the relationship between quality measurement and CDS, and the mapping of the Taxonomy to the QDS Model—an information model that lays the foundation for automatic, patient-centric, longitudinal quality measurement. The CDS Taxonomy should assist health IT system developers, system implementers, and the quality improvement community to develop tools, content, and procedures that are compatible and enable comprehensive use of CDS, thereby improving delivery of appropriate, evidenced-based care.”

ISBN 978-0-9828421-2-6

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HIMSS launches clinical decision support wiki – 31 July 2009

Posted on August 1, 2009. Filed under: Health Informatics | Tags: , , , |

HIMSS launches clinical decision support wiki
July 31, 2009 | Kyle Hardy, Community Editor

“CHICAGO – The Healthcare Information and Management Systems Society has deployed a new wiki to allow healthcare organizations to collaborate on realizing the full potential of clinical decision support solutions.

With CDS being a critical part of “meaningful use” criteria, implementation and proper use of the systems is expected to improve care delivery and diagnosis, lowering costs of care for patients. The HIMSS Clinical Decision Support Task Force has now opened its CDS Wiki to the public.

The wiki concept allows a group of users to collaboratively edit a centralized document online.” … continues on the HealthCareITNews site

HIMSS Clinical Decision Support Wiki

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