Component 6- Health Management Information Systems Unit 5-2 Clinical Decision Support Systems This material was developed by Duke University, funded by.

Slides:

Advertisements

Similar presentations

Unit 6c: Alerts and Clinical Reminders Decision Support for Quality Improvement This material was developed by Johns Hopkins University, funded by the.

Advertisements

Vision of how informatics enables a transformed health system Joyce Sensmeier MS, RN-BC, CPHIMS, FHIMSS, FAAN Vice President, Informatics, HIMSS President,

Building Public Health / Clinical Health Information Exchanges: The Minnesota Experience Marty LaVenture, MPH, PhD Director, Center for Health Informatics.

August 12, Meaningful Use *** UDOH Informatics Brown Bag Robert T Rolfs, MD, MPH.

Unit 6b: Clinical Decision Support Systems that Help Improve Quality Decision Support for Quality Improvement This material was developed by Johns Hopkins.

Decision Support for Quality Improvement

National Standards for Safer Better Healthcare

Component 2: The Culture of Health Care Unit 3: Health Care Settings— The Places Where Care Is Delivered Lecture 3 This material was developed by Oregon.

Unit 11C: Data Quality Attributes Data Quality Improvement This material was developed by Johns Hopkins University, funded by the Department of Health.

The Culture of Healthcare

Unit 1a: Health Care Quality and HIT Introduction to QI and HIT This material was developed by Johns Hopkins University, funded by the Department of Health.

Component 2: The Culture of Health Care Unit 6: Nursing Care Processes Lecture 1 This material was developed by Oregon Health & Science University, funded.

So You Want to Do CDS A C-Level Introduction to Clinical Decision Support.

Introduction to Healthcare and Public Health in the US The Evolution and Reform of Healthcare in the US Lecture d This material (Comp1_Unit9d) was developed.

Component 6 - Health Management Information Systems Unit 2-2 -Hardware and Software Supporting Health Information Systems.

This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information.

State HIE Program Chris Muir Program Manager for Western/Mid-western States.

Health Management Information Systems Computerized Provider Order Entry (CPOE) Lecture b This material Comp6_Unit4b was developed by Duke University funded.

Component 16-Professionalism/Customer Service in the Health Environment Unit 5-Regulatory Issues: HIPAA and Standard Precautions This material was developed.

Unit 1b: Health Care Quality and Meaningful Use Introduction to QI and HIT This material was developed by Johns Hopkins University, funded by the Department.

This material was developed by Oregon Health & Science University, funded by the Department of Health and Human Services, Office of the National Coordinator.

Unit 5a: Care Coordination HIT Design for Teamwork and Communication This material was developed by Johns Hopkins University, funded by the Department.

Configuring Electronic Health Records Meaningful Use and Implementation Lecture b This material (Comp11_Unit8b) was developed by Oregon Health & Science.

Component 6 - Health Management Information Systems Unit 1-2 What is Health Informatics?

Component 16- Professionalism/Customer Service in the Health Environment Unit 1-Customer Service in Healthcare IT Lecture 1b- Measurement Challenges in.

Health Management Information Systems

This material was developed by Oregon Health & Science University, funded by the Department of Health and Human Services, Office of the National Coordinator.

The Culture of Healthcare Privacy, Confidentiality, and Security Lecture d This material (Comp2_Unit9d) was developed by Oregon Health and Science University,

Component 8 Installation and Maintenance of Health IT Systems Unit 1a Elements of a Typical Electronic Health Record System This material was developed.

Component 3-Terminology in Healthcare and Public Health Settings Unit 15-Overview/ Introduction to the EHR This material was developed by The University.

Component 6 - Health Management Information Systems

Component 3-Terminology in Healthcare and Public Health Settings Unit 16-Definitions and Concepts in the EHR This material was developed by The University.

Component 2: The Culture of Health Care Unit 9: Sociotechnical Aspects: Clinicians and Technology Lecture 3 This material was developed by Oregon Health.

Working with HIT Systems Unit 8a: HIT system planning, acquisition, installation, and training: Practices to Support & Pitfalls to Avoid This material.

Terminology in Health Care and Public Health Settings Unit 15 Overview / Introduction to the EHR.

This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information.

Health Management Information Systems

Unit 6a: Clinical Decision Support System (CDSS) basics Decision Support for Quality Improvement This material was developed by Johns Hopkins University,

This material was developed by Oregon Health & Science University, funded by the Department of Health and Human Services, Office of the National Coordinator.

Data Quality Improvement This material was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the.

Component 1: Introduction to Health Care and Public Health in the U.S. 1.9: Unit 9: The evolution and reform of healthcare in the US 1.9d: The Patient.

This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information.

Component 2: The Culture of Health Care

Health Management Information Systems Unit 3 Electronic Health Records Component 6/Unit31 Health IT Workforce Curriculum Version 1.0/Fall 2010.

This material was developed by Oregon Health & Science University, funded by the Department of Health and Human Services, Office of the National Coordinator.

NHII Financial Incentives Track A Summary of Recommendations.

Component 6 - Health Management Information Systems Unit 9-2 Administrative, Billing, and Financial Systems This material was developed by Duke University,

Configuring Electronic Health Records Privacy and Security in the US Lecture a This material (Comp11_Unit7a) was developed by Oregon Health & Science University.

Health Information Technology Summit John Tooker, MD, MBA, FACP Executive Vice President/CEO American College of Physicians Washington, DC October 21,

Unit 11d: Common Causes of Insufficient Data Quality & Design Recommendation Data Quality Improvement This material was developed by Johns Hopkins University,

Component 6 -Health Management Information Systems Unit 6-1 Patient Monitoring Systems.

Health Management Information Systems Unit 6 Patient Monitoring Systems.

Component 1: Introduction to Health Care and Public Health in the U.S. 1.9: Unit 9: The evolution and reform of healthcare in the US 1.9c: Quality Indicators.

California Department of Public Health / 1 CALIFORNIA DEPARTMENT OF PUBLIC HEALTH Standards and Guidelines for Healthcare Surge during Emergencies How.

Terminology in Healthcare and Public Health Settings Electronic Health Records Lecture a – Introduction to the EHR This material Comp3_Unit15 was developed.

Terminology in Healthcare and Public Health Settings Electronic Health Records Lecture b – Definitions and Concepts in the EHR This material Comp3_Unit15.

Health Management Information Systems Clinical Decision Support Systems Lecture b This material Comp6_Unit5b was developed by Duke University, funded by.

Health Management Information Systems Health Information Systems Overview Lecture a This material Comp6_Unit2a was developed by Duke University, funded.

History of Health Information Technology in the U.S.

Health Management Information Systems Consumer Health Informatics Lecture a This material Comp6_Unit8a was developed by Duke University, funded by the.

Health Management Information Systems Electronic Health Records Lecture b This material Comp6_Unit3b was developed by Duke University, funded by the Department.

Health Management Information Systems What is Health Informatics? Lecture a This material Comp6_Unit1 was developed by Duke University, funded by the Department.

History of Health Information Technology in the U.S. The HITECH Act Lecture b – Meaningful Use, Health Information Exchange and Research This material.

Health Management Information Systems Health Information Systems Overview Lecture b This material Comp6_Unit2b was developed by Duke University, funded.

This material was developed by Oregon Health & Science University, funded by the Department of Health and Human Services, Office of the National Coordinator.

Component 6 - Health Management Information Systems Unit 2-1b - Hardware and Software Supporting Health Information Systems.

Health Management Information Systems

Arizona Health-e Connection Leadership from Governor Napolitano

Component 11 Unit 7: Building Order Sets

Component 1: Introduction to Health Care and Public Health in the U.S.

Presentation transcript:

Component 6- Health Management Information Systems Unit 5-2 Clinical Decision Support Systems This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC

Objectives Identify the challenges and barriers to building and using CDSSs. Discuss legal and regulatory considerations related to the distribution of CDSSs. Describe current initiatives that will impact the future and effectiveness of CDSSs. Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

CDSS Challenges Achievement of the five rights of clinical decision support –Requires communicating the Right information To the right person In the right format Through the right channel At the right time _five_rights.htm Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

CDS Five Rights Model Right information –Evidence-based, suitable to guide action, pertinent to the circumstance To the right person –Considering all members of the care team In the right format Through the right channel At the right time _five_rights.htm Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

Challenges in Designing or Selecting CDSS Whose decisions are being supported? What information is presented? When is the information being presented? How is the information being presented? Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

User Control User presentation –Automatically –On demand User reaction Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

CDS Intent and Key Issues CDS IntentMatch to User’s Intention Key Issues Reminder of actions user intends to do, but should not have to remember (automatic) HighTiming Provide information when user is unsure what to do (on demand) HighSpeed and ease of access Correct user’s errors and/or recommend user change plans (automatic or on demand) LowAutomatic: timing, autonomy and user control over response On demand: speed, ease of access, autonomy and user control over response Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

Challenges in Building CDSS Impact on Care Process and Patient Health Outcomes –Match of CDS to user intentions –User control, disruptiveness, and risk –Integration of CDS into work processes Impact on Structure Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

Barriers to Using CDSS Acquisition and validation of patient data Modeling of medical knowledge Elicitation of medical knowledge Shortliffe, E., Biomedical informatics: computer applications in health care and biomedicine Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

Barriers to Using CDSS Representation of and reasoning about medical knowledge Validation of system performance Integration of decision-support tools Shortliffe, E., Biomedical informatics: computer applications in health care and biomedicine Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

Legal Barriers Lack of detailed case laws for CDSS –Which category of law Negligence law Product liability law Shortliffe, E., Biomedical informatics: computer applications in health care and biomedicine Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

Legal Barriers Liability borne by –Physicians –Developers of systems Shortliffe, E., Biomedical informatics: computer applications in health care and biomedicine Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

Regulatory Barriers Prerelease regulations of medical software Data privacy and security Shortliffe, E., Biomedical informatics: computer applications in health care and biomedicine Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

Legislative and Regulatory Efforts Better align efforts across various stakeholders Explore options to establish or leverage a public-private entity to facilitate collaboration Accelerate CDS development and adoption though federal government programs and collaborations Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

Future Directions for CDSS ONC initiatives IOM studies Meaningful use objectives and measures Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

ONC Initiatives Major activities –Development of a Roadmap for National Action on Clinical Decision Support –Created CDS recommendations –Sponsored a Clinical Decision Support (CDS) Workshop –CDS Government Collaboratory “Advancing CDS” contract –IOM study Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

IOM Studies 1999 IOM study –To improve safety, health IT systems should be designed to make it “easy to do the right thing.” 2010 –Launch of a new study on ensuring the efficacy of information technology in improving healthcare safety To err is human: building a safer health system. Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

Stage 1 Meaningful Use ARRA/HITECH Regulations –Meaningful Use Objectives »Eligible Professional »Hospital Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring

Summary Challenges and barriers in building and using clinical decision support systems Legal and regulatory barriers in the distribution of these systems Future directions for clinical decision support systems Component 6/Unit 5-2 Health IT Workforce Curriculum Version 2.0/Spring