Health Tech Exam 3

Clinical Decision Support

• provides clinicians, healthcare team members, patients, and caregivers with knowledge and person-specific info, intelligently filtered or presented at appropriate times, to improve decisions, care quality, and patient outcomes

Current federal guidance- CDS

• includes patient CDS

• describes CDS as supporting patients, caregivers, clinicians, and other care- team members

• CDS is the info, knowledge, and process that supports decision

CDSS

• technology used to deliver that support

Clinical reminders

• familiar forms of CDS

• includes

  • order sets

  • documentation templates

  • Calculators and risk scores

  • patient data summaries

  • diagnostive support

  • info buttons and reference links

  • patient facing reminders

  • predictive models

• May be integrated into the EHR, delivered through a separate application, or presented directly to the patient or caregiver

CDS Why

• well designed CDS can help clinicians recognize risks, apply current evidence, reduce selected errors, avoid unnecessary testing, and coordinate care

• poorly designed CDS can interrupt workflow, increase cognitive burden, and contribute to alert fatigue

CDS Benefits and Goals

• reduce errors

• improve care quality

• increase efficiency

• ease cognitive and administrative burden

• support patient engagement and shared decision-making

• promote consistent application of evidence

• identify gaps

• support health equity

• must be thoughtfully implemented

1950s CDS

scientists predicted computers would aid medical decision-making

CDS 70s

• appeared but were stand alone

• De Dombal’s, internist-1, mycin

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