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Decision support in medicine: lessons from the HELP system.

Peter J Haug1, Beatriz H S C Rocha, R Scott Evans

  • 1Department of Medical Informatics, Intermountain Health Care of Utah, University of Utah, 4646 Lake Park Blvd., Salt Lake City, UT 84120-8212, USA.

International Journal of Medical Informatics
|June 18, 2003
PubMed
Summary

Researchers are transitioning from the HELP Hospital Information System to HELP II, focusing on enhancing medical decision support. Key features include data access, continuous improvement, data mining, and clinical reports for better healthcare.

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Area of Science:

  • Health Informatics
  • Medical Decision Support Systems
  • Clinical Information Management

Background:

  • The report details the transition from the original HELP Hospital Information System to its successor, HELP II.
  • HELP II is designed to manage clinical information across diverse medical settings.
  • Research on medical decision support has been conducted by the University of Utah and Intermountain Health Care (IHC).

Purpose of the Study:

  • To describe the ongoing transition to the HELP II Health Information System.
  • To focus on the medical decision support capabilities of the HELP II system.
  • To identify successful decision support features from the original HELP system and lessons learned for transfer to HELP II.

Main Methods:

  • Identification of successful decision support features from the legacy HELP system.

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  • Analysis of lessons learned during the development and implementation of the HELP system's decision support.
  • Planning for the transfer of these successful features and strategies to the new HELP II system.

    • Main Results:

    • Emphasis on the critical role of accessible patient data for effective decision support.
    • Highlighting the necessity for continuous measurement and refinement of decision support logic and intervention strategies.
    • Demonstrating the utility of data mining in developing advanced decision support tools.
    • Underscoring the importance of clinical reports in aiding healthcare professionals' decision-making processes.

    Conclusions:

    • The transition to HELP II aims to enhance medical decision support through proven strategies.
    • Key elements for successful decision support include data accessibility, iterative improvement, data mining, and robust reporting.
    • These findings provide a framework for developing and implementing effective health information systems.