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Alerts to improve chart documentation for National Quality Measures.
Kevin M Heard1, James M Hollands, Laura A Noirot
1BJC HealthCare, St. Louis, MO, USA.
AMIA ... Annual Symposium Proceedings. AMIA Symposium
|August 13, 2008
Summary
Clinical decision support (CDS) rules improve acute myocardial infarction (AMI) secondary prevention. Enhancements to documentation forms for contraindications streamline medication adherence and pharmacy workflow.
Area of Science:
- Healthcare Informatics
- Clinical Pharmacy
- Cardiology
Background:
- Clinical decision support (CDS) systems are vital for guideline adherence in secondary prevention of acute myocardial infarction (AMI).
- Existing CDS alert systems require optimization for efficient documentation of medication contraindications.
Purpose of the Study:
- To evaluate the impact of enhanced documentation forms within a CDS system for AMI secondary prevention.
- To analyze changes in pharmacy workflow resulting from CDS enhancements.
Main Methods:
- Implementation of an enhanced web response form for CDS alerts related to AMI secondary prevention medications (ACE/ARB, beta blockers, aspirin, lipid-lowering agents).
- Analysis of the impact of these enhancements on documentation practices and pharmacy workflow.
- Utilized data from BJC HealthCare's academic facility over a five-year period.
Main Results:
- The enhanced CDS alert form facilitated improved documentation of contraindications for key secondary prevention medications.
- Observed changes in pharmacy workflow patterns following the implementation of the enhanced documentation system.
Conclusions:
- Enhancements to CDS alert forms can improve the documentation of medication contraindications in AMI secondary prevention.
- Optimized CDS systems and associated workflows contribute to better adherence to clinical guidelines.
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