Challenges in creating an enterprise clinical rules service.

Area of Science:

• Health Informatics
• Clinical Decision Support Systems

Background:

• Current Clinical Decision Support (CDS) functions are fragmented across the enterprise.
• A need exists for consistent standards of care irrespective of patient location.
• Existing CDS models require migration to a more supportable and scalable architecture.

Purpose of the Study:

• To report progress on developing and implementing an enterprise-wide strategy for Clinical Decision Support (CDS) systems.
• To enable consistent standards of care across Partners HealthCare.
• To migrate current CDS functions to a supportable and scalable model.

Main Methods:

• Developing and implementing an enterprise-wide strategy for CDS systems and services.
• Defining consistent standards for CDS development and deployment.
• Planning the migration of existing CDS functions.

Main Results:

• Progress has been made toward the stated goals of enterprise-wide CDS availability and consistent care standards.
• Steps have been taken and proposed to achieve a scalable CDS model.
• Remaining challenges in CDS implementation have been identified.

Conclusions:

• The strategy facilitates enterprise-wide CDS availability, promoting consistent patient care.
• The initiative addresses the need for a scalable and supportable model for CDS functions.
• Ongoing efforts are focused on overcoming identified challenges to fully realize the strategy's benefits.