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Examining the relationship between clinical decision support and performance measurement
David A Haggstrom1, Jason J Saleem, Laura G Militello
1VA HSR&D Center on Implementing Evidence-Based Practice, Roudebush VAMC, Indianapolis, IN, USA.
AMIA ... Annual Symposium Proceedings. AMIA Symposium
|March 31, 2010
Summary
Clinical decision support (CDS) and performance measurement are linked in practice. Shared goals and pay-for-performance initiatives drive the use of clinical reminders, presenting similar implementation challenges for both systems.
Area of Science:
- Health Informatics
- Healthcare Management
- Clinical Practice Improvement
Background:
- Clinical decision support (CDS) and performance measurement are distinct but interrelated organizational processes.
- Understanding their relationship is crucial for optimizing clinical practice.
- Benchmark institutions offer insights into the integration of these tools.
Purpose of the Study:
- To explore the perceived relationship between CDS and performance measurement.
- To understand how these two processes jointly influence clinical practice.
- To identify implementation challenges associated with integrated CDS and performance measurement.
Main Methods:
- Qualitative field study utilizing semistructured interviews.
- Interviews conducted with key managers, IT personnel, and clinical leaders at benchmark institutions.
- Focus on understanding the use of CDS and its connection to performance measurement.
Main Results:
- Improved performance was a common rationale for using clinical reminders (a form of CDS).
- Pay-for-performance initiatives motivated the adoption of clinical reminders.
- Shared performance measures were associated with shared clinical reminders, indicating integration.
Conclusions:
- Clinical reminders and performance measurement are closely linked in practice.
- Shared objectives and financial incentives influence the adoption of clinical reminders.
- The integration of CDS and performance measurement tools leads to overlapping implementation challenges.
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