Provider Survey on Automated Clinical Decision Support for Cardiovascular Risk Assessment

Alisha P Chaudhry1, Sujith Samudrala1, Francisco Lopez-Jimenez1

  • 1Department of Cardiovascular Medicine, Mayo Clinic and Mayo Foundation, Rochester, MN.

Insights

Provider feedback indicates that the cardiovascular risk profile clinical decision support (CDS) system is easy to use and valuable for clinical practice. Users desire continued support from CDS systems offering individualized patient data at the point-of-care.

Area of Science:

  • Cardiovascular Medicine
  • Health Informatics
  • Clinical Decision Support Systems

Background:

  • Clinical Decision Support (CDS) systems are increasingly integrated into healthcare to aid in patient management.
  • Cardiovascular risk assessment is a critical component of preventative medicine.
  • Evaluating provider experience with existing CDS tools is essential for optimizing their use and developing improved systems.

Purpose of the Study:

  • To assess healthcare providers' opinions on a current clinical decision support (CDS) system for cardiovascular risk assessment.
  • To gather insights for the development of a new, improved CDS system.

Main Methods:

  • A web-based survey was distributed to 279 providers in the Cardiovascular Medicine department at Mayo Clinic.
  • The survey was conducted between March and April 2018, with a response rate of 35.8% (100 respondents).
  • Respondents were categorized as users of the cardiovascular risk profile CDS system.

Main Results:

  • Of the 100 respondents, 52 were identified as users of the cardiovascular risk profile CDS system.
  • A significant majority of users (80.8%) found the CDS system important or very important for their clinical practice.
  • Users reported the system was easy or very easy to use (86.5%) and supported their clinical thought process (96.0%).

Conclusions:

  • The cardiovascular risk profile CDS system is perceived as user-friendly and beneficial for supporting clinical decision-making at the point-of-care.
  • Providers expressed a strong desire for future electronic health record systems to incorporate similar functionalities, emphasizing the need for continued CDS support with individualized patient data.
Abstract

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