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Operational Aspects of a Clinical Decision Support Program.

Gary W Procop1, Allison L Weathers2, Anita J Reddy3

  • 1Molecular Microbiology, Mycology, Parasitology and Virology Laboratories, Enterprise Laboratory Stewardship Committee, Department of Medical Operations, Cleveland Clinic Lerner College of Medicine, Cleveland Clinic, 9500 Euclid Avenue/ LL2-131, Cleveland, OH 44195, USA.

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Clinical decision support tools for test utilization require joint oversight from laboratory stewardship committees and hospital informatics teams. Effective implementation hinges on leadership, provider buy-in, and committee collaboration.

Keywords:
Best practice focusedCollaborativeDecision supportFunctionalLaboratory stewardshipMeasurable outcomesNon-intrusive

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Area of Science:

  • Healthcare Management
  • Medical Informatics
  • Laboratory Medicine

Background:

  • Optimizing laboratory test utilization is crucial for healthcare efficiency and patient outcomes.
  • Clinical decision support (CDS) tools offer a promising avenue for improving test ordering practices.
  • Effective implementation of CDS tools requires interdisciplinary collaboration.

Purpose of the Study:

  • To review the collaborative oversight models for clinical decision support tools aimed at improving laboratory test utilization.
  • To examine the challenges and successes of laboratory stewardship interventions at the Cleveland Clinic.
  • To provide insights into the critical factors for successful implementation of such tools.

Main Methods:

  • Review of operationalized laboratory stewardship interventions utilizing CDS tools at Cleveland Clinic.
  • Analysis of institutional factors influencing the effectiveness of stewardship efforts.
  • Synthesis of relevant literature on laboratory stewardship and CDS.

Main Results:

  • Joint oversight by laboratory stewardship committees and hospital informatics teams is essential for CDS tools.
  • Institutional receptiveness of leadership and providers significantly impacts intervention success.
  • Collaboration and defined roles between committees are critical for effective laboratory stewardship.

Conclusions:

  • Successful laboratory stewardship programs integrating CDS tools depend on strong interdisciplinary collaboration.
  • Leadership support and provider engagement are key determinants of effectiveness.
  • Standardized yet adaptable oversight models are needed for optimizing test utilization.