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Published on: February 16, 2011
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Patient-centered clinical decision support challenges and opportunities identified from workflow execution models
Dean F Sittig1, Aziz Boxwala2, Adam Wright3
1Department of Clinical and Health Informatics, University of Texas Health Science Center, Houston, TX 77030, United States.
Summary
New models highlight challenges and opportunities for patient-centered clinical decision support (PC CDS). Implementing PC CDS requires updated policies, processes, technology, and expertise for managing patient-generated health data (PGHD) and remote devices.
Area of Science:
- Health Informatics
- Clinical Decision Support Systems
- Healthcare Policy
Background:
- Patient-centered clinical decision support (PC CDS) is evolving.
- New workflows necessitate updated policies, processes, technology, and expertise.
- Integrating patient-generated health data (PGHD) presents unique challenges.
Purpose of the Study:
- To develop workflow execution models for PC CDS.
- To identify key considerations for implementing patient-centered care.
- To highlight requirements for new PC CDS policies and infrastructure.
Main Methods:
- Targeted literature reviews.
- Key informant interviews with 6 PC CDS experts.
- Model refinement by authors and validation by a 26-member steering committee.
Main Results:
- Identified 7 major challenges and opportunities for PC CDS implementation.
- Highlighted needs for managing PGHD (including PROs) and patient education on connected devices.
- Emphasized requirements for EHR integration, data troubleshooting, longitudinal data dashboards, reimbursement, and remote device support.
Conclusions:
- Safe and effective PC CDS implementation requires new policies, processes, technologies, and expertise.
- Addressing identified challenges will facilitate the positive impact of patient-centered care.
- Ongoing experience with PC CDS will refine its long-term benefits for patient health.
Keywords:
clinicaldecision support systemspatient-generated health datapatient-reported outcome measuresworkflowMore Related Videos
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