National Academy of Medicine

Optimizing Strategies for Clinical Decision Support

       | Summary of a Meeting Series

As a result of a collaboration between the NAM and the Office of the National Coordinator for Health Information Technology, this NAM Special Publication summarizes and builds upon a meeting series in which a multistakeholder group of experts discussed the potential of clinical decision support (CDS) to transform care delivery by ameliorating the burden that expanding clinical knowledge and care and choice complexity place on the finite time and attention of clinicians, patients, and members of the care team. This summary also includes highlights from discussions to address the barriers to realizing the full benefits of CDS-facilitated value improvement.

Optimizing Strategies for Clinical Decision Support identifies the need for a continuously learning health system driven by the seamless and rapid generation, processing, and practical application of the best available evidence for clinical decision-making, and lays out a series of actionable collaborative next steps to optimize strategies for adoption and use of clinical decision support.

Download the Special Publication

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From the Special Publication

Priorities for Collaborative Action

  1. Establish CDS technical standards
  2. Engage federal leadership for CDS standards innovation and maturation
  3. Create a CDS technical information resource
  4. Disseminate best practices
  5. Create a national CDS repository
  6. Measure CDS usage
  7. Develop tools to assess CDS efficacy
  8. Publish performance evaluations
  9. Market CDS to stakeholders
  10. Promote financing and measurement to accelerate CDS adoption
  11. Create a legal framework for CDS
  12. Develop a multi-stakeholder CDS learning community to inform usability
  13. Establish an investment program for CDS research 

Meetings

March 16, 2016 | Meeting 1 
October 27, 2016 | Meeting 2
February 10, 2017 | Meeting 3


Sponsor

This project was made possible by the Office of the National Coordinator for Health Information Technology.

Steering Committee

James E. Tcheng, MD, FACC, FSCAI, FSEC, Duke University School of Medicine (Chair)
Suzanne Bakken, PhD, RN, FAAN, FACMI, Columbia University

Edwin  A. Lomotan, MD, FAAP, Agency for Healthcare Research and Quality
David W. Bates,  MD, MSc, Brigham and Women’s Hospital
Erin Mackay, MPH, National Partnership for Women & Families
Hugh Bonner III, MD, Saint Francis Healthcare
Tejal K. Gandhi, MD, MPH, CPPS, National Patient Safety Foundation
Jonathan Teich, MD, PhD, Brigham and Women’s Hospital, Harvard University
Meredith Josephs, MD, MPH, FAAFP, Privia Health
Scott Weingarten,  MD, MPH, Cedars-Sinai Health System


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