October 23, 2020: Outpatient Clinical Decision Support – An Evidence-Based Implementation Framework (Patrick O’Connor, MD, MA, MPH; JoAnn Sperl-Hillen, MD)

Speakers

Patrick O’Connor, MD, MA, MPH
Senior Clinical Investigator
HealthPartners Institute

JoAnn Sperl-Hillen, MD
Senior Clinical Investigator
HealthPartners Institute

Outpatient Clinical Decision Support – An Evidence-Based Implementation Framework

Clinical decision support; Electronic health record (EHR); Automated tools; Web applications; Clinical informatics

A well-designed clinical decision support (CDS) system should fire only when there is a potential large benefit, such as a cardiovascular benefit for patients with a reversible risk. The CDS trigger should be patient-centric, and the system should save clinician time and improve the quality of care.
The CDS in question was designed for use in cardiovascular (CV) disease to:
- Identify and target individuals with the greatest potential for a CV benefit and prioritize CV risk factors based on potential benefit.
- Display personalized treatment options (eg, medication intensification, behavioral/lifestyle change, safety alerts, referrals, and testing due).
- Provide tools to both the patient and clinician to support patient engagement and shared decision-making.

How are the interventions prioritized in the CDS system? What about decision-making across other clinical domains?

What do you see as the drivers of uptake and adoption of CDS with triggers compared with telehealth?

What clinic challenges did you encounter after the onset of COVID-19?