Overview:

The overall goal of the Program for Clinical Decision Support is to provide timely, targeted, meaningful decision support based on the latest evidence, as well as clinical and genomic data at the point of care to improve health outcomes.

Clinical decision support systems (CDSS) use innovative algorithm-based software incorporated into electronic medical records (EMR) to manage the massive amounts of medical data and scientific evidence to augment the awareness and expert knowledge of clinicians and guide their decision-making process for each patient. The goal of CDSS is to provide pertinent and timely information at the point of care. CDSS is an evolving technology with the potential for wide applicability to individualize and improve patient outcomes and health care resource utilization, but, as with any new intervention, require thoughtful design, implementation and critical evaluation.

Many current systems provide guidance that lacks relevance to the specific patient receiving care, present data poorly, and cause alert fatigue. A key goal of the PCDS is to ensure that CDSS are perceived and are, in fact, actually helpful to clinicians, rather than an encumbrance that interrupts health care delivery. Designs will incorporate the engagement of all clinicians including physicians, nurses, pharmacists and other professionals involved in the delivery of health care.

The Program provides:

  • Critical independent analysis of medical evidence to guide clinical practice.
  • Design of CDSS with stakeholder engagement.
  • Ongoing measurement of sensitivity and positive predictive value of each CDSS.
  • Monitoring of CDSS performance, studying how clinicians respond to CDSS advisories and recommendations.
  • Collection and analysis of feedback from clinicians for iterative improvements in CDSS logic and presentation.
  • Leadership in medical education and training on precision medicine and clinical decision support systems.