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Poor integration with clinical workflow is the “Achilles heel” hindering clinical-decision support success, according to a new KLAS report, Clinical Decision Support 2011: Understanding the Impact. Additionally, many reported issues with alert fatigue, describing it as an “overly sensitive mess.” KLAS also stated most tools did well in one of these main arenas, but rarely [...]
The critical factor in determining the risk posed by different types of clinical decision support (CDS) software is whether that support “is mediated by a human being,” stated AMIA in a comment letter sent to the FDA, which is preparing draft guidance on mobile medical applications. The FDA’s most rigorous attention, AMIA advised, should be [...]
A new study from Johns Hopkins reveals the value of standard protocols (aka, clinical practice guidelines) on reduction of central line infections in the ICU– $1.1M per year. If I were CEO of an insurance company or major employer paying for healthcare, my contracts would require my healthcare providers to show proof that they’ve implemented evidence [...]
*Thoughts on Meaningful Use
*”The biggest issue we have with Meaningful use is the collision with ICD-10″
*”CPOE is a huge cultural shift and will likely be the toughest one for community hospitals”
*Physician freedom versus evidence-based medicine
*”There’s still an art to this as well as a science”
George McCulloch, Deputy CIO, Vanderbilt University Medical Center, Chapter 2 [ 16:55 ] Play Now | Play in Popup | Download (230)In some cases, the utility of patient genotyping prior to therapeutics is of unquestioned value. In non-Hodgkin’s and Mantle Cell lymphoma, DNA sequencing of the tumor provides personalized cancer vaccines that demonstrate statistically significant Phase III clinical trial results with disease-free survival benefit in treatment of these types of follicular lymphoma [1]. The Oncotype DX® [...]
When asked which element of electronic clinical decision support (CDS) was having the greatest positive impact on their organizations, healthcare providers cited orders sets more than any others, according to a recent KLAS report, Clinical Decision Support: Striving for More Intelligent Care. While 38 percent selected order sets, evidence-based alerts and reference content were also mentioned as most impactful by 19 percent and 10 percent of providers, respectively.
Jason Hess, KLAS GM of Clinical Research, Discusses CDS, Podcast [ 40:00 ] Play Now | Play in Popup | Download (220)
The National Qualify Forum (NQF) has released two reports — Driving Quality — A Health IT Assessment Framework for Measurement and Driving Quality and Performance Measurement — A Foundation for Clinical Decision Support — which seek to “lay the groundwork for what kind of standards and certification criteria should be considered and put into practice [...]
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