With at least 40% new or updated content since the last edition, Clinical Decision Support, 2nd Edition explores the crucial new motivating factors poised to accelerate Clinical Decision Support (CDS) adoption. This book is mostly focused on the US perspective because of initiatives driving EHR adoption, the articulation of 'meaningful use', and new policy attention in process including the Office of the National Coordinator for Health Information Technology (ONC) and the Center for Medicare and Medicaid Services (CMS). A few chapters focus on the broader international perspective. Clinical Decision Support, 2nd Edition explores the technology, sources of knowledge, evolution of successful forms of CDS, and organizational and policy perspectives surrounding CDS.
Exploring a roadmap for CDS, with all its efficacy benefits including reduced errors, improved quality, and cost savings, as well as the still substantial roadblocks needed to be overcome by policy-makers, clinicians, and clinical informatics experts, the field is poised anew on the brink of broad adoption. Clinical Decision Support, 2nd Edition provides an updated and pragmatic view of the methodological processes and implementation considerations. This book also considers advanced technologies and architectures, standards, and cooperative activities needed on a societal basis for truly large-scale adoption.
- At least 40% updated, and seven new chapters since the previous edition, with the new and revised content focused on new opportunities and challenges for clinical decision support at point of care, given changes in science, technology, regulatory policy, and healthcare finance
- Informs healthcare leaders and planners, health IT system developers, healthcare IT organization leaders and staff, clinical informatics professionals and researchers, and clinicians with an interest in the role of technology in shaping healthcare of the future
Table of Contents
SECTION I: COMPUTER-BASED CLINICAL DECISION SUPPORT: OVERVIEW, STATUS, AND CHALLENGES
Chapter 1: Definition, Scope, and Challenges
Chapter 2: A Brief History of Clinical Decision Support
Chapter 3: Features of Computer-Based Clinical Decision Support
Chapter 4: The Role of Quality Measurement and Reporting Feedback as a Driver for Care Improvement
SECTION II: EXPERIENCE WITH CDS DEVELOPMENT AND ADOPTION: CASE STUDIES, NATIONAL INITIATIVES, AND LESSONS LEARNED
Chapter 5: Regenstrief Medical Informatics
Chapter 6: Patients, Doctors, and Information Technology Clinical Decision Support at Brigham and Women's Hospital and Partners HealthCare
Chapter 7: Computer-Based Approaches to Improving Healthcare Quality and Safety at LDS Hospital
Chapter 8: International Dimensions of Clinical Decision Support
Chapter 9: Current State of CDS Utilization
SECTION III: SOURCES OF KNOWLEDGE FOR CLINICAL DECISION SUPPORT
Chapter 10: Human-Intensive Techniques
Chapter 11: Generation of Knowledge for Clinical Decision Support
Chapter 12: Modernizing Evidence Synthesis for Evidence-Based Medicine
Chapter 13: Big Data and Population-Based Decision Support
Chapter 14: Clinical Decision Support for Personalized Medicine
SECTION IV: THE TECHNOLOGY OF CLINICAL DECISION SUPPORT
Chapter 15: Decision Rules and Expressions
Chapter 16: Guidelines and Workflow Models
Chapter 17: Ontologies, Vocabularies, and Data Models
Chapter 18: Grouped Knowledge Elements
Chapter 19: Infobuttons and Point of Care Access to Knowledge
Chapter 20: Formal Representations and Semantic Web Technologies
Chapter 21: The Role of Standards
SECTION V: ADOPTION OF CLINICAL DECISION SUPPORT
Chapter 22: Cognitive Considerations for Health Information Technology
Chapter 23: Organizational and Cultural Change
Chapter 24: Managing the Investment in Clinical Decision Support
Chapter 25: A Clinical Decision Support Implementation Guide: Practical Considerations
Chapter 26: Legal and Regulatory Issues Related to the Use of Clinical Software in Health Care Delivery
Chapter 27: Consumers and Clinical Decision Support
SECTION VI: THE JOURNEY TO WIDESPREAD USE OF CLINICAL DECISION SUPPORT
Chapter 28: A Clinical Knowledge Management Program
Chapter 29: Integration of Knowledge Resources into Applications to Enable CDS
Chapter 30: Looking Ahead: The Road to Broad Adoption
