Educate. Collaborate. Share. Network.
Hello! The HIMSS Clinical Decision Support (CDS) Task Force helps guide and execute HIMSS efforts to ensure that CDS delivers on its promise to improve care delivery processes and outcomes.
Terms and Conditions of Use: Please read the Terms and Conditions of Use to understand rules that govern your participation in this wiki.
Primary CDS Task Force Activity Areas (July 2009- June 2010)
1. Supporting Providers in Leveraging CDS to Achieve Meaningful Use:
Federal incentives and penalties related to achieving 'Meaningful Use' of EHRs are just one manifestation of the growing imperative to measurably improve the quality, safety and cost of care delivery. CDS is a powerful tool for ensuring that stakeholders in care processes have the information needed to make decisions that lead to these better outcomes.
The CDS Task Force is engaged in a variety of inter-related activities to synthesize and disseminate successful approaches for harnessing CDS in achieving meaningful use and related healthcare performance improvement objectives. Below is an overview of these activities, with links to further details. Please look over these materials and jump into the fray in areas where we can help you and you can help us!
A brief article on CDS and acheiving Meaningful Meaningful use is here
For an Overview of ways that CDS can help address Meaningful Use, visit the Task Forces's CDS and meaningful use home page
On these pages there are deeper dives into CDS and specific meaningful use requirements:
Preventing Venous Thromboembolism
VTE prevention is a clinical meaningful use measure and a major focus for national improvement efforts. A CDS Task Force workgroup has gathered many insights and tools for applying CDS to VTE prevention. You can learn more and participate through the links below.
Click here:
General Succes Strategies for CDS Programs and Interventions
Success in the many CDS-related aspects of achieving meaningful use will draw on the fundamental work required for effective CDS programs and interventions in general - e.g. thoughtful approaches to governance, goal-setting, measurement, stakeholder engagement, etc. HIMSS has provided extensive guidance on these topics, as outlined below.
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HIMSS CDS Implementer's Guidebook Series
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Learn about the series here
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Join a wiki/community for sharing among users of the latest guide edition [under development - stay tuned]
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Click here to suggest topics for subsequent collaborations (to kick off in 2010)
2. Additional CDS Task Force Interest Areas (July 2009- June 2010)
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Early explorations into HIMSS role in engaging vendors (CIS/CDS) in moving the CDS ball forward
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Click here to share your ideas and check out links
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Tracking, and Providing Input to and Guidance About National CDS- related Activities
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CDS and ARRA (visit this page to join the discussion and help create deliverables)
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Considering additional ways HIMSS can and should support national HIT activities
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Help brainstorm additional high leverage moves for HIMSS to advance CDS SohbetOyunlar1
Additional Information about Wikis and the CDS Task Force
The HIMSS CDS Task Force set up this wiki to help promote the implementation of and collaboration among organizations that are implementing or considering implementation of CDS. We encourage you to share your experiences and collaborate with your colleagues.
Click here to learn how to participate in the HIMSS CDS Task Force
What's a Wiki? It's an easy-to-use Web site that makes it easy to collaborate. Click here for a wiki demo on YouTube. View PowerPoint about Wikis.
Why a Wiki? The wiki provides a forum for stakeholders to develop, use, and discuss Task Force deliverables. The links below provide access to pages where this conversation and work is unfolding. Please browse this home page and links, and join us on this important performance improvement journey.
What's the value of participating? Click here to view testimonials and to share your own comments and thoughts
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Share lessons learned: Join the discussion thread on this topic
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Post CDS Articles in the news: Post and share comments
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Attended an Event?... Share What You Have Learned Here: Join the discussion thread on this topic
Resources:
Join Us!
Explore the wiki and please send any comments or questions to pjohnson@himss.org
Comments (6)
Marietta.Rozental@nychhc.org said
at 3:22 pm on Aug 3, 2009
I have received a comment from one of HHC Doctors - Dr.Jean Fleischman - "thanks for forwarding- I am glad to see that there is so much interest in this very important patient safety initiative--"
Jerry Osheroff said
at 3:30 pm on Aug 3, 2009
can we coax Dr. Fleischman to engage?
Louis J. Capponi, MD said
at 9:39 am on Aug 31, 2009
Hello,
I'm relatively new to using the wiki as a tool for communication across organizations and think this is a forum to share ideas. The resources on this site are robust and the opportunity to share ideas as well as post questions is great.
I oversee clinical information systems in a complex organization of eleven hospitals. As I’m sure is the case for many readers on this site, we have been developing and implementing VTE prophylaxis pathways, first on paper and now electronically, for some time. The issue I’m struggling with is how to ensure that the algorithms for decisions supports remain current. What strategies have organizations taken to ensure that new innovations get translated into updated decision supports locally?
Thanks again. Great site!
sirajanwar said
at 9:57 am on Aug 31, 2009
Glad to see that you are on the WIKI!
To answer your question, you would need to first make sure that you have catalogued your CDS inventory specifically for VTE prophylaxis at all of your facilities. That way you could identify the current workflow at all your hospitals.
In terms of new innovations, it is important to validate them first. This should be done first at a high level by your resident experts in the field. Once validated, you would need to decide how quickly you could implement the changes. If it is apparent that it will take longer than anticipated, it is important to have a quick fix at first as well. As an example, the VTE guidelines changed sometime late last year. We had a VTE prophylaxis tool that was based on the old guidelines. But for us to make the content current, it was taking us much longer. So what we did was add more VTE prophylaxis orders to our surgical order sets so that the physicians could order if deemed necessary.
You have to have a group of dedicated people who are constantly watching for knowledge updates, or you could use a third part to do that for you as well.
I hope this helps.
sirajanwar said
at 9:58 am on Aug 31, 2009
On the second last sentence, it is meant to say "third party".
Jerry Osheroff said
at 10:34 am on Aug 31, 2009
Thanks for your question Lou - raises critical issues around knowledge management in a CDS program. As you may know, we devoted an entire chapter (Chapter 8) to this topic in our latest CDS guide (www.himss.org/cdsguide). The organizational approach to CDS governance (discussed on guide pages 27-31) is a key starting point. That should include identifying mechanisms and role responsibilities for tracking external changes (perhaps in collaboration with external parties, as Siraj notes), and validating/localizing/translating new practice-changing developments into the deployed CDS interventions (leveraging CDS inventory, again as Siraj notes). Siraj gave some good, specific examples from his organization. Hopefully others will add more specific cases and experience-based guidance.
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