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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 and outcomes. 

 

What's a Wiki? A wiki is an easy-to-use Web site that makes it easy to collaborate. You can use it to run a project at work, plan a trip, teach a class, etc. Click here for a wiki demo on YouTube. 

View PowerPoint about Wikis.

 

Why a Wiki? The wiki provides a forum where stakeholders can come together to help 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

Terms and Conditions of Use

Primary CDS Task Force Activity Areas (July 2009- June 2010)

1.  Applying CDS to VTE: 

Visitors to the wiki will find the results of nearly a year’s worth of Task Force effort, focused primarily on sharing best CDS practices for optimizing VTE prophylaxis.  The Task Force hopes that new participants will find the VTE/CDS information valuable for their own efforts, appreciate that the current material is more of a beginning than and endpoint, and participate actively in refining and expanding it.  In addition, there are discussion placeholders for other topics the Task Force hopes to explore along with new participants

 

Online collaborations around applying CDS to very specific improvement imperatives

 

Click here:

 

 

2.  Linking HIMSS CDS Implementation Guidance to Meaningful Use Criteria:  

 

Many of the criteria for acheiving the 'meaningful use' of EHRs that are required for providers to receive stimulus funding under ARRA depend directly, or are facilitated by, successful CDS deployment.  HIMSS has provided extensive guidance for successful CDS implementation, and under this project we are assembling portions of this guidance that speak directly to individual meaninful use requirements.  In addition, we invite CDS implementers to share 'pearls' from their experiences on successfully applying CDS to specific items required for meaningful EHR use.

 

 

Additional CDS Task Force Interest Areas (July 2009- June 2010)

 

  1. Developing, Applying and Disseminating CDS Best Implementation Practices 

    1. HIMSS CDS Implementer's Guidebook Series

      1. Learn about the series here

      2. Join a wiki/community for sharing among users of the latest guide edition [under development - stay tuned]

      3. Click here to suggest topics for subsequent collaborations (to kick off in 2010)

         

    2. Early explorations into HIMSS role in engaging vendors (CIS/CDS) in moving the CDS ball forward

      1. Click here to share your ideas and check out links

         

  2. Tracking, and Providing Input to and Guidance About National CDS- related Activities

    1. CDS and ARRA (visit this page to join the discussion and help create deliverables)

       

  3. Considering additional ways HIMSS can and should support national HIT activities

    1. Help brainstorm additional high leverage moves for HIMSS to advance CDS  

Additional Ways of "How To" Participate in the CDS Wiki

 

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.

 

  1. Share lessons learned: Join the discussion thread on this topic

     

  2. Post CDS Articles in the news: Post and share comments   

     

  3. Attended an Event?... Share What You Have Learned Here: Join the discussion thread on this topic 

     

 

Resources:

Join Us!

  • Click Here to Get Involved; contact information to join the HIMSS CDS Task Force

  • Don't forget to leave comments and questions you and your organization have.

Explore the wiki and please send any comments or questions to pjohnson@himss.org

Comments (6)

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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--"

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Jerry Osheroff said

at 3:30 pm on Aug 3, 2009

can we coax Dr. Fleischman to engage?

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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!

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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.

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sirajanwar said

at 9:58 am on Aug 31, 2009

On the second last sentence, it is meant to say "third party".

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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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