CDS - Clinical Decision Support

Learn about Key Federal CDS Efforts

Adapting Clinical Guidelines for the Digital Age - Centers for Disease Control and Prevention, through the Center for Surveillance,

Adapting Clinical Guidelines for the Digital Age - American Journal of Medical Quality featured supplement including:

• Commentary: Modernizing Guidelines Development to Speed the Transfer of Science to Patient Care
• Adapting Clinical Guidelines for the Digital Age: Summary of a Holistic and Multidisciplinary Approach
• An Integrated Process for Co-Developing and Implementing Written and Computable Clinical Practice Guidelines
• An Evaluation Framework for a Novel Process to Codevelop Written and Computable Guidelines
• Adapted Kaizen: Multi-Organizational Complex Process Redesign for Adapting Clinical Guidelines for the Digital Age

Epidemiology, and Laboratory Services’ Public Health Informatics Office, is leading an initiative to connect experts and solutions that can help ensure our most up-to-date scientific evidence is followed and results in desired outcomes. Connecting research and evidence swiftly and accurately to those who need it most, including clinicians and patients, can help save lives. This initiative includes three high-level steps:

• Multi-stakeholder Kaizen event, hosted by CDC in early February 2018, identifying how clinical guidelines can be better adapted for implementation in a digital age and kicking off a multi-stakeholder effort to redesign the process and establish standards for “computable guidelines”
• Post-Kaizen implementation period, where the future state process developed during the Kaizen event is tested and refined as it is applied to select “pilot” guidelines
• Publication and socialization of the resulting standardized process to share knowledge gained from the piloting and work towards scaling across the industry to help the scientific evidence in clinical guidelines reach patient care more easily, quickly, accurately, and consistently - beginning with a Fast Healthcare Interoperability Resources (FHIR®) Implementation Guide (balloted at HL7^® in September 2019)

Agency for Healthcare Research and Quality Clinical Decision Support Overview.

Appropriate Use Criteria Program is a CMS program to promote the adoption of appropriate use criteria for advanced diagnostic imaging services through CDS. Appropriate use criteria are evidence-based and assist professionals who order and furnish applicable imaging services to make the most appropriate treatment decisions for a specific clinical condition.

CDS Connect: a collaborative model for CDS development.

CEDAR: The CEPI Evidence And Discovery (CEDAR) project aims to make evidence repositories, such as those developed by AHRQ’s Center for Evidence and Practice Improvement (CEPI) more FAIR - findable, accessible, interoperable, and reusable - through technologies such as application programming interfaces. Health information technology developers, including eCQM and CDS developers, can incorporate the evidence and design new and exciting ways to make the information available where, when, and how stakeholders need it most.

Optimizing Strategies for Clinical Decision Support - The National Academy of Medicine and the Office of the National Coordinator for Health Information Technology special publication summarizes a meeting series with multi-stakeholder experts who discussed the potential of CDS to transform care.

Patient-Centered Outcomes Research (PCOR) CDS Initiative from the Agency for Healthcare Research and Quality, aims to advance evidence into practice through CDS and make CDS more shareable, health IT standards-based, and publicly-available. The initiative’s main components are

• CDS Connect features prototype infrastructure for sharing interoperable CDS, including a web-based repository of CDS, a CDS Authoring Tool, other open source software, and lessons learned from use case demonstrations.
• Funding opportunities targeted to Digital Healthcare Research efforts.
• An evaluation project that combines an evaluation of AHRQ’s CDS initiative with a horizon scan of the future of patient-centered CDS.
• CDS Innovation Collaborative - a learning collaborative that is bringing together diverse perspectives to produce resources and evidence to advance the field of patient-centered clinical decision support, making it more valuable and meaningful to patients, clinicians, and healthcare systems.