NYSDA Publications

AHRQ Issues CDSiC Newsletter

The Agency for Healthcare Research and Quality (AHRQ) has issued its Clinical Decision Support Innovation Collaborative (CDSiC) newsletter, which can be read below.

Issue Number 5 | October 27, 2022

 

In this edition of The Insider, we share an updated project summary for the CDSiC that captures how the work of the Innovation Center and Workgroups addresses key areas of the patient-centered clinical decision support (PC CDS) lifecycle. We also introduce the leaders of two CDSiC Workgroups: CDS Scaling, Measurement & Dissemination, and Trust & Patient-Centeredness.

 

Table of Contents:

 

AHRQ CDSiC Project Map

 

We have an updated CDSiC project summary! The summary highlights the CDSiC’s goals and desired outcomes and describes the work of the CDSiC’s three centers.

The project summary also features a new graphic. The graphic depicts the three phases of the patient-centered clinical decision support (PC CDS) lifecycle, as well as the eight steps that must be taken by all healthcare system stakeholders for PC CDS to succeed. Importantly, the graphic also indicates how the CDSiC Workgroup products and Innovation Center projects address key areas of the lifecycle.

Click the thumbnail below to read the current project summary.

 

Meet CDSiC Workgroup Leads

 

In our July newsletter, we introduced the CDSiC’s four Workgroups. Since our previous update, the Workgroups have been working on multiple products to advance patient-centered clinical decision support (PC CDS).

Below, we introduce the leads of two Workgroups: CDS Scaling, Measurement& Dissemination, and Trust & Patient-Centeredness. Read more about all four Workgroups here.

 

 

Scaling, Measurement& Dissemination of CDS Workgroup

Advancing CDS within our healthcare systems requires measures to determine that PC CDS tools work as intended.

The following products are being developed:

  • A guide for describing how PC CDS interventions are designed, developed, deployed, used, maintained, and evaluated
  • A catalog of approaches used to measure the effects of PC CDS interventions on clinician workflows and patient “life flows”
  • Recommendations on strategies and measures for evaluating the performance and value of PC CDS

 

 

“We’ve barely scratched the surface on broadly optimizing measurable contributions that CDS interventions make to patient-centered care and to health-related activities that patients and care teams undertake daily. Our Workgroup products will offer valuable frameworks, information, and guidance to those working toward these goals.”

Jerry Osheroff, MD, FACP, FACMI
Workgroup Co-Lead & CDSiC Steering Committee Member

Dr. Osheroff, a general internist by training, has focused for three decades on developing and implementing approaches to improve healthcare delivery processes and outcomes. He articulated the widely cited, Centers for Medicare & Medicaid Services-recommended “CDS Five Rights” framework and now leads a national collaborative working to broadly realize the quintuple aim by executing a roadmap originally supported by AHRQ.

 

 



“So many institutions worldwide are implementing CDS to solve important clinical and workflow problems, but without appropriate methods for measuring CDS, the implementations may not result in the desired impacts. This Workgroup is combining a diverse group of stakeholders with substantial expertise in CDS, and I’m excited to see how we can finally make progress in this necessary area.”

Allison B. McCoy, PhD, ACHIP
Workgroup Co-Lead

Dr. McCoy is an Assistant Professor of Biomedical Informatics in the School of Medicine at Vanderbilt University and Scientific Director of the Vanderbilt Clinical Informatics Core. Her research focuses on developing and implementing novel, generalizable approaches to evaluating and improving electronic health records and clinical decision support using existing data sources and bringing them to the point of care to improve healthcare quality and safety across multiple healthcare organizations.

 

 

Trust & Patient-Centeredness Workgroup

This Workgroup is focused on increasing transparency in the processes of PC CDS design, development, testing, implementation, and use.

The following products are being developed:

  • A handbook for developers on best practices for incorporating patient-centered inputs into CDS development
  • Best practices to promote patient partnerships in the co-design and co-deployment of PC CDS
  • Recommendations for increasing source credibility of PC CDS artifacts among providers and patients

 

 


“Our Workgroup’s products will help CDS developers account for the factors that may increase or undermine source credibility in CDS artifact design. Further, our products will offer practical recommendations for how co-design best practices can be leveraged to build trust and engage patients as collaborative partners in the design and deployment of PC CDS.”

Tonya Hongsermeier, MD, MBA
Workgroup Co-Lead

Dr. Hongsermeier currently serves as Vice President and Chief Clinical Innovation Officer for Elimu Informatics. She has held prior senior leadership roles in informatics at Beth Israel Lahey Health, Partners Healthcare, Cerner, and InterQual. Her focus is ensuring that our caregivers and patients have access to the best solutions possible for achieving a healing connection and wellness.

 

 

 

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“Bridging the gap between evidence generation and care requires the development of inclusive, trustworthy, patient-centered solutions. Our Workgroup’s products aim to improve the uptake, trust, and value of clinical decision support tools through incorporation of the patient voice to facilitate informed health decisions that reflect patients’ needs, preferences, and social circumstances.”

Angela Dobes, MPH
Workgroup Co-Lead & CDSiC Steering Committee Member

Ms. Dobes is the Vice President of the IBD Plexus program at the Crohn’s & Colitis Foundation, a research information exchange platform that leverages a patient-centric approach. She devotes much of her time to advancing patient-centered research. Her work has been funded through organizations such as the Patient-Centered Outcomes Research Institute and The Leona M. and Harry B. Helmsley Charitable Trust.

 

 

If you are interested in getting involved in any of the CDSiC Workgroups, please contact the project team at CDSiC@norc.org.

 

 

Conferences Corner

 

Below we highlight recent and upcoming meetings and conferences that are highly relevant to patient-centered clinical decision support (PC CDS) stakeholders. These featured events represent great opportunities to network with and learn even more from experts in many topic areas, from the latest innovations in health data to the future of PC CDS! Read more about these events below.

 

 

 

Recordings Now Available for the
2022 ONC Virtual Tech Forum

 

In September, CDSiC members attended the annual Office of the National Coordinator for Health Information Technology (ONC) Tech Forum, which included three days of virtual sessions and a tech showcase. The themes for each day of the forum centered around health IT standards driving modernization in healthcare; guiding innovation through data, standards, and real-world implementations; and health IT modernizing healthcare and public health.

The forum was particularly helpful for the CDSiC’s Standards & Regulatory Frameworks Workgroup as they develop products that explore the standardization and technical aspects of PC CDS.

Watch the 2022 ONC Virtual Tech Forum on demand here.

 

 

Registration Still Open for the
AMIA 2022 Annual Symposium

 

Registration is open for the American Medical Informatics Association (AMIA) 2022 Annual Symposium, which will take place from November 5-9 in Washington, DC. This year’s Symposium, featuring the theme Informatics: Building the Evidence Base, includes several sessions that are highly relevant to the PC CDS community – as well as several CDSiC presenters! Sessions will cover a range of interesting topics, such as strategies for incorporating patient perspectives while designing decision aids and new developments in using CDS to facilitate quality improvement efforts.

Be sure to check out Session S45 on November 7 from 3:30-5:00 PM ET, which features presenters from the CDSiC discussing future directions for advancing PC CDS!

More information, including the full program and registration details, is available on AMIA’s website.

 

 

 

Call for Speakers Now Open for
2023 Health Datapalooza

 

AcademyHealth is hosting the 2023 Health Datapalooza (HDP) from February 23-24, 2023 in Arlington, Virginia. The conference brings together federal agencies, patients and consumer advocates, startups, and researchers to discuss the future of health data and the policies and innovations sparking transformation in healthcare. With sessions focused on new developments in data, policy, and real-world action, the 2023 HDP will be a gathering of stakeholders committed to creating change in these critical areas.

The call for speakers opened on September 28 and will close on October 27 at 5:00 PM ET. Potential speakers can submit a proposal for a panel discussion or a lightning talk relevant to one of the conference themes, described in detail here.

Additional information about submitting a speaker proposal for HDP is available here.

 

 

 

Register Now for the 15th Annual Conference on the Science of Dissemination and Implementation
in Health

 

The 15th Annual Conference on the Science of Dissemination and Implementation (D&I) in Health, co-hosted by the National Institutes of Health and AcademyHealth, is scheduled for December 11-14, 2022 in Washington, DC. The conference is a critical opportunity for attendees to learn about new research in the field of D&I, help identify research priorities for the next decade, and participate in interactive workshops and networking opportunities. Registration is open until December 10, 2022.

Visit AcademyHealth’s website for full event details.

 

 

What We're Reading

 

This section features recently published journal articles on topics of interest to CDSiC stakeholders. These articles further the patient-centered clinical decision support (PC CDS) research agenda with their cutting-edge contributions to several topics, including:

  • Analyses that evaluate the effectiveness of more complex CDS interventions
  • The potential for wide implementation of CDS systems to overcome persistent obstacles to delivering high-quality clinical care
  • Patient and provider co-design of dashboards to support
    shared decision-making

 

 


Conceptualizing clinical decision support as complex interventions: A meta-analysis of comparative effectiveness trials

This meta-analysis aimed to identify the proportion of randomized controlled trials with complex, multi-component CDS interventions and to describe gaps in the reporting of CDS complexity. A majority of included studies (76%) evaluated a complex CDS intervention, and researchers found a small but positive effect that supports increasing intervention complexity. Finally, researchers note that more rigorous reporting of CDS interventions is critical to ensure future adaptation and replication.

 

 

Computer clinical decision support that automates personalized clinical care: A challenging but needed healthcare delivery strategy

This article describes the many barriers to delivering the best clinical care and identifies eActions – or validated CDS systems – as a key tool to overcome these challenges. Though technical and cultural barriers to implementation are expected, eActions present an important opportunity to strengthen care provision.

 

 





Patient-reported outcome dashboards within the electronic health record to support shared decision-making: Protocol for co-design and clinical evaluation with patients with advanced cancer and chronic kidney disease

This study protocol describes the process of co-designing a dashboard that displays patient-reported outcomes along with clinical data – such as lab results, medications, and appointments – within an electronic health record (EHR). For this project, co-design teams included study investigators, patients, their care partners, and their clinicians. In the next phase, researchers will evaluate whether the dashboard is associated with improved shared decision-making and disease management.

 

In Case You Missed It

 

  • Read an example that details the use of patient-centered clinical decision support (PC CDS) for postpartum hypertension monitoring.
  • Read our August newsletter, where we introduce the CDSiC’s Innovation Center projects for advancing PC CDS.
  • Read our September newsletter that introduces the Standards & Regulatory Frameworks and Outcomes & Objectives Workgroup Leads.

 

Coming Up Next

 

Thank you for reading our fifth newsletter about the CDSiC. In next month’s newsletter, we will recap our accomplishments for the first year of the CDSiC.

The Clinical Decision Support Innovation Collaborative (CDSiC) is a community of broad, diverse stakeholders at the forefront of using technology to better support care teams, patients, and caregivers. The CDSiC is working toward healthcare decisions that are driven by both patient-centered and patient-specific information and that align with patient needs, preferences, and values. The CDSiC is funded by the Agency for Healthcare Research and Quality (AHRQ) as part of a multi-component initiative to help advance patient-centered outcomes research into practice through CDS. For any inquiries regarding the CDSiC you may contact the project team at CDSiC@norc.org.

 
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