Barriers, Facilitators, and Potential Solutions to Advancing Interoperable Clinical Decision Support: Multi-Stakeholder Consensus Recommendations for the Opioid Use Case
With the advent of interoperability standards such as FHIR, SMART, CDS Hooks, and CQL, interoperable clinical decision support (CDS) holds great promise for improving healthcare. In 2018, the Agency for Healthcare Research and Quality (AHRQ)-sponsored Patient-Centered CDS Learning Network (PCCDS LN)...
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| Veröffentlicht in: | AMIA ... Annual Symposium proceedings 2019, Vol.2019, p.637-646 |
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| container_title | AMIA ... Annual Symposium proceedings |
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| creator | Marcial, Laura Haak Blumenfeld, Barry Harle, Christopher Jing, Xia Keller, Michelle S Lee, Victor Lin, Zhen Dover, Anna Midboe, Amanda M Al-Showk, Shafa Bradley, Victoria Breen, James Fadden, Michael Lomotan, Edwin Marco-Ruiz, Luis Mohamed, Reem O'Connor, Patrick Rosendale, Douglas Solomon, Harry Kawamoto, Kensaku |
| description | With the advent of interoperability standards such as FHIR, SMART, CDS Hooks, and CQL, interoperable clinical decision support (CDS) holds great promise for improving healthcare. In 2018, the Agency for Healthcare Research and Quality (AHRQ)-sponsored Patient-Centered CDS Learning Network (PCCDS LN) chartered a Technical Framework Working Group (TechFWG) to identify barriers, facilitators, and potential solutions for interoperable CDS, with a specific focus on addressing the opioid epidemic. Through an open, multi-stakeholder process that engaged 54 representatives from healthcare, industry, and academia, the TechFWG identified barriers in 6 categories: regulatory environment, data integration, scalability, business case, effective and useful CDS, and care planning and coordination. Facilitators and key recommendations were also identified for overcoming these barriers. The key insights were also extrapolated to CDS-facilitated care improvement outside of the specific opioid use case. If applied broadly, the recommendations should help advance the availability and impact of interoperable CDS delivered at scale. |
| format | Article |
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| ispartof | AMIA ... Annual Symposium proceedings, 2019, Vol.2019, p.637-646 |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Analgesics, Opioid - therapeutic use Decision Making Decision Support Systems, Clinical Government Regulation Health Information Interoperability Humans Opioid Epidemic Opioid-Related Disorders - therapy Pain Management Patient-Centered Care United States - epidemiology United States Agency for Healthcare Research and Quality |
| title | Barriers, Facilitators, and Potential Solutions to Advancing Interoperable Clinical Decision Support: Multi-Stakeholder Consensus Recommendations for the Opioid Use Case |
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