Hypertension Clinical Trial
Official title:
Clinical Decision Support Consortium for AHRQ CDS Research
The goal of the Clinical Decision Support (CDS) Consortium research study is to assess,
define, demonstrate, and evaluate best practices for knowledge management (KM) and CDS in
healthcare information technology across multiple ambulatory care settings and electronic
health records (EHR) technology platforms.
There are seven specific research objectives focusing on two practical areas of
implementation for clinical decision support services: a) healthcare maintenance and
preventive care screening, and b) two chronic disease conditions: Coronary Artery Disease
(CAD), and Adult-onset Diabetes Mellitus (AODM). The research objectives are: 1) Knowledge
management lifecycle, 2) Knowledge specification, 3) Knowledge portal and repository, 4) CDS
knowledge content and public web services, 5) CDS Dashboard, 6)Evaluation, and 7)
Dissemination.
Investigators and developers of electronic health records from both academe and industry
have come together to form the Clinical Decision Support (CDS) Consortium. Members of the
CDS Consortium are intimately involved in creating and providing CDS tools and services in
electronic health records used in both academic settings as well as community-based
physician office practices. These investigators share a common interest and goal of
enhancing the wide-spread adoption of CDS tools and services to improve the delivery of
healthcare both domestically and world-wide.
Our approach to the project is iterative and cyclical: we will begin with a survey of the
knowledge management lifecycle and supporting infrastructure (such as knowledge management
systems, terminology services and data standards) at the participating clinical sites. We
will then work together to define best practices for translating knowledge into a
multi-layered array of human readable knowledge artifacts and public web services. At each
point in this process, we will conduct careful evaluation, documenting lessons learned from
each site. The ultimate work products will fall into three main categories:
First, tangible, actionable knowledge artifacts such as the shareable, human-readable and
computable forms of clinical practice guidelines (CPGs) under study, public web-services for
CDS demonstrations, and a CDS Knowledge Portal and Repository to facilitate widespread
adoption of these artifacts.
Second, detailed guidance and recommendations, based on what we learn from our combined
efforts, for external parties such as the Certification Commission for Health Information
Technology (CCHIT), the Health Information Technology Standards Panel (HITSP), and the
clinical practice guideline developer community.
Third, a set of knowledge and best practices, such as methods for the knowledge management
lifecycle, development of both human readable knowledge artifacts and machine-interpretable
knowledge, and management of decision-support related organizational change. We will share
this knowledge through a variety of channels, such as presentations and academic papers.
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Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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