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Clinical Decision Support. The Road to Broad Adoption. Edition No. 2

  • Book

  • October 2018
  • Elsevier Science and Technology
  • ID: 5341942

With at least 40% new or updated content since the last edition, Clinical Decision Support, 2nd Edition explores the crucial new motivating factors poised to accelerate Clinical Decision Support (CDS) adoption. This book is mostly focused on the US perspective because of initiatives driving EHR adoption, the articulation of 'meaningful use', and new policy attention in process including the Office of the National Coordinator for Health Information Technology (ONC) and the Center for Medicare and Medicaid Services (CMS). A few chapters focus on the broader international perspective. Clinical Decision Support, 2nd Edition explores the technology, sources of knowledge, evolution of successful forms of CDS, and organizational and policy perspectives surrounding CDS.

Exploring a roadmap for CDS, with all its efficacy benefits including reduced errors, improved quality, and cost savings, as well as the still substantial roadblocks needed to be overcome by policy-makers, clinicians, and clinical informatics experts, the field is poised anew on the brink of broad adoption. Clinical Decision Support, 2nd Edition provides an updated and pragmatic view of the methodological processes and implementation considerations. This book also considers advanced technologies and architectures, standards, and cooperative activities needed on a societal basis for truly large-scale adoption.

Table of Contents

SECTION I: COMPUTER-BASED CLINICAL DECISION SUPPORT: OVERVIEW, STATUS, AND CHALLENGES

Chapter 1: Definition, Scope, and Challenges

Chapter 2: A Brief History of Clinical Decision Support

Chapter 3: Features of Computer-Based Clinical Decision Support

Chapter 4: The Role of Quality Measurement and Reporting Feedback as a Driver for Care Improvement

SECTION II: EXPERIENCE WITH CDS DEVELOPMENT AND ADOPTION: CASE STUDIES, NATIONAL INITIATIVES, AND LESSONS LEARNED

Chapter 5: Regenstrief Medical Informatics

Chapter 6: Patients, Doctors, and Information Technology Clinical Decision Support at Brigham and Women's Hospital and Partners HealthCare

Chapter 7: Computer-Based Approaches to Improving Healthcare Quality and Safety at LDS Hospital

Chapter 8: International Dimensions of Clinical Decision Support

Chapter 9: Current State of CDS Utilization

SECTION III: SOURCES OF KNOWLEDGE FOR CLINICAL DECISION SUPPORT

Chapter 10: Human-Intensive Techniques

Chapter 11: Generation of Knowledge for Clinical Decision Support

Chapter 12: Modernizing Evidence Synthesis for Evidence-Based Medicine

Chapter 13: Big Data and Population-Based Decision Support

Chapter 14: Clinical Decision Support for Personalized Medicine

SECTION IV: THE TECHNOLOGY OF CLINICAL DECISION SUPPORT

Chapter 15: Decision Rules and Expressions

Chapter 16: Guidelines and Workflow Models

Chapter 17: Ontologies, Vocabularies, and Data Models

Chapter 18: Grouped Knowledge Elements

Chapter 19: Infobuttons and Point of Care Access to Knowledge

Chapter 20: Formal Representations and Semantic Web Technologies

Chapter 21: The Role of Standards

SECTION V: ADOPTION OF CLINICAL DECISION SUPPORT

Chapter 22: Cognitive Considerations for Health Information Technology

Chapter 23: Organizational and Cultural Change

Chapter 24: Managing the Investment in Clinical Decision Support

Chapter 25: A Clinical Decision Support Implementation Guide: Practical Considerations

Chapter 26: Legal and Regulatory Issues Related to the Use of Clinical Software in Health Care Delivery

Chapter 27: Consumers and Clinical Decision Support

SECTION VI: THE JOURNEY TO WIDESPREAD USE OF CLINICAL DECISION SUPPORT

Chapter 28: A Clinical Knowledge Management Program

Chapter 29: Integration of Knowledge Resources into Applications to Enable CDS

Chapter 30: Looking Ahead: The Road to Broad Adoption

Authors

Robert A. Greenes Emeritus Professor of Biomedical Informatics, Arizona State University, Phoenix, AZ, United States. Robert Greenes, MD, PhD, holds an MD and a PhD in Computer Science from Harvard. Dr Greenes is an expert in health care information technology/informatics and has made contributions to the field over many years, initially at Harvard and more recently at Arizona State University in partnership with Mayo Clinic. His passion is the use of information technology in health care to make "the right thing the easy thing to do". He is Ira A. Fulton Chair of Biomedical Informatics at the ASU, a member of the National Academy of Medicine and of the International Academy of Health Sciences Informatics, and a Fellow of the American College of Radiology, American College of Medical Informatics, and the Society for Imaging Informatics in Medicine. He was the 2008 recipient of the Morris F. Collen Award for lifetime impact on the field of biomedical informatics, from the American College of Medical Informatics.