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Review
. 2024 Oct 23;7(4):ooae109.
doi: 10.1093/jamiaopen/ooae109. eCollection 2024 Dec.

Advancing patient-centered clinical decision support in today's health care ecosystem: key themes from the Clinical Decision Support Innovation Collaborative's 2023 Annual Meeting

Prashila Dullabh  1 , Rina Dhopeshwarkar  1 , Elizabeth Cope  2 , Nicole Gauthreaux  1 , Courtney Zott  1 , Caroline Peterson  1 , Desirae Leaphart  1 , Sarah Hoyt  2 , Amy Hammer  2 , Sofia Ryan  1 , James Swiger  3 , Edwin A Lomotan  3 , Priyanka Desai  1 ; CDSiC Annual Meeting Planning Committee
Collaborators, Affiliations
Review

Advancing patient-centered clinical decision support in today's health care ecosystem: key themes from the Clinical Decision Support Innovation Collaborative's 2023 Annual Meeting

Prashila Dullabh et al. JAMIA Open. .

Abstract

Objective: This perspective summarizes key themes that arose from stakeholder discussions at the inaugural Clinical Decision Support Innovation Collaborative (CDSiC) 2023 Annual Meeting. The CDSiC is an Agency for Healthcare Research and Quality (AHRQ)-funded innovation hub for patient-centered clinical decision support (PC CDS).

Materials and methods: The meeting took place on May 16-17, 2023, and engaged 73 participants that represented a range of stakeholder groups including researchers, informaticians, federal representatives, clinicians, patients, and electronic health record developers. Each meeting session was recorded and had 2 notetakers. CDSiC leadership analyzed the compiled meeting notes to synthesize key themes.

Results: Participants discussed 7 key opportunities to advance PC CDS: (1) establish feedback loops between patients and clinicians; (2) develop new workflows; (3) expand the evidence base; (4) adapt the CDS Five Rights for the patient perspective; (5) advance health equity; (6) explore perceptions on the use of artificial intelligence; and (7) encourage widespread use and scalability of PC CDS.

Discussion and conclusion: Innovative approaches are needed to ensure patients' and caregivers' voices are meaningfully included to advance PC CDS.

Keywords: clinical decision support systems; patient-centered care; value-based health care.

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Conflict of interest statement

No authors have any competing interests to declare aside from the stated affiliation of each author with his/her employer. The perspectives expressed in this paper are those of the authors and do not necessarily represent the official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.

References

    1. Bright TJ, Wong A, Dhurjati R, et al.Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012;157:29-43. - PubMed
    1. Dullabh P, Sandberg SF, Heaney-Huls K, et al.Challenges and opportunities for advancing patient-centered clinical decision support: findings from a horizon scan. J Am Med Inform Assoc. 2022;29:1233-1243. 10.1093/jamia/ocac059 - DOI - PMC - PubMed
    1. Institute of Medicine (US) Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. National Academies Press; 2001. - PubMed
    1. Marcial LH, Richardson JE, Lasater B, et al.The imperative for patient-centered clinical decision support. EGEMS (Wash DC). 2018;6:12. Published May 30, 2018. 10.5334/egems.259 - DOI - PMC - PubMed
    1. Sittig DF, Boxwala A, Wright A, et al.A lifecycle framework illustrates eight stages necessary for realizing the benefits of patient-centered clinical decision support. J Am Med Inform Assoc. 2023;30:1583-1589. 10.1093/jamia/ocad122 - DOI - PMC - PubMed

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