Presentation is loading. Please wait.

Presentation is loading. Please wait.

Achieving Meaningful Clinical Decision Support in a Medical Home JEROME A OSHEROFF, MD, FACP, FACMI CHIEF CLINICAL INFORMATICS OFFICER, THOMSON REUTERS.

Published byLisa Fields Modified over 8 years ago

Similar presentations

Presentation on theme: "Achieving Meaningful Clinical Decision Support in a Medical Home JEROME A OSHEROFF, MD, FACP, FACMI CHIEF CLINICAL INFORMATICS OFFICER, THOMSON REUTERS."— Presentation transcript:

1 Achieving Meaningful Clinical Decision Support in a Medical Home JEROME A OSHEROFF, MD, FACP, FACMI CHIEF CLINICAL INFORMATICS OFFICER, THOMSON REUTERS FACULTY/STAFF, UNIVERSITY OF PENNSYLVANIA PCPCC Conference March 30, 2010

2 ©2009 Thomson Reuters PCMH & CDS: MEANS TO AN END Measurably Improve Quality/Safety/Cost/ Efficiency/Satisfaction Accreditation Reimbursement –Value-based Purchasing/non-payment –Transparency/Accountability –Meaningful Use Drivers are Intensifying and Consolidating!

3 ©2009 Thomson Reuters “QUALITY/SAFETY” TARGETS* 3 * From meaningful use NPRM

4 ©2009 Thomson Reuters EHR ≠ QUALITY

5 ©2009 Thomson Reuters PERFORMANCE IMPROVEMENT: A SYSTEMATIC APPROACH Select/ Prioritize Targets (MU/Analytics) Measure Baselines, Benchmark Develop Improvement Plans Execute Improvements (CDS) Re-measure 5

6 ©2009 Thomson Reuters CDS DEFINITION 6 “…provide persons involved in care processes with general and person- specific information, intelligently filtered and organized, at appropriate times, to enhance health and health care” – from MU NPRM  Includes/builds on current processes…  NOT just rules and alerts…

7 ©2009 Thomson Reuters GUIDANCE ON GETTING CDS RIGHT Co-published 4/09 by leading societies; ~100 contributors 2009 HIT book of the year Co-sponsors include AHRQ, 3 CIS vendors “This is not a book” 2005 HIT book of the year All-time HIMSS bestseller Widely used by CMIOs/others 10 commandments for CDS: Bates et al. JAMIA 2003 CDS: the road ahead. Greenes ed. Elsevier 2007 HIMSS Others

8 ©2009 Thomson Reuters A FORMULA FOR SUCCESS: THE CDS FIVE RIGHTS To improve care outcomes with CDS you must provide: the Right Information… Evidence-based, useful for guiding action and answering questions …to the Right Stakeholder… Both clinicians and patients …in the Right Format… Alerts, Order Sets, answers, etc. …through the Right Channel… Internet, mobile devices, clinical information systems …at the Right Point in the Workflow to influence key decisions/actions

9 ©2009 Thomson Reuters 9 CDS INTERVENTION TYPES Relevant data presentation: flowsheets, surveillance Order creation facilitators: order sentences, sets Reference information: infobuttons, Web Unsolicited alerts: proactive warnings Documentation templates: patient history, visit note Protocol support: pathways

10 ©2009 Thomson Reuters Workflow Opportunities

11 ©2009 Thomson Reuters CDS PEARLS FOR MEDICAL HOMES 1. Consider CDS Basics –Define CDS broadly –Consider CDS 5 Rights 2. Establish Foundation –Select/prioritize targets –Establish baselines 3. Consider Workflow 4. Optimize CDS in Available Systems –EHR, Portal, Registry, Practice Management…

12 ©2009 Thomson Reuters CDS PEARLS FOR MEDICAL HOMES 5. Optimize CDS for Specific Targets –Workflow analysis/CDS 5 Rights=alert fatigue antidote 6. Deploy for Max Acceptance & Value –Fully engage staff/patients 7. Measure Effects and Refine Program –Do it! (Examine intended/unintended effects; enhance) 8. Manage Knowledge Assets/Processes –Approach proactively, systematically

13 ©2009 Thomson Reuters THANK YOU! Resources PCPCC –Meaningful Use Meaningful Connections: http://www.pcpcc.net/content/meaningful-connections-it-resource-guide http://www.pcpcc.net/content/meaningful-connections-it-resource-guide HIMSS Clinical Decision Support Guides –www.himss.org/cdsguidewww.himss.org/cdsguide HIMSS CDS Task Force (VTE and Meaningful Use Projects) –http://himssclinicaldecisionsupportwiki.pbworks.comhttp://himssclinicaldecisionsupportwiki.pbworks.com Jerry Osheroff –jerry.osheroff@thomsonreuters.com

Download ppt "Achieving Meaningful Clinical Decision Support in a Medical Home JEROME A OSHEROFF, MD, FACP, FACMI CHIEF CLINICAL INFORMATICS OFFICER, THOMSON REUTERS."

Similar presentations

Education and Clinical Decision Support: Reuniting Twins Separated at Birth Jerry Osheroff, M.D. Thomson Healthcare University of Pennsylvania.

Education and Clinical Decision Support: Reuniting Twins Separated at Birth Jerry Osheroff, M.D. Thomson Healthcare University of Pennsylvania.
Study Objectives and Questions for Observational Comparative Effectiveness Research Prepared for: Agency for Healthcare Research and Quality (AHRQ) www.ahrq.gov.

Study Objectives and Questions for Observational Comparative Effectiveness Research Prepared for: Agency for Healthcare Research and Quality (AHRQ)
Supporting National e-Health Roadmaps WHO-ITU-WB joint effort WSIS C7 e-Health Facilitation Meeting 13 th May 2010 Hani Eskandar ICT Applications, ITU.

Supporting National e-Health Roadmaps WHO-ITU-WB joint effort WSIS C7 e-Health Facilitation Meeting 13 th May 2010 Hani Eskandar ICT Applications, ITU.
THE CHALLENGE: CHRONIC DISEASE CARE AND THE PROMISE OF HIT Health Care Information Technology 2004: Improving Chronic Care in California San Francisco.

THE CHALLENGE: CHRONIC DISEASE CARE AND THE PROMISE OF HIT Health Care Information Technology 2004: Improving Chronic Care in California San Francisco.
Care Coordination in the Patient-Centered Medical Home New York Academy of Medicine May 24, 2011.

Care Coordination in the Patient-Centered Medical Home New York Academy of Medicine May 24, 2011.
Jerome A. Osheroff, MD, FACP, FACMI Principal, TMIT Consulting, LLC Adjunct Associate Professor of Medicine, U. of PA April 2012 1.

Jerome A. Osheroff, MD, FACP, FACMI Principal, TMIT Consulting, LLC Adjunct Associate Professor of Medicine, U. of PA April
David Garr, MD Executive Director South Carolina Area Health Education Consortium Associate Dean for Community Medicine Medical University of South Carolina.

David Garr, MD Executive Director South Carolina Area Health Education Consortium Associate Dean for Community Medicine Medical University of South Carolina.
© 2014 | AMERICAN COLLEGE OF RADIOLOGY | IMAGING 3.0 TM | ALL RIGHTS RESERVED. Reasons Radiologists Should Embrace Point Of Care Clinical Decision Support.

© 2014 | AMERICAN COLLEGE OF RADIOLOGY | IMAGING 3.0 TM | ALL RIGHTS RESERVED. Reasons Radiologists Should Embrace Point Of Care Clinical Decision Support.
Using Information More Effectively to Improve Care Delivery and Outcomes Tutorial on the Essential Version of the Health IT-enabled Quality Improvement.

Using Information More Effectively to Improve Care Delivery and Outcomes Tutorial on the Essential Version of the Health IT-enabled Quality Improvement.
2015 Impact of the Informatics Nurse Survey

2015 Impact of the Informatics Nurse Survey
Vision of how informatics enables a transformed health system Joyce Sensmeier MS, RN-BC, CPHIMS, FHIMSS, FAAN Vice President, Informatics, HIMSS President,

Vision of how informatics enables a transformed health system Joyce Sensmeier MS, RN-BC, CPHIMS, FHIMSS, FAAN Vice President, Informatics, HIMSS President,
August 12, 20151 Meaningful Use *** UDOH Informatics Brown Bag Robert T Rolfs, MD, MPH.

August 12, Meaningful Use *** UDOH Informatics Brown Bag Robert T Rolfs, MD, MPH.
Unit 6b: Clinical Decision Support Systems that Help Improve Quality Decision Support for Quality Improvement This material was developed by Johns Hopkins.

Unit 6b: Clinical Decision Support Systems that Help Improve Quality Decision Support for Quality Improvement This material was developed by Johns Hopkins.
Patient-Centered Medical Home.

Patient-Centered Medical Home.
Unit 6.2: Clinical Decision Support Systems that Help Improve Quality Decision Support for Quality Improvement Component 12/Unit 6.21Health IT Workforce.

Unit 6.2: Clinical Decision Support Systems that Help Improve Quality Decision Support for Quality Improvement Component 12/Unit 6.21Health IT Workforce.
E-Referral enabled collaborative health care Opportunities and considerations Presented by: Sasha Bojicic Emerging Technology Group Canada Health Infoway.

E-Referral enabled collaborative health care Opportunities and considerations Presented by: Sasha Bojicic Emerging Technology Group Canada Health Infoway.
Stakeholder Engagement and Transparency in The Effective Health Care Program Supriya Janakiraman MD MPH AHRQ.

Stakeholder Engagement and Transparency in The Effective Health Care Program Supriya Janakiraman MD MPH AHRQ.
Model Children’s EHR Format Erin Grace, MHA Senior Manager, Health IT AHRQ 2012 Annual Conference Session #97: Improving Quality of Care for Children Bethesda,

Model Children’s EHR Format Erin Grace, MHA Senior Manager, Health IT AHRQ 2012 Annual Conference Session #97: Improving Quality of Care for Children Bethesda,
NAPHSIS Annual Meeting 2009 Electronic Health Records: Why are they important? Linette T Scott, MD, MPH Deputy Director Health Information and Strategic.

NAPHSIS Annual Meeting 2009 Electronic Health Records: Why are they important? Linette T Scott, MD, MPH Deputy Director Health Information and Strategic.
Developing Interoperable EHR: Maximizing Quality of Care Gregory J Downing, DO, PhD Office of the Secretary Department of Health and Human Services July.

Developing Interoperable EHR: Maximizing Quality of Care Gregory J Downing, DO, PhD Office of the Secretary Department of Health and Human Services July.

Similar presentations

Ads by Google