Case Studies and Current Trends

Current Trends, Case Studies, and ongoing CDS Research bring you to the hot topics in health information technology (HIT) involving CDS as it pertains to the clinical environment and research efforts surrounding CDS. As the national HIT landscape evolves, HIMSS will maintain and update the content to keep our members informed.

CDS Pathways to Value: Best Practices to Help Achieve Value through the Use of Health IT

  • Using both Comprehensive Primary Care (CPC) Initiative and ACO alternative payment models enabled by risk stratification, clinical decision support, patient engagement, and analytics designed to improve population health outcomes, 2015 Davies Award of Excellence recipient Centura Health has been able to significantly reduce hospitalizations associated with chronic disease management. Read the Centura Health Population Health Case Study.
  • HIMSS Davies Award of Excellence winner White River Family Practice used clinical decision support as a fundamental component to significantly increase the number of Diabetic patients who have their most recent HgbA1c test under 7. Read the WRFP Diabetic Management Case Study.
  • As result of using clinical decision support best practice alerts and a new EHR-enabled workflow, Fremont Family Care saw a significant increase in the percentage of patients who had received appropriate preventative care, including doubling the number of at risk patients who received colonoscopies, mammograms, and flu vaccine in a two year time period. Read the FFC CDS Case Study.
  • HIMSS Davies Award of Excellence winner Lakeland Healthcare used clinical decision support and a standardardized admission ordersets to virtually eliminate hospital acquired Venous Thromboembolism and significantly reduce surgically acquired infections since 2013. View the Lakeland Healthcare VTE Case Study.
  • HIMSS Davies Award of Excellence winner Truman Medical Center used a health-IT enabled order set and workflow to dramaticaly decrease pressure ulcer occurances. View the Truman Medical Center Pressure Ulcer Case Study.
  • HIMSS Davies Award of Excellence winner UC Davis Health Systemleveraged a specified order set triggered by the EHR if a patient showed abnormal vital signs or an increase in lactic acid, As result UC Davis saved the lives of over 200 sepsis patients in a three year time span.owered Sepsis Mortality from 47% to 21% (saving over 200 lives) in 3 years. View the UC Davis Clinical Value Case Study
  • HIMSS Davies Award of Excellence winner Texas Health Resources launched a program enabled by EHR based CDS interventions to prevent venous thromboembolism (VTE), one of the leading causes of preventable hospital deaths. THR saw immediate change in practices, and by 2011, post-operative VTE rates were less than half of pre-program rates. Lowering post-op VTE rates has helped THR to satisfy Surgical Care Improvement Project requirements, and to meet measures set forth by CMS.View THR's Clinical Decision Support case study.
  • HIMSS Davies Award of Excellence winner Mount Sinai Medical Centerleveraged Clinical Decision Support functionality  to provide predictive screening alerts relating to many areas including early identification of sepsis cases. The CDS algorithm evaluates eight criteria of sepsis infection. The best practice alert fires if any three of the eight variables are present, alerting clinicians that the patient has been screened positive for a possible sepsis infection. When the BPA fires, it prompts nursing and providers to place orders to initiate early, aggressive evidence based sepsis care.  View Mount Sinai's Sepsis Reduction case study.
  • Hawaii Pacific Health leveraged EHR-enabled clinical decision alerts, electronic dashboards, and health maintenance alerts to significantly reduce occurances of Catheter Associated Urinary Tract Infection (CAUTI) and Central Line Associated Blood Stream Infections (CLABSI). View HPH's Clinical Value case study.

 

CDS and Federal Initiatives

CDS Consortium (CDSC): The CDS Consortium is an Agency for Healthcare Research and Quality (AHRQ) Contract. The goal of the CDS Consortium is to assess, define, demonstrate, and evaluate best practices for knowledge management and clinical decision support in healthcare information technology at scale - across multiple ambulatory care settings and EHR technology platforms. Click here for a two page overview of the CDSC.

ONC’s Support of Clinical Decision Support Video - Jonathan Teich, FACMI, FHIMSS, MD, PhD, CMIO, Elsevier discusses ONC’s program for improving usability of CDS throughout the US.

 

eRecommendations: Funded by AHRQ, eRecommendations is a project with the purpose of leveraging quality measurement standards and EHR Integration to support widely useful structured recommendations for CDS rules Video - Osheroff on AHRQ's Key Recommendations Project - Dr Jerry Osheroff, Chief Informatics Officer, Thomson Reuters, discusses the ONC/AHRQ eRecommendations Project which is providing formal approaches and templates for structuring and codifying clinical guidance in clinical recommendations to facilitate the development of CDS.

 

Please contact Arnol Simmons at ASimmons@HIMSS.org with questions or for more information.