Clinical Decision Support

Will Rory Staunton’s Story Be Your Hospital Emergency Department’s Story?

July 17, 2012     Mark Hagland
blog
The tragic outcome in a New York sepsis case involving a promising young 12-year-old ignites interest, and thousands of comments, in The New York Times.

Unnecessary Testing: the Physician-Patient Partnership

June 25, 2012     Jennifer Prestigiacomo
blog
In healthcare’s march toward accountable care, many see a low-hanging fruit to be reducing necessary testing. Thomson Reuters estimates that the U.S. healthcare system wastes between $250-$325 billion annually on unnecessary care in the form of diagnostic lab or imaging tests performed to protect against malpractice exposure or unwarranted surgical procedures. What can physicians and patients do to reduce the waste?

Translating Clinical Guidelines into Decision Support Rules

June 18, 2012     David Raths
blog
The GLIDES (GuideLines Into DEcision Support) Project have tried to create a systematic and replicable way to translate guideline knowledge from one organization to another.

VA Rolling Out Patient Simulation Nationally

June 12, 2012    
news
The Department of Veterns of Affairs (VA) has awarded a contract to the Chadds Ford, Penn.-based Decision Simulation, a vendor that creates patient simulation solutions, to license the technology across an enterprise level. Already having used the Decision Simulation’s DecisionSim software for 43,000 VHA employees, the new license extends the technology to more than 300,000 employees from all VA agencies, including the VHA and the Veterans Benefits Administration (VBA).

ONC Announces CDS Framework and Interoperability Initiative

June 6, 2012    
news
The Office of the National Coordinator for Health Information Technology (ONC) is launching a new standards and interoperability framework, Health eDecisions. According to the ONC, the initiative, formerly known as CDS, will address standards for the ability to exchange clinical decision support interventions. It will operate as part of the ONC Standards & Interoperability Framework in conjunction with the Office of the Chief Medical Officer, which was also recently launched.

The Achievements of an Evidence-Based Stoplight

May 25, 2012     Gabriel Perna
article
In an effort to improve evidence-based medicine practices, leaders at Eisenhower Medical Center, a 524-bed, community hospital, implemented a quality dashboard monitor solution. In the monitor’s initial run, it was successful in improving metrics related to ventilator acquired pneumonia (VAP) and stroke management care.

PODCAST: Beyond the Data Warehouse

May 7, 2012     Jennifer Prestigiacomo
article
In this podcast, live from the HCI Executive Summit, Dr. Bobbie Byrne, vice president of IT of Edward Hospital discusses how her organization is approaching data warehousing and the integration of clinical systems necessary for this initative. This podcast was recorded after Dr. Byrne's panel, "Beyond the Data Warehouse: Strategizing the Use and Analysis of Clinical Data for Meaningful Use," a the Healthcare Informatics Executive Summit being held May 6 through the 8 at the World Center Marriott in Orlando. Bryne was joined on the panel by colleagues Rick Schooler, vice president and CIO at Orlando Health; Dr. George Reynolds, CMIO and CIO of Children’s Hospital and Medical Center; and Patricia Skarulis, vice president, Information Systems and CIO, Memorial Sloan-Kettering Cancer Center.

Patient Simulation: An ACO’s Best Friend? (Part 1)

May 3, 2012     Gabriel Perna
article
In a two-part interview series, James McGee M.D., talks about how virtual patient simulation, a web-enabled software solution that allows for diagnostic simulated training, can be used for ACOs and PCMHs. In the first part of the interview, McGee talked about how patient simulations fit an ACO, the clinical decision elements in a virtual atmosphere, and he goes in-depth about the Veteran Health Administration's patient simulation system in particular.

Philips, Vidyo Team on Telehealth

April 24, 2012    
news
The healthcare arm of Royal Philips Electronics (Andover, Mass.) and telepresence manufacturer Vidyo (Hackensack, N.J.) are teaming up to offer healthcare providers an enterprise-wide telehealth solution. According to Philips Healthcare, deployment of these telehealth solutions will require scalable and flexible video technology to adapt to the full range of clinical workstations and mobile devices. Vidyo’s adaptive video layering technology will be implemented into Philips enterprise-wide solution with remote physiologic monitoring and clinical decision support (CDS).

Does Healthcare Need an NTSB?

April 18, 2012     David Raths
blog
A March 2012 paper published in the Journal of Patient Safety and an upcoming conference raise the question: Would it make sense to create the equivalent of the National Transportation Safety Board for healthcare?

Premier Releases Efficiency Dashboard

April 10, 2012     Jennifer Prestigiacomo
article
In an age of tighter hospital budgets and policy pressures, the Charlotte, N.C.-based Premier healthcare alliance has created an efficiency dashboard and reporting mechanism to identify 15 different categories of potential savings opportunities in hospitals. “The goal here was really to create a roadmap so that health systems could identify first the opportunities for savings and then go after them,” said Susan DeVore, Premier president and CEO, in a telephonic press briefing on April 10. “We think this is a first of a kind, focused efficiency and waste dashboard.”
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