Optimizing Strategies for Clinical Decision Support

The result of a collaboration between the National Academy of Medicine (NAM) and the Office of the National Coordinator for Health Information Technology, this NAM Special Publication summarizes and builds upon a meeting series in which a multistakeholder group of experts discussed the potential of clinical decision support (CDS) to transform care delivery by ameliorating the burden that expanding clinical knowledge and care and choice complexity place on the finite time and attention of clinicians, patients, and members of the care team. This summary also includes highlights from discussions about addressing the barriers to realizing the full benefits of CDS-facilitated value improvement. Optimizing Strategies for Clinical Decision Support: Summary of Meeting Series identifies the need for a continuously learning health system driven by the seamless and rapid generation, processing, and practical application of the best available evidence for clinical decision-making, and lays out a series of actionable, collaborative next steps to optimize strategies for adoption and use of clinical decision support.

Acronyms and Abbreviations   xv

1 Clinical Decision Support   1

2 Laying the CDS Foundation Stones   15

3 Priorities for Accelerating CDS Progress   27

4 Agenda for CDS Adoption and Use    45

APPENDIXES

A  Meeting Series Agendas  53

B  Meeting Series Participants  63

C  Editor Biographies  71