Clinical Decision Support and Knowledge Management

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The provision of computer-based advice and guidance has been one of the principal motivators for health information technology over more than 50 years of healthcare system development. Many ways to deliver clinical decision support (CDS) have been explored, with varying levels of success. Major barriers have been the silos created by individual health systems, both organizationally, and as a result of proprietary or unique implementations (of both electronic health record (EHR) systems and of CDS components themselves), unique data encoding and storage models of differing EHRs, nonstandard knowledge representations, and need for customizations to match workflow for individual implementations. These barriers have persisted despite much effort to create standards for CDS knowledge and interoperability of CDS functions. Coordination and update of the knowledge used throughout the healthcare system is challenging, limiting as the transformation to a more articulated health system is underway-as a consequence of increased demands for safety, quality, value, and care coordination. Strategies and approaches being explored include new infrastructure and CDS delivery models and the knowledge management capabilities to support them.

Original languageEnglish (US)
Title of host publicationKey Advances in Clinical Informatics
Subtitle of host publicationTransforming Health Care through Health Information Technology
PublisherElsevier Inc.
Pages161-182
Number of pages22
ISBN (Electronic)9780128095256
ISBN (Print)9780128095232
DOIs
StatePublished - Jul 11 2017

Fingerprint

Clinical Decision Support Systems
Knowledge Management
Delivery of Health Care
Medical Informatics
Decision Support Techniques
Workflow
Electronic Health Records
Quality of Health Care
Information Storage and Retrieval
Health
Safety

Keywords

  • Care coordination
  • Clinical decision support
  • Clinical guidelines
  • Knowledge management

ASJC Scopus subject areas

  • Medicine(all)
  • Health Professions(all)

Cite this

Greenes, R. (2017). Clinical Decision Support and Knowledge Management. In Key Advances in Clinical Informatics: Transforming Health Care through Health Information Technology (pp. 161-182). Elsevier Inc.. https://doi.org/10.1016/B978-0-12-809523-2.00012-1

Clinical Decision Support and Knowledge Management. / Greenes, Robert.

Key Advances in Clinical Informatics: Transforming Health Care through Health Information Technology. Elsevier Inc., 2017. p. 161-182.

Research output: Chapter in Book/Report/Conference proceedingChapter

Greenes, R 2017, Clinical Decision Support and Knowledge Management. in Key Advances in Clinical Informatics: Transforming Health Care through Health Information Technology. Elsevier Inc., pp. 161-182. https://doi.org/10.1016/B978-0-12-809523-2.00012-1
Greenes R. Clinical Decision Support and Knowledge Management. In Key Advances in Clinical Informatics: Transforming Health Care through Health Information Technology. Elsevier Inc. 2017. p. 161-182 https://doi.org/10.1016/B978-0-12-809523-2.00012-1
Greenes, Robert. / Clinical Decision Support and Knowledge Management. Key Advances in Clinical Informatics: Transforming Health Care through Health Information Technology. Elsevier Inc., 2017. pp. 161-182
@inbook{764b4b59c8084583aaee328703220e64,
title = "Clinical Decision Support and Knowledge Management",
abstract = "The provision of computer-based advice and guidance has been one of the principal motivators for health information technology over more than 50 years of healthcare system development. Many ways to deliver clinical decision support (CDS) have been explored, with varying levels of success. Major barriers have been the silos created by individual health systems, both organizationally, and as a result of proprietary or unique implementations (of both electronic health record (EHR) systems and of CDS components themselves), unique data encoding and storage models of differing EHRs, nonstandard knowledge representations, and need for customizations to match workflow for individual implementations. These barriers have persisted despite much effort to create standards for CDS knowledge and interoperability of CDS functions. Coordination and update of the knowledge used throughout the healthcare system is challenging, limiting as the transformation to a more articulated health system is underway-as a consequence of increased demands for safety, quality, value, and care coordination. Strategies and approaches being explored include new infrastructure and CDS delivery models and the knowledge management capabilities to support them.",
keywords = "Care coordination, Clinical decision support, Clinical guidelines, Knowledge management",
author = "Robert Greenes",
year = "2017",
month = "7",
day = "11",
doi = "10.1016/B978-0-12-809523-2.00012-1",
language = "English (US)",
isbn = "9780128095232",
pages = "161--182",
booktitle = "Key Advances in Clinical Informatics",
publisher = "Elsevier Inc.",
address = "United States",

}

TY - CHAP

T1 - Clinical Decision Support and Knowledge Management

AU - Greenes, Robert

PY - 2017/7/11

Y1 - 2017/7/11

N2 - The provision of computer-based advice and guidance has been one of the principal motivators for health information technology over more than 50 years of healthcare system development. Many ways to deliver clinical decision support (CDS) have been explored, with varying levels of success. Major barriers have been the silos created by individual health systems, both organizationally, and as a result of proprietary or unique implementations (of both electronic health record (EHR) systems and of CDS components themselves), unique data encoding and storage models of differing EHRs, nonstandard knowledge representations, and need for customizations to match workflow for individual implementations. These barriers have persisted despite much effort to create standards for CDS knowledge and interoperability of CDS functions. Coordination and update of the knowledge used throughout the healthcare system is challenging, limiting as the transformation to a more articulated health system is underway-as a consequence of increased demands for safety, quality, value, and care coordination. Strategies and approaches being explored include new infrastructure and CDS delivery models and the knowledge management capabilities to support them.

AB - The provision of computer-based advice and guidance has been one of the principal motivators for health information technology over more than 50 years of healthcare system development. Many ways to deliver clinical decision support (CDS) have been explored, with varying levels of success. Major barriers have been the silos created by individual health systems, both organizationally, and as a result of proprietary or unique implementations (of both electronic health record (EHR) systems and of CDS components themselves), unique data encoding and storage models of differing EHRs, nonstandard knowledge representations, and need for customizations to match workflow for individual implementations. These barriers have persisted despite much effort to create standards for CDS knowledge and interoperability of CDS functions. Coordination and update of the knowledge used throughout the healthcare system is challenging, limiting as the transformation to a more articulated health system is underway-as a consequence of increased demands for safety, quality, value, and care coordination. Strategies and approaches being explored include new infrastructure and CDS delivery models and the knowledge management capabilities to support them.

KW - Care coordination

KW - Clinical decision support

KW - Clinical guidelines

KW - Knowledge management

UR - http://www.scopus.com/inward/record.url?scp=85040395472&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85040395472&partnerID=8YFLogxK

U2 - 10.1016/B978-0-12-809523-2.00012-1

DO - 10.1016/B978-0-12-809523-2.00012-1

M3 - Chapter

AN - SCOPUS:85040395472

SN - 9780128095232

SP - 161

EP - 182

BT - Key Advances in Clinical Informatics

PB - Elsevier Inc.

ER -