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Knowledge Management Services
The clinical systems in production at Partners Healthcare entities are embedded with a wealth of clinical decision support knowledge accumulated over years of advanced informatics research. Partners Healthcare Systems is well recognized as a leader in applied clinical decision support to improve safety and quality.
It became apparent that maintaining this knowledge was becoming increasingly difficult with common Microsoft Office tools, thus the Knowledge Management team was formed in late 2003 charged with implementing tools and processes to improve how clinical decision support knowledge is updated and maintained across all clinical care information systems.
The Strategic Goals for Knowledge Management are:
The Knowledge Management Team conducts analysis, planning, and implementation activities related to the development of a Partners-wide infrastructure and methodology for knowledge management. These activities include:
Current state analysis and strategic planning for decision support knowledge management across entity and enterprise clinical systems.
Inventory of all available documentation on clinical decision support rules, order sets, databases, and documentation templates that are in production in clinical care systems. This decision support inventory was published to the KM Portal (http://kmportal.partners.org)
Implementation of Documentum’s eRoom and Content Management Solutions to support collaborative authoring and vetting of clinical decision support content by subject matter expert and entity teams as well as support effective processes for the maintenance and auditing of such content. These solutions were implemented to reduce the bottleneck of building consensus for updating decision support content as well as improving our ability to capture the who, what, when, where and why of changes made in clinical decision support content.
Participation of team members to support the evolution of improved organizational alignment for knowledge management such as new structures for managing Medication Decision Support and Diabetes disease management. New committees formed include the Clinical Content Committee, the Primary Care Subject Matter Expert group, the Pediatric Subject Matter Expert Group and the Geriatric Care Subject Matter Expert group.
Support of Enterprise and Entity-level clinician order entry and decision support teams through the implementation of eRooms for vetting proposed decision support knowledge and the publishing of data about existing decision support knowledge to the KM Portal document library.
Implementation of advanced informatics infrastructure for improving the efficiency of knowledge authoring of agreed-upon knowledge into production such that once a decision is made that content must change; such changes can be implemented rapidly.
For more information, please refer to the following slide presentations or contact us directly:
Collaborative Authoring of Decision Support Knowledge (Presented at AMIA, 10/2005)