 |
 |
| |
|
- CDS Consortium received Partners in Excellence Team Award in recognition of outstanding performance and commitment to excellence. Click here for an PIE Awards Ceremony picture.
- Completed the six month simultaneous trial of Enterprise Clinical Rules Service (ECRS) with Regenstrief Institute (RI) CareWeb and Longitudinal Medical Record (LMR).
- Knowledge Management Lifecycle Assessment (KMLA) conducted site visit to NextGen.
- Completed the first four "Reverse Translations" from RI Preventive Care Rules to CDSC level 3 (L3) format.
- Started the development of the dashboard prototypes using one of the OpenSource Dashboard programs to test the accuracy and ease of use.
- Editorial Policy for Content Governance Committee was unanimously ratified by the CDS Consortium Steering Committee.
- CDS Consortium Steering Committee Charter was approved.
- Accenture, AFMOA, At&t, Geisinger, Woltres Kluwer Health signed Letter of Understanding and joined CDS Consortium as an ‘Collaborator’.
- Philips signed Letter of Understanding and joined Clinical Decision Support (CDS) Consortium as an ‘Observer’.
- Published Structured Care Recommendations (eRecs) content on the CDS Consortium Knowledge Management (KM) portal Related References page.
- Published ONC-funded Advancing CDS (ACDS) project content, which uses expanded L3 schema developed by the CDS Consortium project team.
- Received Distinguished Paper nomination at AMIA for: A Legal Framework to Enable Sharing of Clinical Decision Support Knowledge and Services Across Institutional Boundaries. Hongsermeier T, et al.
- Considerable progress on extending the four-layer knowledge stack, developing tools and standardizing knowledge representation methods.
- Refined the existing schemas and extended the schemas to represent two new content modalities: order sets and referential information linking (InfoButtons).
- Significant enhancements to the Knowledge Authoring Tool.
- CDSC Knowledge Management (KM) Portal for collating and browsing knowledge artifacts.
- Developed KM Portal publishing and KM Portal user agreements which ensure that all parties engaged in CDS content sharing understand the risks and their responsibilities, liabilities and obligations. The KM Portal team also gathered statistics and conducted evaluation of the KM Portal usage.
- Conducted follow-up site visits to Partners Healthcare (PHS) and the Regenstrief Institute, as well as new visits to three leading commercial CDS content vendors: Zynx Health, First DataBank and UpToDate. Based on these visits, the team developed a series of best practices and recommendations for decision support content developers and users.
- Developed recommendations on best practices for knowledge management and CDS to key stakeholders such as CCHIT, HITSP, and health IT vendors.
- Enhanced existing CDSC web-based decision support services (Enterprise Clinical Rules Service (ECRS)) and supported a continuing demonstration at PHS in the Longitudinal Medical Record (LMR) and a new demonstration at RI in CareWeb EHR. This is a milestone for the project, and one of the first times that a common decision support service has been used across multiple sites and various EHR platforms.
- Developed a new package containing detailed documentation and artifacts describing the CDS services so that future implementers will have all information needed to integrate the services in one place.
- Continued to work with NextGen and GE to implement ECRS in their EHRs.
- Enhanced the Dashboards for care providers and CDS designers. Trained users on the dashboards' capabilities. These dashboards provide data on CDS performance, including a novel "number needed to remind" (NNTR) metric that summarizes the effectiveness of a CDS reminder. In order to facilitate dissemination of these concepts, the dashboard team also developed a CDS Dashboard Development Guide (DDG). Any site can use this DDG to develop their own CDS dashboards.
- The CDSC Content Governance Committee (CGC) developed sophisticated editorial policies regarding the submission, publication, modification, and ownership of CDS content contributed to the CDSC effort. These policies will serve as a critical framework for content sharing, and will guide future content work within the CDSC.
- The CDSC has solved critical technical challenges for sharing CDS, developed social and legal frameworks and model contracts to facilitate such sharing and, most critically, built a trusting community of CDS developers and clinical information system vendors willing and ready to share.
- The CDSC team continued an active program of dissemination. Over the course of the year, the team authored over a dozen of papers, posters and presentations, held meetings for CDS and EHR vendors, maintained a website and carried out educational activities at conferences.
- Development of a knowledge management and CDS site assessment tool
- Reporting for five CDSC site visits
- Creation of a knowledge representation framework
- Developed editing and visualization tool
- Completed development of models for patient information and guideline actions
- Standalone guideline editing tool and a separate guideline viewing tool
- eRoom collaboration environment and user training
- Successful development and implementation of the KM Portal
- Development of User Guides for the repository and the portal
- Recommendations sent to CCHIT, HITSP, health IT vendors
- Recommendation document to adopt the Continuity of Care Document (CCD) with HITSP-recommended encodings for the included data elements
- Completed development and testing of the CCD factory (ECRS), integration of ECRS with the first demonstration site system, PHS LMR
- Deployed the service-based intervention at four PHS practices
- Completed the generic and PHS-specific dashboard specifications for coronary artery disease, hypertension, and diabetes mellitus
- Developed provider and designer dashboard
- Began CGC editorial policy discussions
- Collected actionable rules for diabetes mellitus, hypertension, and coronary artery disease from consortium institutions
