Difference between revisions of "Key principles for a national clinical decision support knowledge sharing framework synthesis of insights from leading subject matter experts"
(Created page with "This is a review for Raghupathy Anchala, MD, PhD, Stephen Kaptoge, PhD, Hira Pant, MA, Emanuele Di Angelantonio, MD, PhD, Oscar H. Franco, MD, PhD, and D. Prabhakaran's, MD, D...") |
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− | This is a review for | + | This is a review for Kensaku Kawamoto, Tonya Hongsermeier, Adam Wright, Janet Lewis, Douglas S Bell, Blackford Middleton’s Key principles for a national clinical decision support knowledge sharing framework: synthesis of insights from leading subject matter experts <ref name=" Kawamoto 2013"> This is a review for Kensaku Kawamoto, Tonya Hongsermeier, Adam Wright, Janet Lewis, Douglas S Bell, Blackford Middleton’s Key principles for a national clinical decision support knowledge sharing framework: synthesis of insights from leading subject matter experts. J Am Med Inform Assoc. 2013 Jan 1;20(1):199-207. doi: 10.1136/amiajnl-2012-000887. Epub 2012 Aug 4. http://www.ncbi.nlm.nih.gov/pubmed/22865671</ref>. |
== Introduction == | == Introduction == | ||
− | + | The Office of the National Coordinator for Health IT (ONC) has expressed interest in promoting a way for the United States healthcare industry to share various Clinical Decision Support ([[CDS]]) knowledge. | |
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== Methods == | == Methods == | ||
− | + | Various stakeholders of potential CDS knowledge sharing were identified. These stakeholders included EHR vendors, clinical content vendors, healthcare organizations, and clinical informatics subject matter experts. Emails were sent to these identified persons to participate in sharing their thoughts on how and if this CDS knowledge sharing would look like. 19 shareholders agreed and were given initial surveys. After the surveys were collected, the 19 participating stakeholders were further interviewed for further discussion. | |
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== Results == | == Results == | ||
− | + | The authors abstracted five main themes from the feedback of the 19 stakeholders: | |
− | + | 1. Prioritize and support the creation and maintenance of a national CDS knowledge sharing framework | |
− | + | 2. Facilitate the development of high-value content and tooling, preferably in an open-source manner | |
− | + | 3. Accelerate the development or licensing of required, pragmatic standards | |
− | + | 4. Acknowledge and address medicolegal liability concerns | |
− | + | 5. Establish a self-sustaining business model | |
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== Discussion == | == Discussion == | ||
− | + | Although not everyone in the healthcare industry was included in the stakeholder survey or interviews, the ones that were involved make up a big chunk of the market share. Since these participants are influential in the healthcare world, the ONC should use these findings as a guideline in their work to establish a CDS knowledge sharing framework. | |
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== Commentary == | == Commentary == | ||
Revision as of 00:34, 25 March 2015
This is a review for Kensaku Kawamoto, Tonya Hongsermeier, Adam Wright, Janet Lewis, Douglas S Bell, Blackford Middleton’s Key principles for a national clinical decision support knowledge sharing framework: synthesis of insights from leading subject matter experts [1].
Introduction
The Office of the National Coordinator for Health IT (ONC) has expressed interest in promoting a way for the United States healthcare industry to share various Clinical Decision Support (CDS) knowledge.
Methods
Various stakeholders of potential CDS knowledge sharing were identified. These stakeholders included EHR vendors, clinical content vendors, healthcare organizations, and clinical informatics subject matter experts. Emails were sent to these identified persons to participate in sharing their thoughts on how and if this CDS knowledge sharing would look like. 19 shareholders agreed and were given initial surveys. After the surveys were collected, the 19 participating stakeholders were further interviewed for further discussion.
Results
The authors abstracted five main themes from the feedback of the 19 stakeholders: 1. Prioritize and support the creation and maintenance of a national CDS knowledge sharing framework 2. Facilitate the development of high-value content and tooling, preferably in an open-source manner 3. Accelerate the development or licensing of required, pragmatic standards 4. Acknowledge and address medicolegal liability concerns 5. Establish a self-sustaining business model
Discussion
Although not everyone in the healthcare industry was included in the stakeholder survey or interviews, the ones that were involved make up a big chunk of the market share. Since these participants are influential in the healthcare world, the ONC should use these findings as a guideline in their work to establish a CDS knowledge sharing framework.
Commentary
In this article, the authors wanted to shed some light on the effectiveness of a CDS system in low to middle income countries. While I think this is interesting, this study only included one country’s result and I would caution not to base all low-middle income countries on these results.
References
- ↑ This is a review for Kensaku Kawamoto, Tonya Hongsermeier, Adam Wright, Janet Lewis, Douglas S Bell, Blackford Middleton’s Key principles for a national clinical decision support knowledge sharing framework: synthesis of insights from leading subject matter experts. J Am Med Inform Assoc. 2013 Jan 1;20(1):199-207. doi: 10.1136/amiajnl-2012-000887. Epub 2012 Aug 4. http://www.ncbi.nlm.nih.gov/pubmed/22865671