A Lifecycle Framework Illustrates Eight Stages Necessary for Realizing the Benefits of Patient-Centered Clinical Decision Support

Authors

Dean F Sittig
Aziz Boxwala
Adam Wright
Courtney Zott
Priyanka Desai
Rina Dhopeshwarkar
James Swiger
Edwin A Lomotan
Angela Dobes
Prashila Dullabh

Publication Date

8-18-2023

Journal

Journal of the American Medical Informatics Association

Abstract

The design, development, implementation, use, and evaluation of high-quality, patient-centered clinical decision support (PC CDS) is necessary if we are to achieve the quintuple aim in healthcare. We developed a PC CDS lifecycle framework to promote a common understanding and language for communication among researchers, patients, clinicians, and policymakers. The framework puts the patient, and/or their caregiver at the center and illustrates how they are involved in all the following stages: Computable Clinical Knowledge, Patient-specific Inference, Information Delivery, Clinical Decision, Patient Behaviors, Health Outcomes, Aggregate Data, and patient-centered outcomes research (PCOR) Evidence. Using this idealized framework reminds key stakeholders that developing, deploying, and evaluating PC-CDS is a complex, sociotechnical challenge that requires consideration of all 8 stages. In addition, we need to ensure that patients, their caregivers, and the clinicians caring for them are explicitly involved at each stage to help us achieve the quintuple aim.

Keywords

Humans, Decision Support Systems, Clinical, Delivery of Health Care, Communication, Patients, Patient-Centered Care

Comments

PMID: 37414544