The Technical Landscape for Patient-Centered CDS: Progress, Gaps, and Challenges

Authors

Prashila Dullabh
Krysta Heaney-Huls
David F Lobach
Lauren S Hovey
Shana F Sandberg
Priyanka J Desai
Edwin Lomotan
James Swiger
Michael I Harrison
Chris Dymek
Dean F Sittig
Aziz Boxwala

Publication Date

5-11-2022

Journal

Journal of the American Medical Informatics Association

Abstract

Supporting healthcare decision-making that is patient-centered and evidence-based requires investments in the development of tools and techniques for dissemination of patient-centered outcomes research findings via methods such as clinical decision support (CDS). This article explores the technical landscape for patient-centered CDS (PC CDS) and the gaps in making PC CDS more shareable, standards-based, and publicly available, with the goal of improving patient care and clinical outcomes. This landscape assessment used: (1) a technical expert panel; (2) a literature review; and (3) interviews with 18 CDS stakeholders. We identified 7 salient technical considerations that span 5 phases of PC CDS development. While progress has been made in the technical landscape, the field must advance standards for translating clinical guidelines into PC CDS, the standardization of CDS insertion points into the clinical workflow, and processes to capture, standardize, and integrate patient-generated health data.

Keywords

Decision Support Systems, Clinical, Humans, Patient-Centered Care, Workflow, clinical decision support; patient-centered care, patient-generated health data

DOI

10.1093/jamia/ocac029

PMID

35263437

PMCID

PMC9093031

PubMedCentral® Posted Date

3-9-2022

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes