Work

Key principles for a national clinical decision support knowledge sharing framework: synthesis of insights from leading subject matter experts

Year: 2012

Type: article

Abstract: Objective To identify key principles for establishing a national clinical decision support (CDS) knowledge sharing framework. Materials and methodsAs part of an initiative by the US Office of the National Coordinator for Health IT (ONC) to establish a framework for national CDS knowledge sharing, key stakeholders were identified.Stakeholders' viewpoints were obtained through surveys and in-depth interviews, and findings and relevant insights were summarized.Based on these insights, key principles were formulated for establishing a national CDS knowledge sharing framework. ResultsNineteen key stakeholders were recruited, including six executives from electronic health record system vendors, seven executives from knowledge content producers, three executives from healthcare provider organizations, and three additional experts in clinical informatics.Based on these stakeholders' insights, five key principles were identified for effectively sharing CDS knowledge nationally.These principles are (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; and (5) establish a self-sustaining business model.Discussion Based on the principles identified, a roadmap for national CDS knowledge sharing was developed through the ONC's Advancing CDS initiative. ConclusionThe study findings may serve as a useful guide for ongoing activities by the ONC and others to establish a national framework for sharing CDS knowledge and improving clinical care. MATERIALS AND METHODS SME identification and invitationSMEs were identified in consultation with the ONC.The project team sought to ensure the representation of key stakeholders groups, including healthcare provider organizations, EHR system vendors, knowledge content producers (both commercial and non-commercial), and the informatics community.SMEs were invited primarily through email.Participating SMEs consented to their insights being shared with the ONC and with the public in a pseudo-anonymous manner, in which insights are not directly <

Source: Journal of the American Medical Informatics Association

DOI: 10.1136/amiajnl-2012-000887

Authors: Kensaku Kawamoto, Tonya Hongsermeier, Adam Wright, Janet Lewis, Douglas S Bell, Blackford Middleton