Clinical Decision Support (CDS)

See the following -

Cognitive Medical Systems Named to Deloitte Technology Fast 500TM List for Second Straight Year

Press Release | Cognitive Medical Systems | April 5, 2017

Cognitive Medical Systems, a specialist in standards-based Clinical Decision Support (CDS) software and healthcare IT infrastructure, today announced it ranked 35th on Deloitte’s Technology Fast 500™, a ranking of the 500 fastest growing technology, media, telecommunications, life sciences and energy tech companies in North America, for the second straight year. The company grew nearly 3,000 percent since 2012...

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A Public Health Perspective on ONC's Strategy to Reduce Burden on Physicians

On November 28, 2018, the Office of the National Coordinator for Health Information Technology (ONC) released a draft Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs for public comment. The strategy aims to reduce the time and effort and improve the functionality of electronic health records (EHRs) for clinicians, hospitals, and other healthcare organizations. This strategy was developed primarily through the efforts of ONC-convened workgroups in response to requirements laid out by Congress in the 21st Century Cures Act (Section 13103). The report itself does not identify who exactly served on these workgroups and what organizations were represented.

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A Web Services Approach to Public Health Clinical Decision Support

David Raths | Healthcare Informatics | October 22, 2016

Although it is still early days, I am increasingly convinced that the movement to bring a web services approach to healthcare is real. Every week brings announcements of new efforts to create modules that do one thing well and that providers could subscribe to from within their EHR. This approach makes so much more sense than each provider working with its software vendor to recreate the wheel.This is especially appealing in the realm of clinical decision support (CDS), in which knowledge management is so time-consuming and difficult for provider organizations...

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AHRQ Grants Show Use Cases For Clinical Decision Support

Kyle Murphy | EHR Intelligence | August 15, 2013

Want to know how healthcare analytics is impacting healthcare right now? A new report published by the Agency for Healthcare Research and Quality (AHRQ) has published a new report highlighting findings and lesson learned through its awarding of grants through its Improving Quality Through Clinician Use of Health IT Grant Initiative, a portion of which demonstrates use cases for clinical decision support (CDS)...

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AHRQ Releases Draft Guide for Registry Interoperability: Does Public Health Have a Role?

On January 11, 2019, the Agency for Healthcare Research and Quality (AHRQ) released a draft Addendum to the Third Edition of Registries for Evaluating Patient Outcomes: A User's Guide called Tool and Technologies for Registry Interoperability. AHRQ has long written about registries - largely from a research standpoint - and I have been following this from afar for some time. This new guide is focused on helping those who both create and use registries understand the issue surrounding leveraging external data to improve registry completeness, accuracy, and usefulness. This report covers lots of ground and does a good job of summarizing important subtopics. Each chapter is overflowing with footnotes and sources.

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Allscripts Launches Contest to Battle Heart Disease with Better CDS

Mike Miliard | Healthcare IT News | January 27, 2012

Aiming to develop best practices for treating cardiovascular disease, Allscripts has launched Million Hearts Initiative Clinical Decision Support Challenge that offers a $50,000 prize. The intent is to develop a publicly available resource that accelerates delivery of optimal care through clinical decision support functionality. Read More »

Anatomy of a Public Health Open Source Project: HLN's Immunization Calculation Engine (ICE)

An immunization information system (IIS) aggregates immunization information for children (and some adults) living or receiving immunization services in a jurisdiction. One of the core components of an IIS is its immunization evaluation and forecasting system: the computerized algorithm that is used to determine if vaccine doses that were administered to the patient are clinically valid (evaluation) and to project what doses are due now and in the future (forecasting). These algorithms are used to support clinical decision support (CDS) at the point of care and also to help public health agencies understand and manage the immunization status of whole populations.

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Apervita Creates Health Analytics for the Millions

Andy Oram | EMR & EHR | January 9, 2015

I have often advocated for better integration of analytics into everyday medical practice, and I found a company called Apervita (originally named Pervasive Health) that jumps off in the right direction.

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Are Open Source Clinical Decision Support (CDS) Services Subject to HIPAA Regulations?

Clinical Decision Support (CDS) services such as HLN’s Immunization Calculation Engine (ICE) are modular, loosely-coupled components of larger systems accessed via web services in a service-oriented architecture (SOA). Under HIPAA, services provided to Covered Entities (CE) which involve protected health information (PHI) as defined in the statute are subject to the regulation. But are CDS services such as ICE subject to this regulation?

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At VA, All 2015 IT Budget Roads Lead To VistA

Tom O’Keefe | Government Health IT | August 25, 2014

Thanks to the bipartisan agreement authorizing approximately $16 billion to help veterans avoid the problems with health care that have long plagued the Department of Veterans Affairs, the bulk of VA IT support is headed largely in one direction...VA spending has been focused on development of its own electronic health record system: VistA (Veterans Health Information Systems and Technology Architecture)...

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Beyond EHRs: Positioning Hospitals For The Pay-For-Performance Era

Steve Riddle | Government Health IT | October 9, 2012

Fierce competition ahead. That’s what hospitals can expect in the pay-for-performance landscape that is already unfolding on the national regulatory scene. Read More »

CDC Issues RFI for Real-world Testing of Health Information Technology

In October the Centers for Disease Control and Prevention (CDC) issued a Request for Information (RFI) for a Natural Test Collaborative (NTC). Through a series of questions, the RFI seeks opinions and information about "The development of a national testbed (notionally called the National Test Collaborative (NTC)) for real-world testing of health information technology (IT)" and "Approaches for creating a sustainable infrastructure" to achieve it. The scope of the questions is somewhat confusing and quite broad, starting with Clinical Decision Support (CDS) and electronic Clinical Quality Measures (eCQMs) but quickly expanding to Electronic Health Records (EHR) and interoperability (not precisely defined).

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Clinical Decision Support Should Be Open Source

Andy Oram | EMR & EHR | January 26, 2015

Clinical decision support is a long-standing occupant of the medical setting. It got in the door with electronic medical records, and has recently received a facelift under the term “evidence based medicine.”...

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Clinical Decision Support Strategies for Electronic Case Reporting and its Open Source Connection

A key element of public health surveillance is the reporting of infectious and certain non-infectious conditions to state, local, and tribal public health agencies (PHA) around the United States. Historically, there have been a number of key challenges with the process of case reporting that is pervasive in the United States today. To help overcome some of these barriers, an effort has been underway to move the process of case reporting to electronic. A key component of the emerging electronic care reporting (eCR) strategy is the use of clinical decision support (CDS) to help clinical care organizations determine if a reportable condition is present in a patient's record. Multiple approaches have been identified for this CDS service, including a centralized model being implemented today, and several distributed options which will likely become equally viable. Given the size, diversity, and decentralized nature of healthcare enterprises, it is likely that all three approaches for CDS discussed in this article will be deployed simultaneously.

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Cognitive Medical Systems Launches CORA, Its First Product

Press Release | Cognitive Medical Systems | September 11, 2017

Cognitive Medical Systems, a specialist in standards-based Clinical Decision Support (CDS) software and healthcare IT infrastructure, announced today that it is piloting its flagship product, Clinical Optimization and Reasoning Architecture (CORA), with two major U.S. healthcare delivery systems. The platform gives hospitals the ability to easily define, deploy and sustain improved evidence-based clinical practices...

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