Clinical Decision Support and Beyond

Clinical Decision Support and Beyond

Progress and Opportunities in Knowledge-Enhanced Health and Healthcare

3rd Edition - February 24, 2023

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  • Editors: Robert Greenes, Guilherme Del Fiol
  • Paperback ISBN: 9780323912006

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Description

Clinical Decision Support and Beyond: Progress and Opportunities in Knowledge-Enhanced Health and Healthcare, now in its third edition, discusses the underpinnings of effective, reliable, and easy-to-use clinical decision support systems at the point of care as a productive way of managing the flood of data, knowledge, and misinformation when providing patient care. Incorporating CDS into electronic health record systems has been underway for decades; however its complexities, costs, and user resistance have lagged its potential. Thus it is of utmost importance to understand the process in detail, to take full advantage of its capabilities. The book expands and updates the content of the previous edition, and discusses topics such as integration of CDS into workflow, context-driven anticipation of needs for CDS, new forms of CDS derived from data analytics, precision medicine, population health, integration of personal monitoring, and patient-facing CDS. In addition, it discusses population health management, public health CDS and CDS to help reduce health disparities. It is a valuable resource for clinicians, practitioners, students and members of medical and biomedical fields who are interested to learn more about the potential of clinical decision support to improve health and wellness and the quality of health care.

Key Features

  • Presents an overview and details of the current state of the art and usefulness of clinical decision support, and how to utilize these capabilities
  • Explores the technological underpinnings for developing, managing, and sharing knowledge resources and deploying them as CDS or for other uses
  • Discusses the current drivers and opportunities that are expanding the prospects for use of knowledge to enhance health and healthcare

Readership

Researchers in CDS and clinical practitioners, especially those with responsibility for guiding the effective adoption, implementation, and governance of CDS capabilities in medical centers, clinics, and practices. Developers of CDS capabilities, vendors providing these services, students in biomedical and health informatics, clinicians with particular interest in practice improvement and computer-based methods, or with leadership roles in their institutions

Table of Contents

  • Preface

    SECTION I GOALS, METHODOLOGIES, AND CHALLENGES FOR CLINICAL DECISION SUPPORT AND BEYOND
    1. Definitions, Purposes, and Scope
    2. Clinical Decision Support Methods
    3. The Journey to Broad Adoption
    4. The Role of Quality Measurement and Reporting Feedback as a Driver for Care Improvement
    5. International Dimensions of Clinical Decision Support Systems

    SECTION II SOURCES OF KNOWLEDGE FOR CLINICAL DECISION SUPPORT AND BEYOND
    6. Human-Intensive Techniques
    7. Data-Driven Approaches to Generating Knowledge: machine learning, artificial intelligence, and predictive modelling
    8. Modernizing Evidence Synthesis for Evidence-Based Medicine

    SECTION III THE TECHNOLOGY OF CLINICAL DECISION SUPPORT AND BEYOND
    9. Decision Rules and Expressions
    10. Guidelines and Workflow Models
    11. Ontologies, Vocabularies and Data Models
    12. Grouped Knowledge Elements
    13. Infobuttons and Point of Care Access to Knowledge
    14. Information Visualization and Integrated Information Display
    15. The Role of Standards
    16. Population Analytics and Decision Support
    17. Expanded sources for Precision Medicine
    18. Knowledge Resources

    SECTION IV ADOPTION OF CLINICAL DECISION SUPPORT AND OTHER MODES OF KNOWLEDGE ENHANCEMENT
    19. Cognitive Considerations for Health Information Technology
    20. CDS Implementation and Governance
    21. Managing the Investment in Clinical Decision Support
    22. Evaluation of Clinical Decision Support
    23. Legal and Regulatory Issues Related to the Use of Clinical Software in Health Care Delivery
    24. Patient-Centered Clinical Decision Support
    25. CDS and Health Disparities
    26. Population Health Management
    27. CDS for Public Health

    SECTION V THE JOURNEY TO A KNOWLEDGE-ENHANCED HEALTH AND HEALTH CARE SYSTEM
    28. Clinical Knowledge Management
    29. Integration of Knowledge Resources: Architectures
    30. Getting to Knowledge-Enhanced Health and Healthcare

Product details

  • No. of pages: 880
  • Language: English
  • Copyright: © Academic Press 2023
  • Published: February 24, 2023
  • Imprint: Academic Press
  • Paperback ISBN: 9780323912006

About the Editors

Robert Greenes

Robert Greenes, MD, PhD, holds an MD and a PhD in Computer Science from Harvard. Dr Greenes is an expert in health care information technology/informatics and has made contributions to the field over many years, initially at Harvard and more recently at Arizona State University in partnership with Mayo Clinic. His passion is the use of information technology in health care to make "the right thing the easy thing to do". He is Ira A. Fulton Chair of Biomedical Informatics at the ASU,  a member of the National Academy of Medicine and of the International Academy of Health Sciences Informatics, and a Fellow of the American College of Radiology, American College of Medical Informatics, and the Society for Imaging Informatics in Medicine.  He was the 2008 recipient of the Morris F. Collen Award for lifetime impact on the field of biomedical informatics, from the American College of Medical Informatics.

Affiliations and Expertise

Emeritus Professor of Biomedical Informatics, Arizona State University, Phoenix, AZ, United States

Guilherme Del Fiol

Guilherme Del Fiol, MD, PhD, earned his MD from the University of Sao Paulo, Brazil; his MS in Computer Science from the Catholic University of Parana, Brazil; and his PhD in Biomedical Informatics from the University of Utah. He is currently Professor and Vice-Chair of Research in the University of Utah’s Department of Biomedical Informatics. Prior to the University of Utah, Dr. Del Fiol held positions in Clinical Knowledge Management at Intermountain Healthcare and as faculty at the Duke Community and Family Medicine Department. Since 2008, he has served as an elected co-chair of the Clinical Decision Support Work Group at Health Level International (HL7). He is also an elected Fellow of the American College of Medical Informatics (ACMI) and a member of the Comprehensive Cancer Center at Huntsman Cancer Institute. His research interests are in the investigation of standards-based clinical decision support and digital health interventions.

Affiliations and Expertise

Professor, Department of Biomedical Informatics, University of Utah, Salt Lake City, UT, United States; Vice-Chair of Research, Department of Biomedical Informatics, University of Utah, Salt Lake City, UT, United States

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