With at least 40% new or updated content since the last edition, Clinical Decision Support, 2nd Edition explores the crucial new motivating factors poised to accelerate Clinical Decision Support (CDS) adoption. This book is mostly focused on the US perspective because of initiatives driving EHR adoption, the articulation of 'meaningful use', and new policy attention in process including the Office of the National Coordinator for Health Information Technology (ONC) and the Center for Medicare and Medicaid Services (CMS). A few chapters focus on the broader international perspective. Clinical Decision Support, 2nd Edition explores the technology, sources of knowledge, evolution of successful forms of CDS, and organizational and policy perspectives surrounding CDS.

Exploring a roadmap for CDS, with all its efficacy benefits including reduced errors, improved quality, and cost savings, as well as the still substantial roadblocks needed to be overcome by policy-makers, clinicians, and clinical informatics experts, the field is poised anew on the brink of broad adoption. Clinical Decision Support, 2nd Edition provides an updated and pragmatic view of the methodological processes and implementation considerations. This book also considers advanced technologies and architectures, standards, and cooperative activities needed on a societal basis for truly large-scale adoption.

Key Features

  • At least 40% updated, and seven new chapters since the previous edition, with the new and revised content focused on new opportunities and challenges for clinical decision support at point of care, given changes in science, technology, regulatory policy, and healthcare finance
  • Informs healthcare leaders and planners, health IT system developers, healthcare IT organization leaders and staff, clinical informatics professionals and researchers, and clinicians with an interest in the role of technology in shaping healthcare of the future


Health care professionals, medical informatics researchers and students, policy makers, IT development managers, and various clinical investigators

Table of Contents

  • Foreword
  • Preface
  • Preface to the first edition
  • Section I: Computer-based Clinical Decision Support: Overview, Status, and Challenges
    • Section I. Computer-based Clinical Decision Support: Overview, Status, and Challenges
    • Chapter 1. Definition, Scope, and Challenges
      • 1.1 Introduction
      • 1.2 Definition of computer-based clinical decision support
      • 1.3 Features of CDS
      • 1.4 The tale of a relationship
      • 1.5 Scope and plan of this book
      • References
    • Chapter 2. A Brief History of Clinical Decision Support: Technical, Social, Cultural, Economic, and Governmental Perspectives
      • 2.1 Primary research methodologies that have been pursued and extended
      • 2.2 Driving forces for CDS
      • 2.3 Conclusion
      • References
    • Chapter 3. Features of Computer-Based Clinical Decision Support
      • 3.1 CDS and the human
      • 3.2 Design and structure of CDS
      • 3.3 Other considerations
      • References
    • Chapter 4. The Role of Quality Measurement and Reporting Feedback as a Driver for Care Improvement
      • 4.1 Introduction
      • 4.2 Quality measures and clinical decision support: similarities and differences
      • 4.3 Creating a quality measure
      • 4.4 Constructing the quality measure equation
      • 4.5 Identifying CDS interventions based on the quality measure
      • 4.6 A CDS rule component taxonomy
      • 4.7 The details about the CDS rules component taxonomy
      • 4.8 The CDS rules component taxonomy as a driver for quality measurement and care improvement
      • 4.9 Assuring the quality of a measure
      • 4.10 Driving care improvement
      • References
  • Section II: Experience with CDS Development and Adoption: Case Studies, National Initiatives, and Lessons Learned
    • Section II. Experience with CDS Development and Adoption: Case Studies


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© 2014
Academic Press
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