Five stages of CDS adoption journey
Stage1: Discovery Stage
What is CDS? Why is it of value and how is it helpful?
You’ve heard about Clinical Decision Support (CDS) solutions but aren’t completely sure of what it entails. What impact do these solutions have on your care processes and patient outcomes? How do they align with your hospital’s goals and objectives? What solutions should you even consider? Get started on your journey here.
Types of CDS solution
CDS is a knowledge acquisition and clinical care tool, which transforms top-quality, static reference information into real-time, dynamic, actionable knowledge for care providers at the point of care. At Elsevier, our CDS solutions fall within two categories:
1) Reference and decision support
Fast, concrete answers that drive clinical decisions
The value of CDS
- Today, CDS solutions are seen as a major weapon in the battle against preventable medical errors.
- The clinical knowledge within the CDS continually reflects current evidence-based medicine (EBM) from the research literature, plus sources of practice expertise.
- Advocated as a method to improve clinical outcomes, the incorporation of EBM into powerful CDS has the potential to transform healthcare safety and quality:
- Delivering real-time, dynamic CDS at the point of care, point of reference or point of research
- Helping providers contain costs, control medical errors, boost clinical productivity and improve quality and outcomes of care
- Optimise EHR and achieve near-term return-on-investment (ROI)
Benefits of CDS
Clinicians with CDS available to them are:
more likely to prescribe the correct medicines or other therapies*
more likely to order the required diagnostic tests
more likely to monitor drug effects in line with evidence
more likely to take appropriate preventative action
* 8 systematic reviews – Implementation Science, AHRQ, Annals of Internal Medicine
How current, credible and evidence-based information nurtures safe processes & care decision
Eight reasons why CDS is more valuable than ever
How do you support such a diverse clinical staff-base to standardise care, drive down variability and improve health outcomes?
Assessing your organisation’s need
To understand the specific needs of your organization, begin by identifying the exact pain points you currently face. This supports the formulation of a problem statement, unique to your organization, which is important to keep in view as you embark on your journey towards CDS adoption.
Step 1: Identify the exact pain points you currently face and formulate the corresponding need
Step 2: Formulate your problem statement, which is important to keep in view as you embark on your journey towards CDS adoption
Mapping pain points to needs
Below are some common pain points experienced by healthcare providers, each mapped to the corresponding need. In establishing these challenges and requirements, you can formulate your organisation-specific problem statement(s).
Remember, a problem statement is a clear and concise description of the issue(s) that need(s) to be addressed.
Why is a problem statement important?
- At the start: it centers and focuses the taskforce
- During the problem-solving effort: it keeps the team on track
- At the end: it validates that the effort delivered an outcome that solves the problem statement
Example 1: Reduce complications
Problem Statement: Preventable medical errors are at an all-time high in my hospital, leading to longer patient stays and higher re-admissions.Pain Points
Example 2: Save time
Problem Statement: My physicians and clinicians are spending a significant portion of their time building, managing and reviewing order sets in paper-based format, time that could otherwise be invested in patient care.Pain Points
Example 3: EHR functionality
Problem Statement: My hospital has spent significantly on Electronic Health Record (EHR) over the past year, but we continue to see poor (only 30-50%) adoption amongst clinicians.Pain Points
The right CDS solution integrated with your hospital's clinical workflows can help you address some of these needs. Need help to navigate your journey from here?Start a conversation with our team
What are some potential roadblocks?
In assessing your organisation's readiness to adopt CDS, it is important to keep in view the possible obstacles that lie ahead. An awareness of these hurdles is often half the battle won, but getting on-board a trusted solutions partner/vendor with a proven track record to guide you in overcoming or even avoiding these obstacles is also essential.Read more
- Integration of CDS solution into EHR: Solutions need to be seamlessly integrated with existing EHR systems (of any complexity or type) and to transform clinical practice by embedding evidence-based information directly into the clinical workflow. Success requires dialogue and collaboration. CDS vendors need to work alongside EHR vendors and local institutions to understand the pressures on their systems, to support end-users to achieve and measure impact.
- Economic constraints: The purchase and implementation of CDS solutions undoubtedly constitute additional IT expenditure. Further consider the investment required for integration as well as related IT manpower costs. Tap into the expertise of CDS vendors to estimate all costs involved – near-, medium- and long-term – against the expected returns to gain a better understanding of ROI.
- People resources: Getting the right team together to oversee the preparation, introduction and implementation of the new CDS solutions is pivotal. Ensure your task-force consists of a mix of key stakeholders including medical and IT/EHR staff. Avoid positioning the task as a purely IT project.
Have questions? We have answers. For more information on our products and integration capabilities, please contact our Elsevier Solution Specialist.