Clinical Decision Support (CDS)

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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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Cognitive Medical Systems launches Socratic Grid open source initiative; joins Open Health Tools (OHT)

Press Release | Cognitive Medical Systems, Open Health Tools | October 23, 2012

Cognitive Medical Systems, a specialist in standards-based clinical decision support software solutions for healthcare, today announced the launch of its Socratic Grid open source initiative. The company also joined the Open Health Tools consortium to demonstrate its deep commitment to this strategy.

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Cognitive Medical Systems To Present Standards-Based Clinical Decision Support Capabilities Demo At HIMSS16

Press Release | Cognitive Medical Systems | February 22, 2016

Cognitive Medical Systems, a specialist in standards-based clinical decision support (CDS) software and healthcare IT infrastructure, announced today that it will present a CDS capabilities demonstration at the Healthcare Information and Management Systems Society 2016 (HIMSS16) Conference & Exhibition in Las Vegas, Nevada, Feb. 29-March 3. Working in collaboration with the University of Utah, Health Samurai, and the Regenstrief Institute, Cognitive will illustrate how organizations at the Healthcare Services Platform Consortium (HSPC) are working to define standards-based, interoperable architecture enabling advanced CDS functionality.

Cost Reminders Via CPOE Lead To Fewer Test Orders

Susan D. Hall | FierceHealthIT | April 17, 2013

Displaying the cost of a test via computerized provider order entry systems prompted a 9 percent reduction in the number of tests ordered, according to a study published in JAMA Internal Medicine. Read More »

Creating a Knowledge Infrastructure for the ‘Learning Health System’

David Raths | KM World | September 14, 2017

The idea that the healthcare industry can study the data being created in electronic health records (EHR) to foster ongoing improvement is not a new one, but it is gaining momentum. A “learning health system” is one that commits to the use of data as a byproduct of care for continuous learning. Clinicians and health system researchers want to tackle perhaps their industry’s most significant knowledge management challenge: how to capture the results of research into clinical best practices and more quickly feed it back to doctors and nurses at the point of care...

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CredibleMeds® Announces Open-Source Drug Safety Resource

Press Release | AZCERT, CredibleMeds | October 23, 2013

QTdrugs List and Clinical Decision Support System Identifies Patients at Risk for Sudden Death; Adverse Drug Event Causality Analysis (ADECA™) Technology Generates QTdrugs List to Save Lives Read More »

Data Management for Large-scale COVID-19 Immunization: This is all not as simple as it seems

There is a global race for the development of a vaccine for the SARS-CoV-2 virus that causes COVID-19. Finding a vaccine that works and receives approval is only part of the process. There are a series of other steps that need to be taken so that the vaccine can be delivered. These include the mass production of the vaccine, shipment, administration and record-keeping. This may be even more complex as there may be several vaccines. In this article we review some of these issues with a particular focus on the United States.

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DSS and HLN Consulting Partner to Offer Enhanced Immunization Forecasting Solution

Press Release | Document Storage Systems, Inc., HLN Consulting | July 17, 2018

Document Storage Systems, Inc. (DSS), a leading provider of health information technology (HIT) solutions for federal, private and public healthcare organizations, announced that it has partnered with HLN Consulting to offer an enhanced forecasting solution that provides clinical decision support (CDS) for immunizations. HLN Consulting’s open source Immunization Calculation Engine (ICE) is now interfaced with the DSS Immunization Dashboard (iDB), to bring patient-specific immunization forecasting to the provider without an interface to a registry. iDB provides a visualization of the patient’s historical record from the treating facility, as well as information from the Immunization Registry.

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EHR-Based Order Sets: 7 Methods For Successful Development

John B. Sparling | EHR Intelligence | April 10, 2013

Hospitals are keenly aware of the benefits of implementing order sets in the treatment of many conditions and diseases...To make certain your EHR-based order set development efforts are successful from the start, the following are seven recommended key methods. Read More »

EHRs, Clinical Decision Support Top 2017 Patient Safety Hazard List

Jennifer Bresnick | Health IT Analytics | March 15, 2017

Information management errors in electronic health records, incorrect use of clinical decision support, and poor prescribing habits are among the most dangerous health IT hazards for 2017, according to ECRI Institute’s annual patient safety list. The repeat offenders are joined by a number of workflow and process shortfalls that can leave hospitalized patients without sufficient monitoring, lead to costly and deadly hospital-acquired infections, and open up serious behavioral health risks...

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Federal Prisons Seek Advanced EHR, Clinical Decision Support

Jennifer Bresnick | EHR Intelligence | June 3, 2014

The Federal Bureau of Prisons (BOP) is looking to replace its basic EHR with a more robust commercial offering, according to a request for information (RFI) posted on FedBzOpps.gov this week.  The BOP is specifically looking for clinical decision support capabilities to serve its 219,000 federal inmates and more than 400 physicians at its standard prisons and advanced care facilities...

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Geisinger, xG Health Solutions™ to Advance Open Health Care Application Ecosystem

Press Release | Geisinger Health System, xG Health Solutions | November 4, 2014

Geisinger Health System and xG Health Solutions announced today they have connected a software app developed by Geisinger to an Electronic Health Record (EHR) by leveraging new draft international standards...[using] an approach developed with support from...[the] Office of the National Coordinator's Strategic Healthcare IT Advanced Research Projects (SHARPn) grant, specifically the open-source Substitutable Medical Apps, Reusable Technologies (SMArt) Platform...

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