Clinical Decision Support Essay

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Clinical Decision Support Essay

Health care systems have integrated various Information Technology to help in managing important information about patients and their care. Some of these technologies include:

Clinical Decision Support

Consumer Health IT applications

Computerized Provider Oder entry

Telehealth

Electrical Medical Order System

Telehealth

Various patients seek medical attention far from health care centers. As a result, telemedicine is instrumental in providing for the support and through communication and medical technologies. Clinical Decision Support Essay. The technology may be used between two doctors who are apart but discussing the health status of a patient. Moreover, it can be so much advance to help in carrying out critical operations to a patient who is in a remote area using robotic technology without involving doctors. In the current field of medicine and nursing, the technology is employed by medics to monitor the conditions of their patients in remote areas..

There are various telehealth technologies used in improving medical care for patients. They include Teleconsultations which enable physician in remote areas to have advice from a specialist who is distant from him about the condition of a patient. The latter can be done through CT, MRI, or ultrasound scans. Secondly, there is Remote Patient Monitoring, which requires sensors to allow the physician to monitor their patients outside clinical settings. Clinical Decision Support Essay. Moreover, Intraoperative monitoring (IOM) helps surgeons to carry out continuous checking during the critical surgical procedure since the device helps detect damages in a patient’s brain, spinal cord, and even nervous system. Next is Telehomecare (THC), which allows people with chronic conditions, dementia to have reassurances and continue to live in their homes. The latter is instrumental in reacting to emergency calls for swift responses.

Therefore, the application of Information Technology in health care has been instrumental to both patients and physicians. A majority of patients are in a position to have the necessary prescription and monitoring while at their homes. Moreover, physicians, nurses, and surgeons have been able to keep track of patients with a lot of ease.

Abstract Clinical decision-support systems (CDSS) apply best-known medical knowledge to patient data for the purpose of generating case-specific decision-support advice. CDSS forms the cornerstone of health informatics research and practice. It is an embedded concept in almost all major clinical information systems and plays an instrumental role in helping health care achieve its ultimate goal: providing high quality patient care while, at the same time, assuring patient safety and reducing costs. This computer based systems designed to impact clinician decision making about individual patients at the point in time that these decisions are made. If used properly, CDSS have the potential to change the way medicine has been taught and…show more content…
This stream of research eventually developed into a dedicated discipline, Artificial Intelligence in Medicine (AIM), with wide appeal and broad consensus for optimism. In 1970, Schwartz announced in the New England Journal of Medicine that clinical computing would likely be commonplace in the “not too distant future.” The use of computerized clinical information systems to support hospital operation as well as clinical activities started to flourish in the early 1990s.Clinical Decision Support Essay. Besides the significant technological breakthroughs, including the availability of enterprise-level database management systems (DBMS) and health data standards such as ICD and HL7, new legislation and advocacy by federal funding agencies also played a key role. International Statistical Classification of Diseases: Standard diagnostic classification developed by the World Health Organization (WHO) for its member states to report mortality and morbidity statistics. In the United States, ICD-9-CM (ICD 9th Revision, Clinical Modification) is widely used to codify diagnostic data for administrative (such as billing) purposes. http://www.cdc.gov/nchs/datawh/ftpserv/ftpICD9/ftpICD9.htm. Health Level Seven (HL7) is an all-volunteer, not-for-profit organization. It oversees the development of international health data exchange standards. http://www.hl7.org. Financial investments to implement large-scale health IT systems were made by the Agency for

Question 1: Name and describe at least five of the ten commandments of effective clinical decision support and explain how they can make the implementation process occur more smoothly(Chapter 8). Question 2: Describe the distinct components of stand-alone decision support systems (DSS) and provide some specific examples of these systems and how they may be used in the health care environment. (Chapter 9). Question 3: Describe some key components of ONCs mission as it relates to the implementation of HITECH. (Chapter 10). Question 4: Describe the steps involved in risk analysis and management and the ultimate goal of conducting such an assessment (Chapter 11). I uploaded chapters with answers. The writer can freely choose additional resources. Clinical Decision Support Essay.
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Ten Commandments for effective clinical decision support
The 10 commandments play a significant role in facilitating the designing, implementation, and use of clinical decision support systems (Wager, Lee, & Glaser, 2013).
Speed is everything
The Clinical Decision Support (CDS) system must be fast. The time it takes for the CDS system to collect and process data and provide meaningful information or actionable suggestions to the end user is imperative. The speed of an information system is the parameter that users value. A decision support might be great but it will be ineffective because it takes too long to offer a solution. Moreover, when infrastructure predicaments slow the speed of an application, user fulfillment declines distinctly. The major determinant of user satisfaction is speed, which is often rated much higher than quality. Clinical Decision Support Essay. For instance, computerized physician order entry is regarded as an efficient technology, but it usually takes users longer to write orders using the computer than with paper, to some extent, because several screens are involved. Therefore, an information system that has higher speed and it takes the user sub second to flip to the next screen would facilitate easy access of decision support by the user (Wager, Lee, & Glaser, 2013).

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Anticipate Needs and Deliver in Real Time
It is not easy for information system to offer all the information needed by health care professionals, but for the application to provide effective decision support it must anticipate clinician needs and deliver the information to clinicians at the proper time they require it. Health professionals in the U.S. face escalating time pressure and cannot afford to spend even more time seeking bits of information; hence, making information accessible electronically offer a timely decision support to the health professionals. In addition, systems can serve the important role of gathering and making connections between pieces of information that clinicians may miss because of existence large volume of data (Wager, Lee, & Glaser, 2013).
Little Things Can Make a Big Difference
System usability matters a lot in offering decision support to users. While it is evident that clinical computing systems are not different from other information systems, usability testing has not been a routine component of designing them. Therefore, developers should make systems that can be easily used by clinicians and conduct a usability testing before introducing the system for use by clinicians.Clinical Decision Support Essay. Usability testing has had a remarkable impact on improving systems and facilitating easy usage of the systems by clinicians (Wager, Lee, & Glaser, 2013).
Simple Interventions Work Best
Clinicians would not like to use an information system that cannot fit a guideline on a single screen. Although it is helpful to have a comprehensive backup guideline as reference material, such guidelines are often not used without adjustment, particularly during the provision of regular care. In instances where clinicians are needed to offer numerous piece of information in order to get to the key decision support, the intervention orders are mostly cancelled due to the process being long. Moreover, in instances in which they cancelled, clinicians never get to the decision support section of the intervention. Thus, a guideline that can fit on a single screen would be valuable to clinicians than a guideline that can only fit on multiple screens (Wager, Lee, & Glaser, 2013).
Manage and Maintain Your Knowledge-based Systems
Maintaining the knowledge within the system and managing the individual pieces of the system are vital to successful delivery of decision support. It is useful to track the user responses, rate of a… Clinical Decision Support Essay.

Looking back in time over the last 40 years even computers were huge, bulky, and unsightly. Few homes had them and individuals had no idea what capabilities could arise. After the evolution of the internet, and computers becoming more popular, physicians had been able to use these tools to improve the quality of patient care. However with the recent mandate the government has put on electronic health record systems (HER), one key objective is to optimize the use of Clinical Decision based support systems (CDSS). By utilizing such systems, better care at a cheaper rate can be provided to patients saving both time and money. Major components of a CDSS Looking into major components of a CDSS there are two major ones. These include diagnostic support tools, and treatment support tools. Diagnostic support helps physicians make a better diagnosis based on the patient symptoms, medications, and medical records according to Yuan, (2011). Diagnostic errors are means for lawsuits among health care professionals so information needs to be accurate. Helping physicians to avoid common keystroke errors is common ground for dismissing a malpractice lawsuit (Yuan, 2011). Patient treatment relies on clinicians to stay compliant with treatment guidelines and make the right decisions for patients with known allergies, and underlying medical conditions. Treatment guidelines according to Yuan (2011) include “Avoiding known drug interactions, dispensing the proper medications, and staying on schedule with catheter changes to say the least” (Developer works journal, pp. 6, para. 2). The second major component of the CDSS aims at workflow and ease-of-use with a computer program. There are many computer programs out there but a common one being implemented into many medical facilities is called “Isabel”.Clinical Decision Support Essay. According to computer programmer Matt Hagland (2012), “Isabel takes a natural language patient summary from the physician notes in the EHR, identifies keywords contained in the summary, and then generates a list of related diagnoses from its probabilities database” (Healthcare informatics journal, pp. 4, para. 3). This type of program eliminates improper diagnostics based on what the patient is experiencing as far as symptoms and treatment. The second component of this system is the ability of programs to identify and published medical literature for treatment options for each diagnosis, and it makes treatment suggestions to the physician together with diagnoses (Hagland, 2012). Having the ability to basically decipher through medical facility paraphrasing makes the physicians notes appealing as well. Clinical Decision Support Essay.

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