Implementation, Adoption, and Scaling Workgroup

How do we advance the adoption and use of safe and effective patient-centered clinical decision support (PC CDS)? The Implementation, Adoption, and Scaling Workgroup (formerly the Scaling, Measurement, and Dissemination Workgroup) is addressing this question by identifying barriers and opportunities for scalable implementation and adoption of PC CDS, and developing resources to facilitate uptake.

While progress has been made in creating infrastructure to enable implementation of PC CDS at scale, to date, uptake of CDS has been modest. Advancing PC CDS within our healthcare systems requires the adoption of proven, evidence-based PC CDS tools at scale. In the first two years of the CDSiC, the Scaling, Measurement, and Dissemination Workgroup was tasked with exploring this issue as well as process measurement of PC CDS.

The renamed Implementation, Adoption, and Scaling Workgroup is now addressing this need by identifying barriers, opportunities, and resources to achieving PC CDS at scale and developing products that reduce barriers, capitalize on opportunities, and provide pragmatic resources for PC CDS stakeholders. Through this work, this Workgroup will serve as a champion for scaling safe and effective CDS tools beyond one-off settings. The reports, resources, and tools created by this Workgroup consider factors such as challenges in the adoption of PC CDS in diverse settings, how PC CDS tools can be designed with scalability in mind, and best practices for scaling PC CDS grounded in real-world solutions. Ultimately, the Workgroup helps advance the clinical use of PC CDS to deliver evidence-based, high-quality care that is responsive to the needs and preferences of patients. Through Fall of 2024, the Workgroup will be focusing efforts on:

Conducting a landscape assessment on the use of artificial intelligence to scale PC CDS.
Developing case studies on PC CDS implementation challenges and solutions by gathering lessons learned from real-world implementations.
Cataloging opportunities and approaches for PC CDS to provide a favorable return on investment to demonstrate its value to healthcare organizations and patients.

Workgroup Products

Implementation, Adoption, and Scaling Workgroup: Key Factors and Considerations for Assessing the Value of Patient-Centered Clinical Decision Support

This report examines key factors and considerations for assessing the value of patient-centered clinical decision support (PC CDS).

Implementation, Adoption, and Scaling Workgroup: Exploring Challenges and Opportunities for Patient Engagement, Implementation, Adoption, and Scaling Through PC CDS Case Studies

This report offers insights and recommendations for implementing and scaling patient-centered clinical decision support.

Implementation, Adoption, and Scaling Workgroup: Landscape Assessment on the Use of Artificial Intelligence to Scale PC CDS

This report assesses use of artificial intelligence to scale patient-centered clinical decision support.

Scaling, Measurement, and Dissemination of CDS Workgroup: PC CDS Planning, Implementation, and Reporting User Guide

This user guide provides details on capturing patient-centered clinical decision support implementation features.

Scaling, Measurement, and Dissemination of CDS Workgroup: Approaches to Measuring Patient-Centered CDS Workflow and Lifeflow Impact

This report examines how patient-centered CDS interventions impact care team workflows and patient lifeflows.

Scaling, Measurement, and Dissemination of CDS Workgroup: PC CDS Performance Measurement Inventory User Guide

This user guide identifies available measures to assess patient-centered clinical decision support (PC CDS).

Related Resources

Integrating a Patient Engagement App into an Electronic Health Record-Enabled Workflow Using Interoperability Standards

This article published in Applied Clinical Informatics (ACI) describes the process of using interoperability standards to integrate a COVID-19 Tracker mobile application within an EHR.

CDSiC Implementation, Adoption, and Scaling Workgroup Charters

CDSiC Implementation, Adoption, and Scaling Workgroup Charter - Option Year 2

The Implementation, Adoption, and Scaling Workgroup Option Year 2 Charter is a document that describes the roles and key activities of the Workgroup under the CDSiC Stakeholder Community and Outreach Center.

CDSiC Implementation, Adoption, and Scaling Workgroup Charter - Option Year 1

The Implementation, Adoption, and Scaling Workgroup Option Year 1 Charter is a document that describes the roles and key activities of the Workgroup under the CDSiC Stakeholder Community and Outreach Center.

CDSiC Scaling, Measurement, and Dissemination of CDS Workgroup Charter - Base Period

The Scaling, Measurement, and Dissemination of CDS Workgroup Base Period Charter is a document that describes the roles and key activities of the Workgroup under the CDSiC Stakeholder Community and Outreach Center.