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Innovation Core 2: Conducting and Coordinating Clinical Decision Support (CDS) Projects

The Conducting and Coordinating CDS Projects Core implements patient-centered clinical decision support (PC CDS) in real-world settings and identifies best practices to advance its use.

A group of healthcare professionals review files togetherThe Conducting and Coordinating CDS Projects Core is the testing ground of the CDSiC. This is the place where theory and research are put to the test in the real world. The CDS Five Rights (the right information, to the right person, in the right format, through the right channel, at the right time) are key principles for effective real-world CDS implementation. Activities in this Core will explore the complexities of implementing PC CDS in the real world and identifying best practices and approaches to support implementation of PC CDS within patient “life flows” and clinician workflows.

This Core is developing two dashboards to operationalize the PC CDS measurement framework being developed by Core 1. The first dashboard will be a PC CDS clinical performance dashboard focusing on patient reported outcomes (PROs) modeled on an existing prototype CDS dashboard under development at Vanderbilt University. The second dashboard will be a prototype that implements best practices for presentation and analysis of selected types of patient generated health data (PGHD).

Through the development and real-world testing of practical tools for CDS design, development, implementation, monitoring, and evaluation, this Innovation Core aims to improve PC CDS usability, uptake, and effectiveness. This Core focuses on developing a robust evidence base and practical guides and resources for patient-centered design principles, accelerating advances in data interoperability and ultimately improving and expanding the use of PC CDS.

Core Co-Leads:

This report assesses the future use of a patient-facing large language model-powered PC CDS prototype that seeks to streamline patient-provider communication.
This report assesses the design, development, deployment, and future use of a PC CDS application (app) that supports hypertension medication adherence.
This software toolkit allows users to adapt or create new visualizations involving patient-generated health data (PGHD) for both patients and clinicians to support patient-centered clinical decision support (PC CDS).
This slideshow provides an overview of two dashboards measuring the performance of patient-centered clinical decision support.
From the AHRQ CDSiC Innovation Center, this article published in Applied Clinical Informatics (ACI) shares findings from a scoping review of studies of patient-generated health data (PGHD) dashboards that involved clinician users in design or evaluations.
Read this vignette to see an example of how patient-centered clinical decision support (PC CDS) is being used in the real world to support patient-centered care for postpartum women.
The CDSiC Innovation Center Base Period Charter is a document that describes the roles and key activities of the Innovation Center.
The CDSiC Innovation Center Base Period Operational Framework is a document that provides direction for the Innovation Center.