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This user guide identifies available measures to assess patient-centered clinical decision support (PC CDS).
Developed by the AHRQ CDSiC Scaling, Measurement, and Dissemination of CDS Workgroup, this user guide describes how the measures included in the PC CDS Performance Measurement Inventory are organized, provides user scenarios that serve as illustrative examples for how performance measures can be selected and used, and contains a brief discussion of measure gaps within patient-centered clinical decision support.
Patient-centered clinical decision support (PC CDS) includes digital tools that have the potential to support patient-centered care by helping clinicians and patients make the best decisions, given individuals’ circumstances and preferences. Evaluating PC CDS design, development, implementation, and use are critical to helping implementers understand its impact. However, gaps exist in the measures and approaches used to assess PC CDS performance.
This user guide and accompanying PC CDS Performance Measurement Inventory help establish an understanding of the measures currently available to assess PC CDS performance to help promote the consistent use of measures and measurement approaches, allowing for valid comparison across different types of CDS and different patient-centered interventions.
About the User Guide
The user guide is based on a scoping review of peer-reviewed articles on CDS measurement, PC CDS adoption, shared decision making processes and use of patient decision aids, and the impacts of CDS use on care team workflows and patient lifeflows. The user guide is accompanied by the PC CDS Performance Measurement Inventory, which catalogues 163 unique measures derived from the literature to assess CDS performance across three phases of implementation: 1) What PC CDS Did You Design, 2) What PC CDS Did You Use, and 3) What Were the Results.
This user guide provides additional detail on how the inventory is organized, definitions of the implementation phases and measurement categories used to categorize unique measures, and illustrative examples of how to use this inventory.
How to Use the Guide
The overarching goal of the user guide and accompanying inventory is to help PC CDS stakeholders interested in measuring PC CDS determine what to measure and how. Implementation teams can use this user guide and accompanying inventory to:
- Identify what measures are available to assess PC CDS performance.
- Identify the tools and measurement approaches reported in the literature to collect and analyze PC CDS performance data.
Suggested Citation: Dullabh PM, Heaney-Huls K, Jiménez F, Ryan S, McCoy AB, Desai PJ, Osheroff JA, CDSiC Scaling, Measurement, and Dissemination of CDS Workgroup. Scaling, Measurement, and Dissemination of CDS Workgroup: PC CDS Performance Measurement Inventory User Guide. Prepared under Contract No. 75Q80120D00018. AHRQ Publication No. 23-0073. Rockville, MD: Agency for Healthcare Research and Quality; August 2023.