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This report examines key factors and considerations for assessing the value of patient-centered clinical decision support.
Developed by the AHRQ Clinical Decision Support Innovation Collaborative’s Implementation, Adoption, and Scaling Workgroup, this report summarizes examples of the economic and clinical impacts used in evaluations of decision support interventions, discusses challenges in assessing patient-centered clinical decision support (PC CDS) value, and presents alternative considerations for assessing PC CDS value.
Understanding the economic and clinical impact of PC CDS is an aspect of the implementation planning and needs assessment process to assess PC CDS value and can inform investment decisions. However, heterogeneity in the economic and clinical impacts assessed in evaluations of CDS can limit generalizability and the use of study findings to assess PC CDS value and inform investment decisions. The report summarizes examples of the impacts assessed via economic evaluations of decision support interventions, discusses challenges in assessing PC CDS value, and presents alternative considerations for assessing PC CDS value.
About the Report
Based on a literature review, key informant interviews, and a convening of PC CDS stakeholders during the 2024 CDSiC Annual Meeting, this report identifies methods and considerations for assessing the value of PC CDS.
The report includes insights on the following topics:
- Economic and clinical impacts used to assess CDS value
- Challenges to assessing PC CDS value
- Considerations for assessing PC CDS value
The report also identifies the following four areas for future research to support more holistic value propositions:
- Advance the development and refinement of measures for assessing outcomes of interest for PC CDS, particularly for patients.
- Study alignment of PC CDS with value-based care program implementation and outcomes.
- Incrementally create and validate methods and models to credibly estimate PC CDS value.
- Promote pragmatic economic analysis of PC CDS.
How To Use This Report
The PC CDS community can use this report to support PC CDS value assessments and approach economic evaluations more holistically, including incorporating patient-centered factors. In this report, PC CDS stakeholders can learn more about the outcomes used to assess value, challenges to assessing PC CDS value, and considerations for assessing PC CDS value. Researchers can also learn about the most critical needs for future research in this area.
Suggested Citation: Heaney-Huls K, Lobach DF, Kawamoto K, Ryan S, Chiao AB, Desai PJ, Dullabh PM, CDSiC Implementation, Adoption, and Scaling Workgroup. Key Factors and Considerations for Assessing the Value of Patient-Centered Clinical Decision Support. Prepared under Contract No. 75Q80120D00018. AHRQ Publication No. 24(25)-0069-10-EF. Rockville, MD: Agency for Healthcare Research and Quality; October 2024.
