This report provides a framework for understanding the role of source credibility in patient-centered clinical decision support tools. Developed by the AHRQ CDSiC Trust and Patient-Centeredness Workgroup, this report provides a framework for CDS tool developers to better understand the factors that contribute to credibility in patient-centered clinical decision support as well as strategies for improving it.

This report examines how patient-centered CDS interventions impact care team workflows and patient lifeflows. Developed by the AHRQ CDSiC Scaling, Measurement, and Dissemination of CDS Workgroup, this report summarizes workflow and lifeflow impacts captured in the literature and provides a framework to help identify the optimal point for a patient-centered CDS tool’s deployment in a patient's lifeflow.

This executive summary synthesizes the findings discussed in the report, "Scaling, Measurement, and Dissemination of CDS Workgroup: Approaches to Measuring Patient-Centered CDS Workflow and Lifeflow Impact."

This article, published in the Journal of the American Medical Informatics Association (JAMIA), discusses a comprehensive patient-centered clinical decision support (PC CDS) lifecycle framework developed and vetted by members of the CDSiC team. The framework describes the work that must be completed and data that must be collected, analyzed, or transmitted for healthcare stakeholders to implement and benefit from PC CDS, as well as identifies opportunities for patient and/or caregiver participation at each stage of the process. Click here to read the full article.  Citation: Sittig DF, Boxwala A, Wright A, Zott C, Desai P, Dhopeshwarkar RV, Swiger J, Lomotan EA, Dobes A, Dullabh P. A lifecycle framework illustrates eight stages necessary for realizing the benefits of patient-centered clinical decision support [published online ahead of print, 2023 Jul 6]. J Am Med Inform Assoc. 2023;ocad122. doi:10.1093/jamia/ocad122

This article, published in Applied Clinical Informatics, describes lessons learned from an evaluation of AHRQ’s Patient-Centered Outcomes Research (PCOR) Clinical Decision Support (CDS) Initiative. The evaluation yielded several important lessons for developing and implementing publicly available, standards-based CDS, and identified addressing persistent challenges to broad dissemination and implementation as priority areas for future work in the field. The full article is available here.   Citation: Dhopeshwarkar RV, Freij M, Callaham M, Desai PJ, Harrison MI, Swiger J, Lomotan EA, Dymek C, Dullabh P. Lessons Learned from a National Initiative Promoting Publicly Available Standards-Based Clinical Decision Support. Appl Clin Inform. 2023;14(3):566-574. doi:10.1055/s-0043-1769911 

This quarterly report provides updates on the progress of Innovation Center activities from April to July 2023. During this period, the Innovation Center focused on finalizing deliverables for three projects that work to address gaps in measuring and monitoring patient-centered clinical decision support (PC CDS) performance.

This report identifies opportunities for improving patient app interoperability to advance patient-centered clinical decision support.  Developed by the AHRQ CDSiC Standards and Regulatory Frameworks Workgroup, this report identifies several opportunities for further advancement of patient-centered clinical decision support (PC CDS) standards to support the interoperability between patient apps and electronic health records (EHRs) and other health information technology (IT) systems.

This user guide provides details on capturing patient-centered clinical decision support implementation features. Developed by the AHRQ CDSiC Scaling, Measurement, and Dissemination of CDS Workgroup, this user guide provides a unified resource for planning and reporting PC CDS implementations. The user guide is accompanied by the fillable PC CDS Planning, Implementation, and Reporting Checklist. 

This fillable checklist enables users to describe details of how each implementation domain was (or will be) addressed within their patient-centered clinical decision support (PC CDS) approach.  Developed by the AHRQ CDSiC Scaling, Measurement, and Dissemination of CDS Workgroup, this checklist can be used by implementation teams with the accompanying resource, the Scaling, Measurement, and Dissemination of CDS Workgroup: PC CDS Planning, Implementation, and Reporting User Guide.

This resource paves the way for end users' involvement in codesign of patient-centered clinical decision support.  Developed by the AHRQ CDSiC Trust and Patient-Centeredness Workgroup, this resource focuses on codesign involving end users and other stakeholders as partners in developing, refining, and testing patient- and clinician-facing patient-centered clinical decision support.