Greenes Robert, Bloomrosen Meryl, Brown-Connolly Nancy E, Curtis Clayton, Detmer Don E, Enberg Robert, Fridsma Douglas, Fry Emory, Goldstein Mary K, Haug Peter, Hulse Nathan, Hongsermeier Tonya, Maviglia Saverio, Robbins Craig W, Shah Hemant
Arizona State University, Phoenix, AZ, USA.
Open Med Inform J. 2010;4:278-90. doi: 10.2174/1874431101004010278. Epub 2010 Dec 14.
The Morningside Initiative is a public-private activity that has evolved from an August, 2007, meeting at the Morningside Inn, in Frederick, MD, sponsored by the Telemedicine and Advanced Technology Research Center (TATRC) of the US Army Medical Research Materiel Command. Participants were subject matter experts in clinical decision support (CDS) and included representatives from the Department of Defense, Veterans Health Administration, Kaiser Permanente, Partners Healthcare System, Henry Ford Health System, Arizona State University, and the American Medical Informatics Association (AMIA). The Morningside Initiative was convened in response to the AMIA Roadmap for National Action on Clinical Decision Support and on the basis of other considerations and experiences of the participants. Its formation was the unanimous recommendation of participants at the 2007 meeting which called for creating a shared repository of executable knowledge for diverse health care organizations and practices, as well as health care system vendors. The rationale is based on the recognition that sharing of clinical knowledge needed for CDS across organizations is currently virtually non-existent, and that, given the considerable investment needed for creating, maintaining and updating authoritative knowledge, which only larger organizations have been able to undertake, this is an impediment to widespread adoption and use of CDS. The Morningside Initiative intends to develop and refine (1) an organizational framework, (2) a technical approach, and (3) CDS content acquisition and management processes for sharing CDS knowledge content, tools, and experience that will scale with growing numbers of participants and can be expanded in scope of content and capabilities. Intermountain Healthcare joined the initial set of participants shortly after its formation. The efforts of the Morningside Initiative are intended to serve as the basis for a series of next steps in a national agenda for CDS. It is based on the belief that sharing of knowledge can be highly effective as is the case in other competitive domains such as genomics. Participants in the Morningside Initiative believe that a coordinated effort between the private and public sectors is needed to accomplish this goal and that a small number of highly visible and respected health care organizations in the public and private sector can lead by example. Ultimately, a future collaborative knowledge sharing organization must have a sustainable long-term business model for financial support.
晨边高地计划是一项公私合作活动，它起源于2007年8月在美国马里兰州弗雷德里克市晨边高地酒店举行的一次会议，该会议由美国陆军医学研究物资司令部的远程医疗与先进技术研究中心（TATRC）主办。与会者是临床决策支持（CDS）领域的主题专家，包括来自国防部、退伍军人健康管理局、凯撒医疗集团、合作伙伴医疗系统、亨利·福特医疗系统、亚利桑那州立大学以及美国医学信息学会（AMIA）的代表。晨边高地计划是为响应美国医学信息学会的《临床决策支持国家行动计划路线图》并基于参与者的其他考虑和经验而召集的。其成立是2007年会议参与者的一致建议，该会议呼吁为不同的医疗保健组织和实践以及医疗保健系统供应商创建一个可执行知识的共享库。其基本原理基于这样的认识，即目前各组织之间几乎不存在用于临床决策支持所需的临床知识共享，而且鉴于创建、维护和更新权威知识需要大量投资，只有大型组织才有能力承担，这阻碍了临床决策支持的广泛采用和使用。晨边高地计划旨在开发和完善：（1）一个组织框架；（2）一种技术方法；（3）临床决策支持内容获取和管理流程，以共享临床决策支持知识内容、工具和经验，这些将随着参与者数量的增加而扩展，并可在内容范围和能力方面进行扩展。山间医疗集团在晨边高地计划成立后不久就加入了最初的参与者行列。晨边高地计划的努力旨在作为临床决策支持国家议程一系列后续步骤的基础。它基于这样一种信念，即知识共享可以像在基因组学等其他竞争领域一样非常有效。晨边高地计划的参与者认为，需要公私部门之间的协调努力来实现这一目标，并且公私部门中少数极具知名度和受尊重度的医疗保健组织可以起到带头作用。最终，未来的协作知识共享组织必须有一个可持续的长期商业模式来提供资金支持。
