Kukhareva Polina, Weir Charlene R, Staes Catherine, Borbolla Damian, Slager Stacey, Kawamoto Kensaku
Department of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
AMIA Annu Symp Proc. 2018 Dec 5;2018:700-709. eCollection 2018.
The integration of clinical decision support (CDS) and electronic clinical quality measurement (eCQM) could help improve consistency, reduce redundancy, and ultimately help improve value. To guide efforts in this area, 15 leading experts in CDS and eCQM were interviewed to obtain insights on how CDS and eCQM could be better integrated. Four main themes emerged: cultural and business considerations for CDS, eCQM, and their integration trump the technical considerations; the purpose and goals of CDS and eCQM differ, and these differences must be accounted for; there is an oftentimes invisible overlap between CDS and eCQM, and with the larger domain of quality improvement; and despite the differences, synergies between CDS and eCQM should be pursued to amplify the effectiveness of each approach. A key implication of these findings is the need to bridge cultural and business differences between CDS and eCQM, with informaticists potentially playing a critical role.
临床决策支持（CDS）与电子临床质量测量（eCQM）的整合有助于提高一致性、减少冗余，并最终有助于提升价值。为指导该领域的工作，我们采访了15位CDS和eCQM领域的顶尖专家，以了解如何更好地整合CDS和eCQM。出现了四个主要主题：CDS、eCQM及其整合的文化和业务考量胜过技术考量；CDS和eCQM的目的和目标不同，必须考虑这些差异；CDS和eCQM之间往往存在无形的重叠，且与更大的质量改进领域也存在重叠；尽管存在差异，但仍应寻求CDS和eCQM之间的协同作用，以增强每种方法的有效性。这些发现的一个关键启示是，需要弥合CDS和eCQM之间的文化和业务差异，信息学家可能会发挥关键作用。
