Pharmacy OneSource Blog

Advanced Clinical Decision Support: Laying the Right Foundation for Point-of-Care Guidance

Posted on 02/12/16

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The value proposition of clinical decision support (CDS) technology cannot be understated in today’s healthcare climate. Clinicians need direct access to the most up-to-date clinical evidence to ensure patient care decisions are optimized to achieve the highest level of performance and align with the industry’s Triple Aim of improved population health, enhanced patient experience and lower costs.

Advanced CDS technology comes in many forms—evidence-based order sets, care plans, alerting mechanisms and clinical surveillance technology to name a few— with each playing a distinct and important role in care delivery. Because choosing the right technology and laying the best foundation of CDS can be a challenging task for many healthcare organizations, the industry has broadly designated the Five Rights of CDS as a framework for sustainable and successful implementation strategies.

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The Right Information: provision of up-to-date, evidence-based clinical guidance based on industry best practices.

The Right Person: delivery of evidence-based guidance to the right person within multi-disciplinary clinical teams (including physicians, nurses, pharmacists, infection preventionists and a multitude of other stakeholders).

The Right Intervention Format: deployment of the best CDS formats, whether a single solution or layered approach.  

The Right Channel: delivery of evidence-based guidance through a variety of channels including desktop EHR interfaces and mobile devices.

The Right Time: presentation of information at the right time in a clinicians’ workflow to optimize impact.

Healthcare organizations can align strategies with the Five Rights framework as a starting point to designing a greater CDS strategy. As quality improvement programs become more advanced, hospitals and health systems are increasingly looking to infrastructures that address both real-time contextual alerts and evidence based guidance to elevate high-level clinical initiatives such as medication management, infection prevention and antimicrobial stewardship. For this reason, many are turning to advanced clinical surveillance systems like Sentri7 to address the need for relevant, patient-specific alerts alongside industry-leading, evidence-based guidance.

The data-driven, technology-enabled workflows offered through surveillance systems combine alerts with advanced CDS to equip clinicians with the real-time, actionable information needed to standardize care based on the Five Rights framework and move care delivery from reactive to proactive. Specifically, Sentri7 Actionable, Intelligent, Measurable (AIM) alerts undergo a rigorous, peer-reviewed editorial process to ensure accuracy and improve relevancy while also reducing the alert fatigue that commonly plagues clinicians. 

A focal point of national regulatory movements, point of care CDS technology has been identified as a critical component to standardizing care, improving clinical outcomes and lowering costs within the risk-bearing reimbursement landscape. Use of advanced CDS solutions has proven to help reduce medication errors and misdiagnoses while facilitating prioritization of care. On the financial front, CDS helps hospitals reduce unnecessary imaging, control medication costs and reduce costs associated with adverse drug events. 

The advanced CDS infrastructure of clinical surveillance systems like Sentri7 help extend the value of EHR investments by aggregating critical patient information with industry-leading, evidence-based content and converting it into intelligent and measurable guidance for clinicians across multiple platforms.  In essence, it’s the right foundation of point-of-care guidance to address the Five Rights of CDS.

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Topics: Clinical Surveillance

About the Author

Deb Oroszlan is the Marketing Director for Pharmacy OneSource - Wolters Kluwer.