Pharmacy OneSource Blog

Aligning the Five Rights of Clinical Decision Support

Posted on 05/25/17

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Health IT adoption and implementation has moved at a rapid pace in recent years as hospitals and health systems have worked tirelessly to meet regulatory deadlines and position for value-based care. Clinical decision support (CDS) technology is a critical component of any health IT strategy aimed at elevating performance, and today’s hospitals and health systems increasingly depend on these tools to drive outcomes improvement, streamline workflows and standardize evidence-based practices.

While Meaningful Use provided the foundation for mainstream implementation and use of CDS, healthcare organizations must now set their sights on optimization of these investments. One way to ensure CDS strategies deliver ample resource-savings and maximize outcomes is through alignment with the CDS Five Rights. Doing so will provide the necessary decision-support framework to facilitate targeted decisions and treatment methods based on best practices.

The CDS Five Rights: Overview

Implementation of the CDS Five Rights ensures the right information is delivered to the right people, through the right channels, in the right formats, at the right time. Ultimately, the integration of this framework improves the value proposition of CDS systems, while preventing significant variation in care and eliminating both preventable conditions and related expenditures or penalties.

The Right Information: Ensuring clinicians have access to evidence-based content and guidelines.

For instance, an alert may be generated related to performance measure. Once triggered, the alert may also provide a set of industry-accepted guidelines.

The Right Person: Delivering content to the best multi-disciplinary team member.

CDS technology must support delivery to the right member of the clinical team, whether physicians, nurses, pharmacists, infection preventionists, radiologists, physical therapists or others.

The Right Intervention Format: Choosing the right CDS

CDS technology comes in many forms—evidence-based order sets, alerting systems for medication management, ECA rules (event, condition, action), referential information including guidelines and care plans, smart documentation and surveillance technology to name a few. Different circumstances call for different CDS formats for optimization.

The Right Channel: Delivering CDS through the right medium

Today’s healthcare environments are increasingly mobile. CDS can and should be delivered through a variety of channels including desktop EHR interfaces and a variety of mobile devices.

The Right Time: Presenting information timely in a clinician’s workflow

When information is presented at the right time in a clinician’s workflow, the opportunity to positively impact patient outcomes is greater.

Investing the Right CDS

Advanced clinical surveillance CDS systems equip providers with the proper framework and components to align with the Five Rights of CDS and improve value-based outcomes. For instance, Sentri7 synthesizes disparate data in real-time and streamlines information into actionable, relevant patient alerts, enabling clinicians to act rapidly and close gaps. This proactive response is transforming clinical practice through timely interventions. Today’s health systems are leveraging clinical surveillance CDS infrastructures to support a broad variety of high-level clinical issues commonly encountered in today’s health systems such as infection prevention, medication monitoring and antimicrobial stewardship. In fact, Sentri7’s rules-based approach to alerting provides pre-defined parameters to quickly address core measures and those areas most impacted by value-based performance metrics.

As KLAS Category Leader for Clinical Decision Support, Sentri7 excels in a value-based care environment by enabling adherence to the Five Rights, ultimately aiding healthcare organizations in reducing lengths of stay, readmissions, hospital acquired infections and expenditures.

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Topics: Clinical Surveillance

About the Author

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