Clinical Decision Support Beyond BPAs: Order Sets, Documentation Templates, and Care Pathways

Introduction

Clinicians are generally familiar with interruptive alerts that show up in their workflow, but that's not the only kind of clinical decision support available. In the video below, Dr. Sarah Stern gives a quick overview of some other CDS alternatives. 

 

 

The 5 Rights Applied to CDS

In the video below, Dr. Stern gives an introduction to the “5 Rights” of clinical decision support, using real examples to show how well‑designed passive CDS can fit naturally into clinician workflows.  

 

 

CDS Comes in Many Forms 

In the video below, Dr. Julian Genkins gives an overview of the many forms CDS can take. He also discusses functional affordances (what information or actions are offered, defined by the software itself) and implementation affordances (who sees it and when, and how its integrated into the workflow). 

 

 

Health Maintenance

In the video below, Dr. Genkins discusses Health Maintenance, which is Epic's main tool for monitoring and addressing patient care gaps. 

 

 

Note Templates and Conclusion

In the video below, Dr. Genkins explains Note Temples/SmartText, which are a means for in-workflow guidance. He finishes with a reminder that CDS works best when every tool lives in its natural ecosystem. 

 

 

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