Document Detail


Examining the relationship between clinical decision support and performance measurement.
MedLine Citation:
PMID:  20351854     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In concept and practice, clinical decision support (CDS) and performance measurement represent distinct approaches to organizational change, yet these two organizational processes are interrelated. We set out to better understand how the relationship between the two is perceived, as well as how they jointly influence clinical practice. To understand the use of CDS at benchmark institutions, we conducted semistructured interviews with key managers, information technology personnel, and clinical leaders during a qualitative field study. Improved performance was frequently cited as a rationale for the use of clinical reminders. Pay-for-performance efforts also appeared to provide motivation for the use of clinical reminders. Shared performance measures were associated with shared clinical reminders. The close link between clinical reminders and performance measurement causes these tools to have many of the same implementation challenges.
Authors:
David A Haggstrom; Jason J Saleem; Laura G Militello; Nicole Arbuckle; Mindy Flanagan; Bradley N Doebbeling
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Publication Detail:
Type:  Journal Article     Date:  2009-11-14
Journal Detail:
Title:  AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium     Volume:  2009     ISSN:  1942-597X     ISO Abbreviation:  AMIA Annu Symp Proc     Publication Date:  2009  
Date Detail:
Created Date:  2010-03-30     Completed Date:  2011-04-11     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101209213     Medline TA:  AMIA Annu Symp Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  223-7     Citation Subset:  IM    
Affiliation:
VA HSR&D Center on Implementing Evidence-Based Practice, Roudebush VAMC, Indianapolis, IN, USA.
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MeSH Terms
Descriptor/Qualifier:
Decision Support Systems, Clinical*
Employee Performance Appraisal*
Interviews as Topic
Process Assessment (Health Care)
Reminder Systems*
United States
Comments/Corrections

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