Project Overview: “Improving the Integration of Decision Support into Outpatient Clinical Workflow” January 8 th , 2008 LEADERS SYMPOSIUM “ Strategic Planning to Inform a Funded Project on how to Achieve Workflow Integration in Developing and Implementing CDS for CRC Screening”
IU Center for Health Services & Outcomes Research (IU CHSOR), Regenstrief Institute, Inc.
VA HSR&D Center of Excellence in Implementing Evidence- based Practice (CIEBP)
- http://www.ciebp.research.va.gov /
Mission, Vision and Focus Mission: Advance the science of transforming healthcare delivery. Vision: Become the leading national resource for promoting and studying health system transformation. Focus: Implementation of health informatics, system redesign.
VISN 11 Roudebush VAMC Regenstrief Institute, Inc . Medical Informatics Aging Research Health Services Research Regenstrief Center for Healthcare Engineering Indiana University School of Medicine School of Nursing Cancer Center IUPUI School of Engineering & Tech. School of Science School of Informatics Purdue College of Liberal Arts College of Engineering College of Pharmacy College of Technology Cancer Center System Redesign Office of Quality & Performance Patient Care Services Academic & Research Partners Other VISN’S & VAMC’S VA Partners RESEARCH PARTNERS Community Partners Indiana Health Information Exchange Indiana Patient Safety Center Indiana Hospital & Health Assoc. Indianapolis Health Systems (Clarian, Community, St. Francis, St. Vincent’s, & Wishard Hospitals) Rehab Hospital of Indiana Office of Research & Development HSR&D HSR&D & QuERI Programs Other Centers of Excellence Office of Information Research Indiana University Center for Health Services & Outcomes Research ACT Center of Indiana IU CAMMP VA Stroke QuERI Informatics System Redesign VA Center of Excellence for Implementing Evidence-based Practice
Specific Aim 1: Identify key approaches to CDS development for colorectal cancer screening at two VAMC sites and two nationally recognized non-VA sites, for effective CDS integration into clinical workflow.
H1: Effective colorectal cancer screening CDS integration into workflow requires system redesign, human factors assessment, pilot testing, use at the bedside or patient room, and provider training and support.
Specific Aim 2: Develop and test CDS design alternatives for improved integration into clinical workflow through a controlled simulation study and subsequent implementation.
H2: Providers will experience improved efficiency and usability, and decreased workload when using design alternatives for colorectal cancer screening CDS compared to current CDS.
Key Informant Interviews of site-specific best-practices for integration of colorectal cancer screening CDS into workflow Direct Observation of colorectal cancer screening CDS for barriers and facilitators to workflow integration Implementation in primary care clinic after simulation study Rapid Prototyping of CDS design alternatives based on Phase 1 findings Simulation Study to test impact of CDS design alternatives on efficiency, usability, and workload Evaluation in primary care clinic after simulation study Figure. Project Overview Phase 1 Phase 2 Phase 3