Clinical Decision Support Consortium (CDSC)

This study is enrolling participants by invitation only.
Sponsor:
Information provided by (Responsible Party):
Blackford Middleton, MD, MPH, Brigham and Women's Hospital
ClinicalTrials.gov Identifier:
NCT00853619
First received: February 26, 2009
Last updated: February 27, 2012
Last verified: February 2012
  Purpose

The goal of the Clinical Decision Support (CDS) Consortium research study is to assess, define, demonstrate, and evaluate best practices for knowledge management (KM) and CDS in healthcare information technology across multiple ambulatory care settings and electronic health records (EHR) technology platforms.

There are seven specific research objectives focusing on two practical areas of implementation for clinical decision support services: a) healthcare maintenance and preventive care screening, and b) two chronic disease conditions: Coronary Artery Disease (CAD), and Adult-onset Diabetes Mellitus (AODM). The research objectives are: 1) Knowledge management lifecycle, 2) Knowledge specification, 3) Knowledge portal and repository, 4) CDS knowledge content and public web services, 5) CDS Dashboard, 6)Evaluation, and 7) Dissemination.


Condition Intervention
Diabetes
Coronary Artery Disease
Hypertension
Other: Service based decision support intervention

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Clinical Decision Support Consortium for AHRQ CDS Research

Resource links provided by NLM:


Further study details as provided by Brigham and Women's Hospital:

Primary Outcome Measures:
  • Compliance with guideline [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Patient outcomes [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 70
Study Start Date: March 2008
Estimated Study Completion Date: July 2013
Estimated Primary Completion Date: July 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Services Demo at PHS and RI
Service based CDS intervention at PHS.
Other: Service based decision support intervention
Delivering CDS via services
Other Names:
  • Clinical Decision Support,
  • CDS Consortium,
  • Enterprise Clinical Rules Services
Active Comparator: Normal CDS interventions at PHS and RI
Normal CDS intervention at both PHS and RI hospitals
Other: Service based decision support intervention
Delivering CDS via services
Other Names:
  • Clinical Decision Support,
  • CDS Consortium,
  • Enterprise Clinical Rules Services

Detailed Description:

Investigators and developers of electronic health records from both academe and industry have come together to form the Clinical Decision Support (CDS) Consortium. Members of the CDS Consortium are intimately involved in creating and providing CDS tools and services in electronic health records used in both academic settings as well as community-based physician office practices. These investigators share a common interest and goal of enhancing the wide-spread adoption of CDS tools and services to improve the delivery of healthcare both domestically and world-wide.

Our approach to the project is iterative and cyclical: we will begin with a survey of the knowledge management lifecycle and supporting infrastructure (such as knowledge management systems, terminology services and data standards) at the participating clinical sites. We will then work together to define best practices for translating knowledge into a multi-layered array of human readable knowledge artifacts and public web services. At each point in this process, we will conduct careful evaluation, documenting lessons learned from each site. The ultimate work products will fall into three main categories:

First, tangible, actionable knowledge artifacts such as the shareable, human-readable and computable forms of clinical practice guidelines (CPGs) under study, public web-services for CDS demonstrations, and a CDS Knowledge Portal and Repository to facilitate widespread adoption of these artifacts.

Second, detailed guidance and recommendations, based on what we learn from our combined efforts, for external parties such as the Certification Commission for Health Information Technology (CCHIT), the Health Information Technology Standards Panel (HITSP), and the clinical practice guideline developer community.

Third, a set of knowledge and best practices, such as methods for the knowledge management lifecycle, development of both human readable knowledge artifacts and machine-interpretable knowledge, and management of decision-support related organizational change. We will share this knowledge through a variety of channels, such as presentations and academic papers.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • PHS clinics using the LMR (Partners electronic health record system). These clinics include Massachusetts General Hospital Back Bay, Brigham Primary Physicians at Faulkner Hospital, Brigham PCA in Brookline, and Brigham and Women's Hospital at Foxboro.

Exclusion Criteria:

  • None
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00853619

Locations
United States, Massachusetts
Partners HealthCare - Information Systems, Wellesley Gateway
Wellesley, Massachusetts, United States, 02481
Sponsors and Collaborators
Brigham and Women's Hospital
Investigators
Principal Investigator: Blackford Middleton, MD Brigham and Women's Hospital
  More Information

Additional Information:
Publications:
Responsible Party: Blackford Middleton, MD, MPH, Study Principal Investigator, Brigham and Women's Hospital
ClinicalTrials.gov Identifier: NCT00853619     History of Changes
Other Study ID Numbers: HHSA290200810010
Study First Received: February 26, 2009
Last Updated: February 27, 2012
Health Authority: United States: Institutional Review Board

Keywords provided by Brigham and Women's Hospital:
clinical decision support
knowledge management
knowledge representation
clinical guidelines
coronary artery disease
myocardial ischemia
diabetes mellitus
hypertension

Additional relevant MeSH terms:
Hypertension
Coronary Artery Disease
Myocardial Ischemia
Coronary Disease
Vascular Diseases
Cardiovascular Diseases
Heart Diseases
Arteriosclerosis
Arterial Occlusive Diseases

ClinicalTrials.gov processed this record on September 15, 2014