Embedded Files
The tasks, key lessons, worksheets, and key lessons below are part of the HIMSS CDS Guidebook titled, Improving Outcomes with Clinical Decision Support: An Implementer’s Guide. The information below will help you with putting CDS interventions into action.
Chapter 8
Chapter 8
Tasks
- Develop and implement an intervention rollout plan that addresses user communications, training and feedback, as well as responsibility for monitoring implementation status (Worksheets 8-1 and 8-2).
- Confirm that you have anticipated and prepared for altered workflows and care delivery needs related to the interventions; for example, increasing capacity to provide more procedures, testing or medications that may result from successful CDS interventions.
- Before launch, test the planned CDS intervention content, mechanics, and logistics (Worksheet 8-3); consider ways the intervention could fail, and plan remedial actions (Worksheet 8-4).
- Consider how you will phase CDS intervention releases (Worksheet 8-5).
- Gather, document and address user feedback before, during, and after intervention rollout (Worksheet 8-6); make sure your CDS team has adequate capacity to obtain and respond to this feedback.
Key Lessons
- It is essential to carefully and completely test all new CDS functionality – as well as other affected CDS and CIS systems and workflows - to ensure that the planned interventions perform as expected. Testing details depend on the CDS intervention type, the nature of the clinical content, and the underlying technology used to create the CDS intervention.
- Everyone who will use, or might be affected by, the new CDS functionality must be well informed about project status and upcoming events to minimize unintended consequences and optimize their constructive participation.
- Anticipate users’ training needs and provide training opportunities that fulfill them as conveniently as possible for the users.
- Consider the nature of both the CDS intervention and the clinical and technical environment when determining the speed, scope and order (that is, which interventions or units go first) for rolling out new CDS interventions.
Worksheets
You can find the corresponding worksheets for this chapter here:
8-2a: 8 x 8 Communicaion Plan Example
8-2b: Worksheet 8-2a continued
8-4a: Simplified FMEA Drill Down
8-4b: Worksheet 8-4a continued
Chapter 8 HIMSS Considerations - Small Practices
Chapter 8 HIMSS Considerations - Vendors
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