3.1 Governance: Build a Strong Foundation

Description: The materials in this module will help guide you on how to select specific CDS interventions to achieve targeted measures and how to examine target-related workflows and information flows.

Action Steps:

  • Start with a Strong Foundation: Link to: Guide 1
    • Create a Steering Committee (Build on 2.1 activities)
      • Convene Essential Stakeholders
      • Agree on Focused CDS/QI Activity
    • Establish Goals and Objectives for CDS plan (Worksheet 2-1a, 2-1b: Stakeholders, Goals, and Objectives) optional
      • Integrate with Internal/External Drivers
      • MU, QI, PCMH, CQM, VBP
    • Assess Readiness and Capacity for CDS Implementation
    • Develop Project Plan or Charter (Worksheet 2-2a, 2-2b: Checklist for Clinical Decision Support Goal Charter) optional
      • Common Vision, Goal
      • Oversight, Governance
      • Key Stakeholders
        • Internal: Clinical Champion, Leadership, Project Manager
        • External: EHR/HIT Vendor(s), REC, Consultants
      • Risk Management Plan
      • Communication Plan: EARLY and Often
    • Learn More:
  • Assemble a CDS Implementation Team Link to: Guide 2
    • Recruit Members, Cultivate Champions
      • Small Practices May Choose to Add a Few Members to their Steering Committee
      • Administrative, Leadership, Technical, Clinical Champions, Project Manager
    • Clarify Roles and Expectations
    • Solicit Outside Sources to Fill Gaps
      • RECs, Consultants, Vendors
    • Convene Team and Plan Next Steps
  • Manage Change
    • Involve Stakeholders, End Users EARLY and Often
      • Do CDS with Stakeholders, not to Them
    • Celebrate Milestones and Wins

More Information on the Topic:

HIMSS CDS Guidebook Excerpts

Source: CDS Guidebook, Chapter 2: Organizing a Successful CDS Program, Chapter 5: Foundational Considerations for Effective CDS Interventions

Other Materials:

Workflow Changes in Implementing Clinical Decision Support Interventions

This document provides an example of how work processes will change for each given role by implementing a new intervention for preventing venous thrombosis embolism in hospitalized patients.

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