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:
    • Link to: Advancing CDS Key Lessons in CDS Implementation (pg 9-11)
      • Engaging Stakeholders, Goals and Objectives, Communication, Workflows
    • Link to: Strength in Numbers: Shared Resources for Implementing CDS in a Small Practice
• 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.

Navigation:

I would like to:

• Go to Module 3.2: Core QI Capabilities
• Go to home Provider page / REC page
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