Clinical Decision Support System for Opioid Substitution Therapy

Decision Support in Evaluating the Impacts of Mental Disorders on Work Ability

“…The developed CDSS covers two diagnostic processes at the moment: the ADHD process [26] and the evaluation of work ability. The CDSS has enabled Eksote to execute these processes more efficiently and effectively, and thus the CDSS will be expanded to include the processes for preventing the social alienation of young persons, for evaluating the need for opiate dependency treatment and for policlinic ECTtreatment of adults.…”

“…One of the benefits of the layer-based structure of the CDSS developed at Eksote is that some of the diagnostic tools used for work ability evaluation are the same as the ones used in the ADHD diagnostics process [26]. Thus there was no need to re-create these tools specifically for the work ability evaluation process, but it was enough to add only the needed new diagnostics tools.…”

“…One of the main objectives of Eksote is process standardization, and thus the main steps in work ability evaluation are closely related to those of the ADHD solution [26], although the actors and the actual content of the process steps are different. The new workflow consists of six main phases: 1) Enter a new patient: The first step in the process workflow is to enter the details of a new patient into the process solution of work ability evaluation.…”

“…The objectives Eksote wanted to achieve through the new approach were the following: (1) effective workflow management in order to ensure that all necessary steps in the processes are taken in a timely manner, and (2) process standardization in order to unify the diagnostics processes by enforcing the use of jointly agreed diagnostic tools, question templates and logic. The first CDSS implemented in mental health care in Eksote was the process solution to support the ADHD diagnostics process [26].…”

“…The development project covering both the process and the CDSS was carried out by following the principles of agile business process development. A detailed discussion on the phases of the development project can be found in [26].…”