Outpatient diabetes clinical decision support: current status and future directions

O’Connor, Patrick J.; Sperl-Hillen, JoAnn M.; Fazio, C. J.; Averbeck, Beth M; Rank, Brian H.; Margolis, Karen L.

doi:10.1111/dme.13090

Cited by 60 publications

(55 citation statements)

References 64 publications

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“…Prototype EHR-linked, Web-based clinical decision support systems that identify and prioritize clinical options, however, save time, satisfy clinicians, empower patients, have high use rates, and improve care are now up and running in several large health care systems. 15,16 Web services that include risk prediction equations can receive patient-specific data that are automatically sent from an EHR, perform the multiple computations needed to estimate the relative benefits of alternative treatment options, and display patientspecific prioritized treatment options on the EHR screen within 1 second.…”

Section: How To Apply Prioritization In Practicementioning

confidence: 99%

“…The potential benefits associated with better blood pressure management, cholesterol management, smoking cessation, or other clinical options can then be similarly estimated and then prioritized based on potential clinical benefit. 15,16 This approach to prioritization has a number of important limitations. Risk estimates are necessarily derived from groups of people and thus cannot precisely predict future risk for one person.…”

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confidence: 99%

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Strategies to Prioritize Clinical Options in Primary Care

et al. 2017

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Section: How To Apply Prioritization In Practicementioning

confidence: 99%

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confidence: 99%

Strategies to Prioritize Clinical Options in Primary Care

et al. 2017

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“…In another work focusing on different domains, recent evidence has shown that, despite sometimes ineffective outcomes that can result in part from low use of CDS functionality, use of CDS to provide diabetes care can be improved by prioritizing care recommendations, improving communication of treatment-relevant information to patients, using such systems for care coordination and case management, and integrating patient-reported information and data from remote devices [48]. In other settings, CDS continues to hold promise for improving public health through disease surveillance and helping to intervene against outbreaks, including recent work to model spread of the Zika virus in dynamic human and vector populations [49].…”

Section: Expansion Of Clinical Settingsmentioning

confidence: 99%

Advances in Clinical Decision Support: Highlights of Practice and the Literature 2015-2016

Jenders¹

2017

Yearb Med Inform

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SummaryIntroduction: Advances in clinical decision support (CDS) continue to evolve to support the goals of clinicians, policymakers, patients and professional organizations to improve clinical practice, patient safety, and the quality of care. Objectives: Identify key thematic areas or foci in research and practice involving clinical decision support during the 2015-2016 time period. Methods: Thematic analysis consistent with a grounded theory approach was applied in a targeted review of journal publications, the proceedings of key scientific conferences as well as activities in standards development organizations in order to identify the key themes underlying work related to CDS. Results: Ten key thematic areas were identified, including: 1) an emphasis on knowledge representation, with a focus on clinical practice guidelines; 2) various aspects of precision medicine, including the use of sensor and genomic data as well as big data; 3) efforts in quality improvement; 4) innovative uses of computer-based provider order entry (CPOE) systems, including relevant data displays; 5) expansion of CDS in various clinical settings; 6) patient-directed CDS; 7) understanding the potential negative impact of CDS; 8) obtaining structured data to drive CDS interventions; 9) the use of diagnostic decision support; and 10) the development and use of standards for CDS. Conclusions: Active research and practice in 2015-2016 continue to underscore the importance and broad utility of CDS for effecting change and improving the quality and outcome of clinical care. KeywordsClinical decision support, quality improvement, medical order entry systems Yearb Med Inform 2017:125-32 http://dx

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“…In fact, it is recommended that decision support be provided in EMR to facilitate easy referral (24). DSME and MNT are crucial components of high-quality diabetes care (9,13).…”

Section: Dsme Referral: When and Whatmentioning

confidence: 99%

2016 Health Care & Education Presidential Address: If DSME Were a Pill, Would You Prescribe It?

Powers

2016

Diabetes Care

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This address was delivered by Margaret A. Powers, PhD, RD, CDE, President, Health Care & Education, of the American Diabetes Association (ADA), at the ADA’s 76th Scientific Sessions in New Orleans, LA, on 11 June 2016. Dr. Powers conducts research and has a clinical practice as a registered dietitian and diabetes educator at the International Diabetes Center at Park Nicollet in Minneapolis. Her research focuses on improving diabetes outcomes including factors that affect the clinical, psychosocial, and behavioral aspects of diabetes. Dr. Powers has been an ADA volunteer for more than 25 years, including serving as a founding editor of Diabetes Spectrum. She is the lead author of the 2015 joint Position Statement on Diabetes Self-management Education and Support published by the ADA, American Association of Diabetes Educators, and Academy of Nutrition and Dietetics. She is the recipient of the ADA's Outstanding Educator in Diabetes Award and has published research, authored numerous articles and chapters, published five books, and is an international presenter. Dr. Powers holds a doctorate in education with a focus on performance improvement from Capella University. She received her Master of Science from the University of Illinois at Chicago and her Bachelor of Science from Michigan State University. She completed her dietetic internship at Cook County Hospital in Chicago.

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Outpatient diabetes clinical decision support: current status and future directions

Cited by 60 publications

References 64 publications

Strategies to Prioritize Clinical Options in Primary Care

Strategies to Prioritize Clinical Options in Primary Care

Advances in Clinical Decision Support: Highlights of Practice and the Literature 2015-2016

2016 Health Care & Education Presidential Address: If DSME Were a Pill, Would You Prescribe It?

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