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Presentation

Enabling Patient-Centered and Interoperable Patient-facing Clinical Decision Support: Recommendations from the PCCDS Learning Network

10:00 AM–10:15 AM May 20, 2020 (Conference Time: US - Pacific)

10:00 AM–10:15 AM May 20, 2020

Regency B

Description

Abstract: With the advent of interoperability standards such as Health Level 7 International (HL7) Fast Healthcare Interoperability Resources (FHIR), CDS Hooks, and Clinical Quality Language (CQL), patient-facing clinical decision support (PCCDS) seems imminent. However, integrating effective PCCDS into clinical care remains stagnant. In 2019, the Agency for Healthcare Research and Quality (AHRQ)-sponsored PCCDS Learning Network chartered the Patient-facing CDS Application Development Work Group (PFWG) to develop recommendations to address these two barriers, with chronic pain management chosen as an exemplar use case. Through an open, multi-stakeholder process that engaged 102 representatives from healthcare, industry, and academia, and a panel of 10 patient advocacy experts, this Work Group developed recommendations for patient-centered design across 4 axes: plan, communicate, adjust, and support. The group also developed recommendations around interoperability, developed a prototype PCCDS application integrated with the EpicĀ® electronic health record (EHR), and identified features essential for any minimum viable product to contain. If applied broadly, the recommended features should help teams develop and deliver patient-facing CDS applications that are both useful and interoperable.

Describe the new knowledge and additional skills the participant will gain after attending your presentation.: Attendees to this session will be apprised of 1) methods for engaging patient advocates in a user-centered design approach to application development; 2) the features a patient-facing CDS application should include to meet the needs of patient users; and 3) the core technical considerations to address in order to use a standards-based approach in the development of a patient-facing CDS application which can interface with the patient portal of an electronic health record system.

Authors:

Laura Marcial (Presenter)
RTI International

Beth Lasater, RTI International
Joshua Richardson, RTI International
Barry Blumenfeld, RTI International
danny van leeuwen, Health Hats
Kensaku Kawamoto, University of Utah

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