Tuesday, July 24, 2018

Clinical Decision Support Systems: The Shift From Volume to Value

Since the days of Hippocrates, delivering safe and quality care has been the aim of all providers. With requirements shifting from volume to value based care (VBC), improvement in better patient outcomes is a necessity now for providers. To get paid adequately, healthcare providers need to demonstrate the delivery of quality care through clinical quality improvement.

Two young doctors cannot agree on the diagnosis-1.jpeg

What do we mean by Value?


It means treating acute and chronic disease with care and without causing unnecessary harm or ordering frivolous tests. To treat diseases with care, providers need to collaborate their care delivery with people, processes, and technology; hence Clinical Decision Support System (CDSS) becomes a critical process in guiding and assisting providers in their quality enhancement goals, and this can be achieved with implementing an electronic health record system that utilizes CDSS as a core functionality.

Productivity Insights


The average patient workload per provider is roughly 2,500. A typical provider will follow clinical care guidelines and dedicate their time writing medications, reviewing labs and imaging results, and address patient phone calls while handling their day-to-day operations. It is estimated that a provider would need 21.7 hours a day to accomplish all of these tasks. The necessity for patient information and documentation as well as the apparent lack of hours in a day for a provider to do their work substantiate the invaluability of the clinical decision support systems in EHR softwares.

Smart Systems

A Clinical Decision Support System can help facilitate quick patient documentation, suggest relevant problem-based diagnoses, eliminate prescription and treatment errors, and ensure quality and patient safety (drug interactions). Each clinical decision support intervention has varied use cases and audiences, and get triggered at a specific point in the electronic health record clinical workflow.
CDSS is a critical process for improving health-related decisions to improve patient satisfaction and value based care delivery.

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