Barriers, Facilitators, and Potential Solutions to Advancing Interoperable Clinical Decision Support: Multi-Stakeholder Consensus Recommendations for the Opioid Use Case

Laura Haak Marcial, Barry Blumenfeld, Christopher Harle, Xia Jing, Michelle S. Keller, Victor Lee, Zhen Lin, Anna Dover, Amanda M. Midboe, Shafa Al-Showk, Victoria Bradley, James Breen, Michael Fadden, Edwin Lomotan, Luis Marco-Ruiz, Reem Mohamed, Patrick O'Connor, Douglas Rosendale, Harry Solomon, Kensaku Kawamoto

Research output: Contribution to journalArticle

Abstract

With the advent of interoperability standards such as FHIR, SMART, CDS Hooks, and CQL, interoperable clinical decision support (CDS) holds great promise for improving healthcare. In 2018, the Agency for Healthcare Research and Quality (AHRQ)-sponsored Patient-Centered CDS Learning Network (PCCDS LN) chartered a Technical Framework Working Group (TechFWG) to identify barriers, facilitators, and potential solutions for interoperable CDS, with a specific focus on addressing the opioid epidemic. Through an open, multi-stakeholder process that engaged 54 representatives from healthcare, industry, and academia, the TechFWG identified barriers in 6 categories: regulatory environment, data integration, scalability, business case, effective and useful CDS, and care planning and coordination. Facilitators and key recommendations were also identified for overcoming these barriers. The key insights were also extrapolated to CDS-facilitated care improvement outside of the specific opioid use case. If applied broadly, the recommendations should help advance the availability and impact of interoperable CDS delivered at scale.

Original languageEnglish (US)
Pages (from-to)637-646
Number of pages10
JournalAMIA ... Annual Symposium proceedings. AMIA Symposium
Volume2019
StatePublished - Jan 1 2019
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Marcial, L. H., Blumenfeld, B., Harle, C., Jing, X., Keller, M. S., Lee, V., Lin, Z., Dover, A., Midboe, A. M., Al-Showk, S., Bradley, V., Breen, J., Fadden, M., Lomotan, E., Marco-Ruiz, L., Mohamed, R., O'Connor, P., Rosendale, D., Solomon, H., & Kawamoto, K. (2019). Barriers, Facilitators, and Potential Solutions to Advancing Interoperable Clinical Decision Support: Multi-Stakeholder Consensus Recommendations for the Opioid Use Case. AMIA ... Annual Symposium proceedings. AMIA Symposium, 2019, 637-646.