Child health improvement through computer automation

The CHICA system

Vibha Anand, Paul Biondich, Gilbert Liu, Marc Rosenman, Stephen Downs

Research output: Chapter in Book/Report/Conference proceedingChapter

42 Citations (Scopus)

Abstract

Clinical guidelines are prevalent but frequently not used. Computer reminder systems can improve adherence to guidelines but have not been widely adopted. We present a computer-based decision support system that combines these elements: 1) pediatric preventive care guidelines encoded in Arden Syntax; 2) a dynamic, scannable paper user interface; and 3) a HL7-compliant interface to existing electronic medical record systems. The result is a system that both delivers 'just in time' patient-relevant guidelines to physicians during the clinical encounter and accurately captures structured data from all who interact with the system. The system performs these tasks while remaining sensitive to the workflow constraints of a busy outpatient pediatric practice.

Original languageEnglish
Title of host publicationStudies in Health Technology and Informatics
Pages187-191
Number of pages5
Volume107
DOIs
StatePublished - 2004

Fingerprint

Pediatrics
Automation
Health
Guidelines
Electronic medical equipment
Reminder Systems
Decision support systems
User interfaces
Interfaces (computer)
Guideline Adherence
Preventive Medicine
Computer systems
Workflow
Electronic Health Records
Computer Systems
Outpatients
Physicians
Child Health

Keywords

  • Alerts and reminders
  • computer decision support
  • guidelines
  • pediatric
  • prevention
  • Rule based systems

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

Cite this

Child health improvement through computer automation : The CHICA system. / Anand, Vibha; Biondich, Paul; Liu, Gilbert; Rosenman, Marc; Downs, Stephen.

Studies in Health Technology and Informatics. Vol. 107 2004. p. 187-191.

Research output: Chapter in Book/Report/Conference proceedingChapter

Anand, Vibha ; Biondich, Paul ; Liu, Gilbert ; Rosenman, Marc ; Downs, Stephen. / Child health improvement through computer automation : The CHICA system. Studies in Health Technology and Informatics. Vol. 107 2004. pp. 187-191
@inbook{876f5b86b47a479b9336f21f0486c1b6,
title = "Child health improvement through computer automation: The CHICA system",
abstract = "Clinical guidelines are prevalent but frequently not used. Computer reminder systems can improve adherence to guidelines but have not been widely adopted. We present a computer-based decision support system that combines these elements: 1) pediatric preventive care guidelines encoded in Arden Syntax; 2) a dynamic, scannable paper user interface; and 3) a HL7-compliant interface to existing electronic medical record systems. The result is a system that both delivers 'just in time' patient-relevant guidelines to physicians during the clinical encounter and accurately captures structured data from all who interact with the system. The system performs these tasks while remaining sensitive to the workflow constraints of a busy outpatient pediatric practice.",
keywords = "Alerts and reminders, computer decision support, guidelines, pediatric, prevention, Rule based systems",
author = "Vibha Anand and Paul Biondich and Gilbert Liu and Marc Rosenman and Stephen Downs",
year = "2004",
doi = "10.3233/978-1-60750-949-3-187",
language = "English",
volume = "107",
pages = "187--191",
booktitle = "Studies in Health Technology and Informatics",

}

TY - CHAP

T1 - Child health improvement through computer automation

T2 - The CHICA system

AU - Anand, Vibha

AU - Biondich, Paul

AU - Liu, Gilbert

AU - Rosenman, Marc

AU - Downs, Stephen

PY - 2004

Y1 - 2004

N2 - Clinical guidelines are prevalent but frequently not used. Computer reminder systems can improve adherence to guidelines but have not been widely adopted. We present a computer-based decision support system that combines these elements: 1) pediatric preventive care guidelines encoded in Arden Syntax; 2) a dynamic, scannable paper user interface; and 3) a HL7-compliant interface to existing electronic medical record systems. The result is a system that both delivers 'just in time' patient-relevant guidelines to physicians during the clinical encounter and accurately captures structured data from all who interact with the system. The system performs these tasks while remaining sensitive to the workflow constraints of a busy outpatient pediatric practice.

AB - Clinical guidelines are prevalent but frequently not used. Computer reminder systems can improve adherence to guidelines but have not been widely adopted. We present a computer-based decision support system that combines these elements: 1) pediatric preventive care guidelines encoded in Arden Syntax; 2) a dynamic, scannable paper user interface; and 3) a HL7-compliant interface to existing electronic medical record systems. The result is a system that both delivers 'just in time' patient-relevant guidelines to physicians during the clinical encounter and accurately captures structured data from all who interact with the system. The system performs these tasks while remaining sensitive to the workflow constraints of a busy outpatient pediatric practice.

KW - Alerts and reminders

KW - computer decision support

KW - guidelines

KW - pediatric

KW - prevention

KW - Rule based systems

UR - http://www.scopus.com/inward/record.url?scp=77957951342&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77957951342&partnerID=8YFLogxK

U2 - 10.3233/978-1-60750-949-3-187

DO - 10.3233/978-1-60750-949-3-187

M3 - Chapter

VL - 107

SP - 187

EP - 191

BT - Studies in Health Technology and Informatics

ER -