Examining the relationship between clinical decision support and performance measurement.

David A. Haggstrom, Jason J. Saleem, Laura G. Militello, Nicole Arbuckle, Mindy Flanagan, Bradley N. Doebbeling

Research output: Contribution to journalArticle

1 Scopus citations


In concept and practice, clinical decision support (CDS) and performance measurement represent distinct approaches to organizational change, yet these two organizational processes are interrelated. We set out to better understand how the relationship between the two is perceived, as well as how they jointly influence clinical practice. To understand the use of CDS at benchmark institutions, we conducted semistructured interviews with key managers, information technology personnel, and clinical leaders during a qualitative field study. Improved performance was frequently cited as a rationale for the use of clinical reminders. Pay-for-performance efforts also appeared to provide motivation for the use of clinical reminders. Shared performance measures were associated with shared clinical reminders. The close link between clinical reminders and performance measurement causes these tools to have many of the same implementation challenges.

Original languageEnglish (US)
Pages (from-to)223-227
Number of pages5
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
StatePublished - 2009


ASJC Scopus subject areas

  • Medicine(all)

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