Provider perceptions of colorectal cancer screening clinical decision support at three benchmark institutions.

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

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Implementation of computerized clinical decision support (CDS), and its integration into workflow has not reached its potential. To better understand the use of CDS for colorectal cancer (CRC) screening at benchmark institutions for health information technology (HIT), we conducted direct observation, including opportunistic interviews of primary care providers, as well as key informant interviews and focus groups, to document current challenges to CRC screening and follow-up at clinics affiliated with the Veterans Heath Administration, Regenstrief Institute, and Partners HealthCare System. Analysis revealed six common barriers across institutions from the primary care providers' perspective: receiving and documenting "outside" exam results, inaccuracy of the CDS, compliance issues, poor usability, lack of coordination between primary care and gastroenterology, and the need to attend to more urgent patient issues. Strategies should be developed to enhance current HIT to address these challenges and better support primary care providers and staff.

Original languageEnglish
Pages (from-to)558-562
Number of pages5
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
Volume2009
StatePublished - 2009
Externally publishedYes

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Clinical Decision Support Systems
Benchmarking
Early Detection of Cancer
Colorectal Neoplasms
Primary Health Care
Medical Informatics
Interviews
United States Department of Veterans Affairs
Workflow
Gastroenterology
Ataxia
Focus Groups
Compliance
Observation
Delivery of Health Care

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Provider perceptions of colorectal cancer screening clinical decision support at three benchmark institutions. / Saleem, Jason J.; Militello, Laura G.; Arbuckle, Nicole; Flanagan, Mindy; Haggstrom, David; Linder, Jeffrey A.; Doebbeling, Bradley N.

In: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, Vol. 2009, 2009, p. 558-562.

Research output: Contribution to journalArticle

Saleem, Jason J. ; Militello, Laura G. ; Arbuckle, Nicole ; Flanagan, Mindy ; Haggstrom, David ; Linder, Jeffrey A. ; Doebbeling, Bradley N. / Provider perceptions of colorectal cancer screening clinical decision support at three benchmark institutions. In: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium. 2009 ; Vol. 2009. pp. 558-562.
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