Click launch ehr review the patient chart and begin this activity
Knowledge Activity: Implementing Clinical Decision Support (Baccalaureate)
Student instructions
Clinical Decision Support: (CDS) is defined as a process for enhancing health-related decisions and actions with pertinent clinical knowledge and patient information to improve healthcare delivery. In the EHR clinical decision support includes alerts, reminders and documentation templates aimed to improve clinical processes and outcomes. For the purposes of Meaningful Use clinical decision support builds upon the foundation of an EHR to provide healthcare providers with information to enhance health and health care. (Health IT.Gov, 2016)
The activity
Pivot table instructions:
a. In the spreadsheet, select and highlight all the cells that include data.b. Then select Insert>Pivot Table
c. Leave the default selections as they are (defaults are: “Select a table or range”/ 'Problem List’ and New Worksheet). Press OK.*For questions that ask for percentages, round your answer to the nearest percentage.
1. The Smoking Cessation CDS protocol was implemented at the Central Clinic one year ago. Of the 500 patients included in the report population, what percentage of patients were seen in the Clinic within the last 12 months?
cessation literature. However, the 332 patients who do not have a known smoking status need to be addressed to meet the CDS goal completely.
4. Of the patients who were seen in the clinic during the last 12 months, what percentage have a known smoking status in their problem list?
Of the patients who were not seen in the clinic during the smoking cessation CDS protocol not seen in the clinic during the last 12 months 15% had a known smoking status either current smoker or never smoker.
7. How many more patients who were part of the CDS protocol during the last year have an identified smoking status than patients who were not included in the CDS protocol, i.e. not seen in the Clinic over the last 12 months?
Based on the report of Central Clinic patients was the CDS protocol goal for smoking cessation was not met because instead of 80% of patients seen in the first year having a documented smoking status only 19% have a documented smoking status.
10. Based on the report of Central Clinic patients, was the CDS protocol goal for Smoking Cessation (100% of patients who currently smoke would be encouraged to quit and provided with smoking cessation literature) met? How can you tell?
12. Based on Ernesto’s EHR record alone, was the CDS protocol goal to provide patients who currently smoke encouragement to quit and smoking cessation literature met in his case? How can you tell? Based on Ernesto’s EHR record, the CDS protocol goal was met in his case because his smoking status was listed along with the smoking cessation literature.
13. Is the Current every day smoker clinical reminder up to date? How do you know?
The CDS smoking cessation protocol was not followed based on only 19% of the patients having a smoking status listed.
16. Evaluation of Goal 1: 80% of patients seen in the first year will have a documented smoking status. Indicate whether this goal was met, not met, or unable to determine
18. Evaluation of Goal 2: 100% of patients who currently smoke would be encouraged to quit and provided with smoking cessation literature. Indicate whether this goal was met, not met, or unable to determine given the current available information. Explain your rationale for the evaluation of Goal 2.
Given the current available information it really is unspecified in the report whether cessation literature was provided so it is difficult to determine if this goal was met however, if the assumption is that the patients listed as current smokers were provided with cessation literature the goal was not met because there is only 19% of patients with a smoking status listed.
References
CDS Starter Kit: Smoking Cessation. Retrieved March 2, 2014 from
http://www.healthit.gov/policy-researchers-implementers/cds-implementationHealthIT.gov. Clinical Decision Support (CDS). Retrieved March 2, 2014 from http://www.healthit.gov/
