Please contact your instructor cds starter kit smoking cessation
Knowledge Activity: Implementing Clinical Decision Support (Master’s)
Questions
3. Based on the data in the report and the implementation period of the Smoking Cessation CDS, what number of patients should be included in the evaluation criteria for the CDS goals?
Only patient seen in the clinic in last 12 months should be included in the evaluation criteria for the CDS goals, because the CDS goals were implemented only 12 months ago, 261 patients Should be included in the evaluation criteria for CDS goals. Therefore, it would not apply to patients who have not seen in the past 12 months
6. Of the patients who were not seen in the clinic during the Smoking Cessation CDS protocol, i.e. not seen in the Clinic during the last 12 months, for what percentage was smoking status known, i.e. either current smoker or never smoker?
31% (75 out of 239 patients)
31 percent of patients had seen a verified smoking status prior to the protocol, while 36 percent had been identified for smoking status after the protocol was implemented.
9. Based on the report of Central Clinic patients, was the CDS protocol goal for Smoking Cessation (80% of patients seen in the first year would have a documented smoking status) met? How can you tell?
EHR Audit Questions
11. Where is Ernesto’s smoking status recorded in the EHR? List all areas.Alerts, problem, and Notes
No, there is no patients detailed information seen, there is only smoking status, if there were charts with the detailed information like Ernesto’s then we could quantify several patients. If history and physical notes were detailed like Ernesto’s then we can find the data used or given to patience to quit smoking.
Critical Thinking Questions
15. The CDS Smoking Cessation protocol calls for every patient’s current smoking status to be assessed and documented in the EHR. Do you think this protocol was followed over the last 12 months? Please explain your answer.17. What are your recommended changes related to meeting Goal 1 next year?
In order to meet the goal next year, I would have all patients fill out a form upon arrival and include their smoking status. For ease, they may check mark or circle “current, former or never ” options. This can be documented later in the EHR when evaluating them and inputting the answers given by patients into the system. If this method doesn’t work, the EHR may have a smoking status section in which a “Check box” method can be used for“Current, former ornever”. They can make this section as a required field (hard stop) where they cannot be bypassed and can’t move to the next page until this section is answered and completed.
Goal 2 cannot be met until goal 1 is accomplished. Once a patient is determined if they are a smoker, non-smoker, or former then an additional field can be organized if they check mark a box for smoker. The additional field can pop up in which we can create a table section that shows if literature is given YES or NO. In Ernesto’s HER in order to fulfilled the
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/
