Research has shown that health care
quality in the U.S. varies significantly and only half of adults
receive evidence-based, recommended care. Individuals with multiple
chronic conditions (42% of adults) and older adults are at
particular risk for negative health outcomes. Current evidence
shows that clinical decision support (CDS) systems improve
adherence to evidence-based practices by analyzing patient data and
making appropriate information available to the physician at the
time they need it. CDS systems are usually electronic health record
(EHR)-based, encompassing tools like alerts, clinical guidelines,
patient reports and dashboards, diagnostic support, and workflow
tools. These tools help reduce clinical errors and allow for
customization to patient needs, improving quality of care and
patient outcomes. The AHRQ Patient-Centered (PC) CDS Learning
Network (PC CDS LN) defines PC CDS as: “CDS that supports
individual patients and their approved care givers and/or care
teams in health-related decisions and actions by leveraging
information from PCOR findings and/or patient-specific information
(e.g., patient-generated health data).” Through PC CDS, AHRQ seeks
to accelerate the movement of patient-centered outcomes research
(PCOR) evidence into practice and to make CDS more shareable,
standards-based, and publicly available. Traditionally, CDS
initiatives have focused on provider-directed guidelines and
increasing the shareability of CDS artifacts; however, PC CDS
targets both patients (and/or caregivers) and providers. AHRQ’s
effort to support PC CDS has included efforts such as the PC CDS
LN, CDS Connect, and other related grants and contracts. In this
project, AHRQ seeks to conduct a comprehensive evaluation to assess
the impact of AHRQ’s PCOR CDS Initiative (the Initiative) on
understanding of the current state of PC CDS and to identify gaps
to guide AHRQ’s future research. This research has the following
goal: To assess the accomplishments and opportunities for the
Initiative as a whole, and each of its four individual components:
the PC CDS Learning Network, CDS Connect, Quantifying Efficiencies,
and the U18 CDS Resource Grants.
US Code:
42
USC 299 Name of Law: Agency for Healthcare and Quality Act of
1999
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
Form 15 Attachment R: Web Survey of CDS Connect Users
SSA PCOR CDS.docx
Attachment R: Web Survey of CDS Connect Users