Translating Hypertension Guidelines into Practice: Development of Interoperable Clinical Decision Support

将高血压指南转化为实践：开发可互操作的临床决策支持

• 批准号: 10020963
• 负责人: DAVID A. DORR
• 金额: $ 45.68万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-30 至 2021-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10020963
• 关键词: Translating; Hypertension; Guidelines; into; Practice

Project Summary Despite near universal adoption of Electronic Health Records (EHRs), resulting in increasing amount of clinical data available to improve care, challenges remain about how to best leverage Health IT for Clinical Decision Support (CDS). In this proposal, we will use hypertension to use new technologies to make tailored, useful CDS available across settings and implementations. We will use Clinical Quality Language (CQL), a new Health Level Seven International Standard that focuses on a common model for representing expression logic for Clinical Decision Support (CDS), and the Fast Healthcare Interoperable Resources (FHIR) standard, to demonstrate how one can reduce the burden of implementing CDS rules across sites. Per the 5 Rights framework, well-implemented CDS aims to deliver the right information, to the right person, using the right format, in the right channel, and at the right time during workflow. This grant proposes to enhance our ability to tailor CDS by creating patient-centered, interoperable, sharable CDS tools by allowing providers and patients to make patient-centered decisions about clinical actions based on how they interpret variation in conflicting guidelines in practice. Next, leveraging previous work, we will build clinical decision support components using the AHRQ CDS Authoring tool and build a FHIR application that can elicit and provide guidance to both patients and health care teams, validating against a database of patients with hypertension. Finally, we will evaluate this application with appropriate patients and health care teams to learn its potential impact in assisting in tailored decision making, refining the approach and disseminating. We'll disseminate all of the elements in this study to the public and measure how often they are used and adapted.

项目概要 尽管电子健康记录 (EHR) 几乎得到普遍采用，但导致医疗记录数量不断增加 临床数据可用于改善护理，但如何最好地利用健康 IT 进行临床仍面临挑战 决策支持（CDS）。在这个提案中，我们将针对高血压使用新技术来量身定制， 跨设置和实现的有用 CDS。我们将使用临床质量语言 (CQL)， 新的健康七级国际标准侧重于表达表达的通用模型 临床决策支持 (CDS) 逻辑和快速医疗互操作资源 (FHIR) 标准， 演示如何减轻跨站点实施 CDS 规则的负担。 根据 5 项权利框架，实施良好的 CDS 旨在向正确的人提供正确的信息 在工作流程中，在正确的时间、在正确的渠道、使用正确的格式。这笔赠款建议 通过创建以患者为中心、可互操作、可共享的 CDS 工具，增强我们定制 CDS 的能力 提供者和患者根据他们的解释做出以患者为中心的临床行动决策 实践中相互冲突的指导方针的变化。接下来，利用之前的工作，我们将建立临床决策 使用 AHRQ CDS 创作工具支持组件，并构建一个 FHIR 应用程序，该应用程序可以引发和 为患者和医疗团队提供指导，并根据患者数据库进行验证 高血压。最后，我们将与适当的患者和医疗保健团队一起评估此应用程序，以了解 其在协助定制决策、完善方法和传播方面的潜在影响。出色地 向公众传播本研究中的所有要素，并衡量它们的使用和调整频率。