Table of Contents

Clinical Decision Support in Healthcare - One step closer to the Omniscient Clinician (Strategic Focus) - An in-depth analysis of the CDS market including the drivers and inhibitors of CDS adoption, the types of tools available today as well as in the future, ways to effectively implement CDS and recommendations to vendors.

Product Code: dmtc2184

Publication Date: 22-May-2008

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Overview

Introduction

As healthcare organizations implement electronic health records, they are becoming increasingly aware of the ways clinical decision support tools will help them improve quality of care, comply with clinical standards and take part in pay for performance initiatives. However, CDS includes a vast range of solutions, many of which are difficult to implement.

Scope

· Identifies the key factors driving adoption of CDS

· Pinpoints common pitfalls in CDS implementation

· Provides a framework for future CDS solutions

Highlights

The culture of medicine is resistant to CDS

CDS tools of the future will be patient-centric and focus on diagnosis

Clinical intelligence will change the way medicine is practiced

Reasons to Purchase

· Understand where CDS is today and where it will be in 5 years

· Align product messaging with what will resonate best with healthcare organizations

· Identify strategies that will increase CDS adoption

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Overview	1
Catalyst	1
Summary	1
Key Messages	2
The culture of medicine is resistant to CDS	2
CDS tools of the future will be patient-centric and focus on diagnosis	2
Clinical intelligence will change the way medicine is practiced	2
Implementation of CDS is difficult and requires an understanding of common pitfalls	3
Table of Contents	4
Table of figures	5
Market Opportunity	6
The next step after EHRs: CDS	6
CDS addresses top of mind healthcare pain points	7
CDS improves care by providing clinicians with the right information at the right time for the right patient	8
Faced with cost pressures, healthcare organizations are looking to CDS to improve efficiencies	9
CDS solutions will have the reporting capabilities needed to take advantage of P4P initiatives	10
The inhibitors to CDS adoption are not easily overcome	10
The culture of medicine shows great resistance to CDS	11
'Can't put the cart before the horse' - without EHRs, the full value of CDS is not realized	12
The upfront costs of implementing CDS are steep for most healthcare organizations	12
Technology Evolution	14
CDS today is varied, though CDS tomorrow will cover an even broader range of solutions	14
The modern healthcare system needs new ways to access traditional reference materials	14
Many healthcare organizations would benefit from outsourcing the development of clinical standards	15
Data mining will allow providers to truly practice evidence-based medicine	15
Tools of the future will be patient-centric and focus on diagnosis	16
Healthcare is picking low hanging fruit now, but will use more advanced tools in the future	17
Applying business intelligence tools to clinical data will create clinical intelligence	18
Customer Impact: Effectively Implementing CDS	21
Despite the fact that it is a well-known pitfall, hospitals are still plagued with alert fatigue	21
The quality of patient data will determine the quality of CI results	21
Interoperability is not just a technology issue	23
Go to Market	24
Recommendations	24
CDS vendors should establish relationships with leading EHR vendors to promote interoperability	24
The vendor and medical communities must come together to create and abide by set standards	24
Technology vendors need to encourage, not follow, their clients by educating the market	25
Vendors must be acutely aware of how they position their products in the market	25
CDS solutions need to continue to mature through input from end users	25
APPENDIX	26
Definitions	26
Methodology	26
Further reading	27
Ask the analyst	27
Datamonitor consulting	27
Disclaimer	27
List of Figures
Figure 1: The various types of CDS will be implemented in stages	7
Figure 2: The adoption of CDS solutions will increase over time	17
Figure 3: Effectively implementing CDS is often difficult	22

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