Health Information Standards

Clinical Decision Support

Tools
NRS 622
Department of Nursing
College of Applied Medical
Sciences
Majmaah University
Lecture
:• Outlines
Definition of Health Information Standardization. • Definition of clinical decision support (CDS).
• Definition of a Standard. • Benefits of CDS.
• Standards Categories: • Clinical decision support tools.
• Standards Implementation. • Types of CDS tools and target area of care.
Definition of Health Information
:Standardization
• Health Information Standardization:

• Standardization, as defined by the International Organization for Standards (ISO), is the process of
agreeing on standards, which represent the common language that allows the exchange of data
between systems.
Definition of A
:• Standard
A Standard:
• It is set of rules or guidelines, format, or document that establishes uniform specifications, criteria,
methods, processes.
:Standard Categories
• In February 2006, the Health Information Technology Standards Panel (HITSP) identified the
following health information technology standards categories:
• Data Standards.

• Functional Standards.

• Information Content Standards.

• Information Exchange Standards.

• Identifier Standards.

• Privacy and Security Standards.

:Data Standards
• Definition:

• They are documented agreements on representations, formats, and definitions of common data.

Functional
:Standards
• Definition:

• Functional Standards describe, in an organized format, for the participants and functional requirements are
derived from the description.
:Information Content Standards
• Definition:

• Information Content Standards are related to the content of information exchanges.

Information Exchange
:Standards
• Definition:

• They define the structure and syntax of the electronic communication and are referred to as the
standard ways of sending and receiving information.
:Identifiers Standards
• Definition:
• They provide a universal method to identify entities such as an individual (consumer), a healthcare
provider, a healthcare organization, a payer, or others (clearinghouses, vendors, products, etc.).

Privacy and Security

:Standards
• Definition:
• Privacy and Security Standards are aimed to ensure information security and confidentiality.
:Standards Implementation
• Definition:

• Standards implementation is a process of demonstrating the use of standards in an information

technology application.

• To help implement standards, standard development organizations create Implementation Guides -

technical documents that describe how to implement standards.

Clinical Decision Support (CDS)

• Definition:

 Clinical decision support (CDS) provides clinicians, staff, patients or other individuals with
knowledge and information, intelligently filtered or presented at appropriate times, to enhance
health and health care.
Benefits of
:CDS
• Why are the benefits of clinical decision support?

 CDS has a number of important benefits, including:

1. Increased quality of care and enhanced health outcomes.

2. Avoidance of errors and adverse events.

3. Improved efficiency, cost-benefit, and provider and patient satisfaction.

Clinical Decision Support Tools

• Definition:
 Clinical decision support tools are found in EHR software that when applied effectively, can
enhance patient care quality and outcomes, improve efficiency, and help to ensure regulatory
compliance.

Types of CDS Tools:

In general, clinical decision support tools can include, but are not limited to:
 Computerized alerts and reminders to care providers and patients.
 Clinical guidelines.
 Condition-specific order sets.
 Focused patient data reports and summaries.
 Documentation templates.
 Diagnostic support.
CDS Tools and Target Area of Care
Target Area of Care
Preventive care
Diagnosis
Planning or implementing treatment
Follow-up management
Hospital, provider efficiency
Cost reductions and improved patient
convenience
Use of CDS Tools
Immunization, screening, disease management guidelines for secondary
prevention
Suggestions for possible diagnoses that match a patient’s signs and
symptoms
Treatment guidelines for specific diagnoses, drug dosage
recommendations, alerts for drug-drug interactions
Reminders for drug adverse event monitoring
Care plans to minimize length of stay, order sets
Duplicate testing alerts, drug formulary guidelines
:References
• Public Health Data Standards Consortium . Health Information Technology Standards. 2018.

• Healthcare First. (2018). What are clinical decision support tools?

• Agency for Healthcare Research and Quality. (2018). Clinical Decision Support.

• Healthcare Information and Management Systems Society. (2012). Nursing informatics 101.

• Kim Maryniak. (2016). Nursing Informatics: The Future is Here. AMN Healthcare Education Services.
The
…End
?Any Question •
?Any Idea •