| | Issue Number 21 | August 21, 2024 |
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| In this edition of the Insider, we highlight three new AHRQ CDSiC-developed resources focused on cutting-edge patient-centered clinical decision support (PC CDS) topics, including leveraging artificial intelligence (AI), analyzing override reasons, and prioritizing areas for measurement, as well as a PC CDS-focused funding opportunity from AHRQ. |
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While AI has been used with CDS to improve healthcare delivery, there has not yet been an exploration of opportunities, considerations, and recommendations for the use of AI to scale PC CDS and overcome implementation barriers. To fill this gap, the AHRQ CDSiC Implementation, Adoption, and Scaling Workgroup developed a report that provides an overview of current approaches for using AI to scale PC CDS, outlines existing challenges, and documents opportunities to advance this important area.
The report identifies five dimensions of PC CDS to which AI can be applied to facilitate scaling: 1) automate processes, 2) facilitate technical development and support of PC CDS, 3) complement direct/immediate clinician interaction, 4) support cognitive processes and decision making, and 5) facilitate sharing and replication of PC CDS. The findings in this report will enable PC CDS stakeholders to better understand and leverage AI to scale PC CDS more widely and encourage the use of AI in PC CDS among clinicians, patients, and their care teams. Read the report here! |
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Recipients of PC CDS alerts and recommendations may choose not to follow the guidance for various reasons. Some CDS systems require recipients to identify a reason when they choose not to follow the guidance, called an "override reason," which can provide insight into ways CDS can be improved. Recognizing the value of this information to CDS researchers and developers, the AHRQ CDSiC Standards and Regulatory Frameworks Workgroup created an initial taxonomy of override reasons composed of reasons that may be selected by patients, caregivers, clinicians, or other recipients of PC CDS.
The taxonomy serves as a foundation for analysis, providing a shared set of domains and subdomains that capture a broad range of potential override reasons. It supports PC CDS developers and researchers when analyzing why users do not accept PC CDS guidance, and is especially useful for facilitating comparison of overrides of PC CDS across different institutions to share lessons learned. |
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Outcome measurement is key to determining if PC CDS is achieving its goals. Since PC CDS is intended to support patients' decision making, measurement should assess if CDS influences outcomes that are important to patients. To support this goal, the AHRQ CDSiC Measurement and Outcomes Workgroup elicited feedback from patients and patient advocates on which patient health journey measures should be prioritized when assessing PC CDS. These important findings, and critical areas for future work, are available in a new AHRQ CDSiC report.
PC CDS researchers and implementers, as well as healthcare organizations, can use this report to inform which patient-centered measurement areas should be included in PC CDS assessments. |
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Read the report by clicking below!
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Implementing and Evaluating PC CDS Strategies in Real-World Settings (U18)
AHRQ recently published a Notice of Funding Opportunity (NOFO) titled Implementing and Evaluating PC CDS Strategies in Real-World Settings RFA-HS-24-003 (U18). Applicants will propose innovative collaborative research to understand how CDS tools in real-world healthcare settings can be improved to become more patient-centered. Funded research will contribute to generalizable knowledge about how patients, families, and caregivers can become meaningful partners in the codesign, implementation, use, and evaluation of PC CDS.
Since 2016, AHRQ's Patient-Centered Outcomes Research (PCOR) CDS Initiative, and the CDSiC in particular, have developed resources that are now publicly available for investigator-initiated research to further develop, test, and build upon in real-world healthcare settings. Using these resources as starting materials, applicants will propose innovative collaborative research to understand how CDS tools in real-world healthcare settings can be improved to become more patient-centered. Read more about this exciting opportunity on AHRQ's funding page here.
Applications for this opportunity are due on September 12, 2024. |
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The 2024 MCBK Global Meeting will take place virtually on October 23, 2024. The meeting will focus on exploring generative AI, including the role generative AI can play in improving human health by mobilizing computable knowledge around the world.
Find out more – and register for free – at the MCBK website. |
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| All 20 past issues of the Insider are now available on our website! Click here to view our past issues, which share more about the AHRQ CDSiC products that have been produced so far and important resources for PC CDS stakeholders. |
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This section highlights two recently published journal articles that feature topics of interest to CDSiC stakeholders. These articles further the PC CDS research agenda with their cutting-edge contributions to several topics, including: - The documentation and classification of CDS malfunctions.
- The co-design of patient care tools and the visualization of patient-reported outcome (PRO) data in support of shared decision making, critical areas that the CDSiC has also explored in its work.
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