NYSDA Publications

AHRQ Issues CDSiC Newsletter

Feb 20, 2025

The Agency for Healthcare Research and Quality (AHRQ) has issued its Clinical Decision Support Innovation Collaborative (CDSiC) newsletter.

Issue Number 26 | February 20, 2025
In this edition of the Insider, we highlight three AHRQ CDSiC resources focused on assessing the impact of patient-centered clinical decision support (PC CDS), share the latest AHRQ CDSiC Stakeholder Center Progress report that outlines the Center's upcoming work, and provide an update on the February Mobilizing Computable Biomedical Knowledge (MCBK) North America Chapter Meeting.
Table of Contents:
Measuring the impact of PC CDS on healthcare delivery and healthcare outcomes has long been a priority for the AHRQ CDSiC, as this work lays the foundation for further scaling and implementing PC CDS across health settings.

The reports, resources, and tools created by the AHRQ CDSiC support the broader CDS community in advancing the consistent measurement and evaluation of PC CDS.  These include:
The AHRQ CDSiC will continue to explore this critical topic in 2025.  For a full list of the AHRQ CDSiC's measurement resources, click here!
The AHRQ CDSiC's Stakeholder Center provides the project's thought leadership through its four Workgroups, which produce resources that advance PC CDS for the broader community and help inform the overall work of the AHRQ CDSiC.

The Stakeholder Center's latest Quarterly Report describes its recent activities and upcoming work.  Over the course of 2025, the Workgroups will produce 11 resources centered on a range of key patient-centered topics, which include:
  • Advancing patient engagement in PC CDS research
  • Minimizing patient burden when providing data for PC CDS
  • Patient-informed considerations to guide the use of artificial intelligence (AI) in PC CDS
The AHRQ CDSiC will continue to share updates on these cutting-edge resources as work progresses.  In the meantime, learn more by reading the full report here!
MCBK is an international community from academia, the sciences, and government working together to ensure that biomedical knowledge in computable form is findable, accessible, interoperable, and reusable.  The group's next event, the MCBK North America Chapter Meeting, will take place virtually on February 27 and 28, 2025 from 1:00-5:00pm ET.  

The meeting will feature several topics of interest to AHRQ CDSiC stakeholders such as: 
  • Emerging synergies of AI in learning health systems
  • Industry engagement in computable biomedical knowledge 
  • Poster presentations and technical demonstrations on studies, conceptual analyses, and innovative systems, services, and designs relevant to computable biomedical knowledge 
Find out more – and register for free – on MCBK's website.  We hope to see you there!
This section highlights two recently published journal articles that feature topics of interest to AHRQ CDSiC stakeholders.  These articles further the PC CDS research agenda with their contributions to key topics, including:
  • How AI-supported CDS could impact the patient-clinician relationship
  • The identification of user-centered design recommendations to guide the creation of explanation user interfaces (XUIs) for AI-based CDS
Impacts of Clinical Decision Support Systems on the Relationship, Communication, and Shared Decision-Making Between Health Care Professionals and Patients: Multistakeholder Interview Study

This study explores how AI-supported CDS systems could influence the relationship between patients and clinicians.  Through interviews and focus group sessions, medical and nursing students shared that AI-supported CDS tools held promise for promoting patient empowerment, but noted that the effective use of these tools would require increased communication and patient education.
Overview of Basic Design Recommendations for User-Centered Explanation Interfaces for AI-Based Clinical Decision Support Systems: A Scoping Review

The persistent difficulty in understanding how the outputs of AI models are generated has limited the implementation of AI-based CDS in clinical settings.  To address this challenge, the scoping review identified recommendations for the effective design of XUIs, which present "any information that makes it easier for the user to make sense of or understand the system's output or to facilitate its appropriate use."
 
While the review resulted in 64 overarching recommendations to guide the user-centered design of XUIs, it also revealed the need for more evidence to develop more specific, implementable design recommendations in this area.
 
The Clinical Decision Support Innovation Collaborative (CDSiC) is a community of broad, diverse stakeholders at the forefront of using technology to better support care teams, patients, and caregivers.  The CDSiC is working toward healthcare decisions that are driven by both patient-centered and patient-specific information and that align with patient needs, preferences, and values.  The CDSiC is funded by the Agency for Healthcare Research and Quality (AHRQ) as part of a multi-component initiative to help advance patient-centered outcomes research into practice through CDS.  For any inquiries regarding the CDSiC you may contact the project team at CDSiC@norc.org.