Clinical Decision Support Stakeholders

The healthcare sector remains to be one of the major sectors of the economy, and a key part of healthy living for the human population. The main stakeholders in the health sector are the physicians, patients and the top management officials managing activities in and around the health sector. The growth and success of the health sector depends very much on the way all the key stakeholders become satisfied; because it makes them to give their best output and cooperate with the correct laid down procedures which leading the entire health sector. The healthcare sector requires a way to break down communication barriers, in order to enable employees to have a satisfying work experience; while also allowing physicians to practice medicine successfully

Analyze the requirements of the system and how this DSS is reducing medical errors and improving clinical practice.

Stakeholders are a big part of a healthcare organization. They play a major role in the Healthcare Delivery System that plays a part in the performance and the health of the organization. Five of the major stakeholders consist of government, providers (which includes doctors, nurses, pharmacists, and other healthcare providers), patients, insurance companies, and pharmaceutical companies. Based off of the healthcare delivery system where it stands now, there are some recommendations that the stakeholder can do to have a positive effect on the healthcare delivery system.

There are many people who have a stake in the healthcare industry. There are several stakeholders such as the patients, healthcare providers, insurance companies, organizations, and those who enforce policy. The patients’ interest is the need of the best healthcare procedure to be healthy. As a healthcare provider the quality of care that can be useful for patients. Insurance companies sells health insurance to patients or employer that can be beneficial to providers. Organizations develop plans that are used for patients. Policymakers create and implement laws that to improve quality care to the public. These stakeholders can play a major role in the safety concern of patients. The concern for the safety issues of vaccination in children

A stakeholder are people or groups that have an investment in the patient evidence based healthcare decisions (Agency for Healthcare Research and quality, 2015). In this case, already listed is the patient and the physician but Medicaid is a stakeholder as well. The stake for Medicaid is being the insurer this tells the patient where he can and cannot get treatment. It also set the type of treatment is covered. According to AHRQ, the local clinic is also a stakeholder. The facility has made the decision on what kind of insurance to utilize which was not Medicaid cause the patient to be denied access to care. The healthcare industry is a also listed as a stakeholder especially in reference to manfacture for treatment. The manufacture is the expert when it comes to how to administer treatment and how to operate the device they made. Policy makers also have a stake in the patient healthcare utilization . In this instance the lawmakers had to set policy who was eligible for Medicaid.These few factors have impacted the patient tremendously.

The goal of meaningful use is to increase the ability to access relevant data, through automation, that will assist in the pursuit of increased quality and safety, while concurrently decreasing the cost of care (Fleming, 2011).

Identify key features related to their use of the CDSS in terms of: the type of CDSS they use (knowledge based, or analytics, or a combination of both), its usability (ease of use), utility (perceived usefulness), how they incorporate it into their own workflow, what are some of its features, its overall impact on any patient outcomes and any challenges they have experienced while using the CDSS.

In 2013, the HIMSS Board of Directors defined interoperability in health care as having the ability to have different information technology systems and software applications communicate, exchange date, and then use the information that has been exchanged (HIMSS, 2015). Data exchange permits data accessibility between organizational boundaries, while interoperability means health systems have the ability to work together in order to advance the health status of the individuals and communities the system serves. For two systems to be interoperable, they must be able to exchange data that can be understood by a user (HIMSS, 2015). This is extremely important to the goals of HITECH and meaningful use because it aligns with the government standard

Healthcare can be known for a complex industry. Every day is a new day facing complicated clinical administrative transactions with electronic medical records and safety? Health Information technology is suppose to realize errors using electronic medical records. Leaders must understand the complexity and safety issues in order to help mandate electronic medical records with design, development, implement and use. In the last decade, this article has informed executives, clinicians, and technology. Their main focus was on these three areas computerized physicians order entry. Their main focus was to work all three areas computer physician order entry, computer decision support system,

Real time data entry, real time data driven medical decisions, provides real time transport of medical records, increased productivity as there is shift from paper-based medical record and the real time approach. It helps in efficient patient care management. The EHR embedded with clinical decision support system also helps in improving health care services delivery. The rules and decision algorithms helps in healthcare decision making. CPOE allow providers to enter order and both CPOE and CDS help in reducing medical errors. One of the studies have showed that the serious medication errors can be reduced by as much as 55% when a CPOE system is used alone, and by 83% when coupled with a CDS system that creates alerts based on what the physician orders [3].

There are some assumptions made by university health care system in its implementation that the common advantages of using a computerized system would obviously work to their own advantage. Users of the system make a great impact to the existence of the same. It is imperative to consider old data that is supposed to be fed to the system in order to make it efficient while updating the rest of information. Self evaluation process is recommendable to the system by the Information Technology experts. The human interface of the system should be included by the evaluation team. This will include two psychologists. The above aspects should be considered by a team of analysts before they conclude on whether the project does or does not

The Clinical Decision Support Systems have challenges to overcome such as information technology must be design a effective system which notify certain outlier medical information data input. This requires a very through collaboration between the Information Technology Department and the medical facility. Once the specified notifications are designed the medical facility will perform a test run to confirm accuracies and promptness of the required notifications. The next challenge with Clinical Decision

Organizations focus on individual stakeholders who substantially involve themselves in the healthcare system. Major stakeholders in the health care organizations are partners/buyers and providers/suppliers, which involve different EHR categories for organizational specialists. I believe that organizations should be open to ideas in the decision-making process. The implementation of toolkits in healthcare organizations should greatly influence patients on the safety, effectiveness, timely, and the efficient rate of their care. As we incorporate this system, privacy among patients and healthcare staff/professionals will be kept confidential. A research shows that through the quality of care for patients and physicians improves, so does the development of

Clinical decision-support systems (CDSS) apply best-known medical knowledge to patient data for the purpose of generating case-specific decision-support advice. CDSS forms the cornerstone of health informatics research and practice. It is an embedded concept in almost all major clinical information systems and plays an instrumental role in helping health care achieve its ultimate goal: providing high quality patient care while, at the same time, assuring patient safety and reducing costs. This computer based systems designed to impact clinician decision making about individual patients at the point in time that these decisions are made. If used properly, CDSS have the potential to change the way medicine has been taught and

There are a lot of problems and challenges involved in implementing a clinical decision support system. It is important for medical staff (doctors, administrators etc.) to be an integral part in the implementation and development of CDSS. Our limited research concluded that acceptance of such technology is not easy amongst physicians. One of the main reasons for non acceptance is that the physicians want to be a standalone entity. We plan to investigate many challenges such as lack of technical expertise, cost, integration, misdiagnosis, speed etc involved in implementation of different types of CDSS in the health care industry today. Our research paper will focus on the different decision problems involved in these challenges.