VIReC Clinical Informatics Cyber Seminar Series - 2008 Archive

Evaluating Clinical Decision Support Systems: From Initial Design to Post-deployment

• Lifecycle of development of clinical decision systems
• Evaluation methods appropriate to different stages of development
• A method for offline testing of accuracy of recommendations

VHA OI Emerging Health Technologies Sampler

Nancy Wilck, Manager, Emerging Health Technologies

• Emerging Health Technologies Overview
• Clinical Wiki
• Point of Care Device Assessments
• Collaboration tools/Innovation Sandbox
• Electronic Health Record System Visioning (EHR-S)

CPRS and BCMA Through the Rearview Mirror – Retrospectively Evaluating Health IT Implementations

• Understand how culture affects implementation and improvement
• Recognize how staff view CPRS and BCMA today
• Identify needs and strategies for improvements in IT systems
• Learn how to evaluate the success of implementation and ongoing use of these systems

Identifying patients at high risk of suicide/self harm: A demonstration of Clinical Reminder Patient Lists and their potential use in research/Quality Improvement

• VistA files and CPRS
• Approach to use of Clinical Reminder (CR) patient lists
• Review example of risk of suicide/self harm
• Strengths and limitations
• Implications for research
• Other query tools in VistA

Research in Human-Computer Interaction for VA Clinical Decision Support

• Provide brief overview of human factors and human-computer interaction (HCI)
• Describe the application of HCI research to the VA computerized clinical reminder system
• Demonstrate the new HCI / IT Laboratory at the VA Center of Excellence on Implementing Evidence-Based Practice (CIEBP)
• Describe current CIEBP human factors and implementation work funded by AHRQ

NetDSS: Facilitating Implementation of a Depression Care Management Intervention Using Web-based Decision Support

• Understand the process of converting an intervention protocol into a web-based decision support system to facilitate implementation
• Learn how a decision support system can be used to promote fidelity to an evidence-based practice

Information Overload and the Design and Implementation of Computerized Decision Support

• Identify concepts and causes of Information Overload in computerized clinical environments
• Discuss the role of different memory systems in the perception of information overload in clinical work settings
• Describe how to match clinical task characteristics and implementation strategies of computerized decision support technologies in order to minimize information overload

My HealtheVet Personal Health Record

• Provide an overview of VA's My HealtheVet Personal Health Record as a robust set of tools to improve health and health care delivery
• Identify how the RE-AIM Performance Evaluation Framework is being used to evaluate the My HealtheVet Program
• Share implementation strategies and lessons learned for this health information technology best practice
• Identify recent collaborations with VA Researchers and current strategies underway to further research collaboration efforts

IT and Patient Safety

• Summarize the sentinel articles on clinical informatics and patient safety
• Explain the conflicting findings in the context of sociotechnical fit
• Formulate guidelines that reframe implementation of clinical informatics in support of patient safety with the goal of mitigating unintended consequences

Patient Viewpoint: A Website for Patient-Reported Outcomes Assessment

• Determine what aspects of patient reported health would be most useful for evaluating the effectiveness and quality of outpatient oncology practice
• Explore desirable features for a web-based system to administer standardized questionnaires to patients
• Explore potential technical, cultural, ethical, and legal barriers to the use of such a system
• Develop a prototype website for use by outpatient oncology providers to collect patient-reported data in the clinical setting