Clinical Decision Support Consortium (CDSC)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00853619
Recruitment Status : Unknown
Verified February 2012 by Blackford Middleton, MD, MPH, Brigham and Women's Hospital.
Recruitment status was:  Enrolling by invitation
First Posted : March 2, 2009
Last Update Posted : February 29, 2012
Information provided by (Responsible Party):
Blackford Middleton, MD, MPH, Brigham and Women's Hospital

Brief Summary:

The goal of the Clinical Decision Support (CDS) Consortium research study is to assess, define, demonstrate, and evaluate best practices for knowledge management (KM) and CDS in healthcare information technology across multiple ambulatory care settings and electronic health records (EHR) technology platforms.

There are seven specific research objectives focusing on two practical areas of implementation for clinical decision support services: a) healthcare maintenance and preventive care screening, and b) two chronic disease conditions: Coronary Artery Disease (CAD), and Adult-onset Diabetes Mellitus (AODM). The research objectives are: 1) Knowledge management lifecycle, 2) Knowledge specification, 3) Knowledge portal and repository, 4) CDS knowledge content and public web services, 5) CDS Dashboard, 6)Evaluation, and 7) Dissemination.

Condition or disease Intervention/treatment Phase
Diabetes Coronary Artery Disease Hypertension Other: Service based decision support intervention Not Applicable

Detailed Description:

Investigators and developers of electronic health records from both academe and industry have come together to form the Clinical Decision Support (CDS) Consortium. Members of the CDS Consortium are intimately involved in creating and providing CDS tools and services in electronic health records used in both academic settings as well as community-based physician office practices. These investigators share a common interest and goal of enhancing the wide-spread adoption of CDS tools and services to improve the delivery of healthcare both domestically and world-wide.

Our approach to the project is iterative and cyclical: we will begin with a survey of the knowledge management lifecycle and supporting infrastructure (such as knowledge management systems, terminology services and data standards) at the participating clinical sites. We will then work together to define best practices for translating knowledge into a multi-layered array of human readable knowledge artifacts and public web services. At each point in this process, we will conduct careful evaluation, documenting lessons learned from each site. The ultimate work products will fall into three main categories:

First, tangible, actionable knowledge artifacts such as the shareable, human-readable and computable forms of clinical practice guidelines (CPGs) under study, public web-services for CDS demonstrations, and a CDS Knowledge Portal and Repository to facilitate widespread adoption of these artifacts.

Second, detailed guidance and recommendations, based on what we learn from our combined efforts, for external parties such as the Certification Commission for Health Information Technology (CCHIT), the Health Information Technology Standards Panel (HITSP), and the clinical practice guideline developer community.

Third, a set of knowledge and best practices, such as methods for the knowledge management lifecycle, development of both human readable knowledge artifacts and machine-interpretable knowledge, and management of decision-support related organizational change. We will share this knowledge through a variety of channels, such as presentations and academic papers.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 70 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Clinical Decision Support Consortium for AHRQ CDS Research
Study Start Date : March 2008
Estimated Primary Completion Date : July 2013
Estimated Study Completion Date : July 2013

Arm Intervention/treatment
Experimental: Services Demo at PHS and RI
Service based CDS intervention at PHS.
Other: Service based decision support intervention
Delivering CDS via services
Other Names:
  • Clinical Decision Support,
  • CDS Consortium,
  • Enterprise Clinical Rules Services
Active Comparator: Normal CDS interventions at PHS and RI
Normal CDS intervention at both PHS and RI hospitals
Other: Service based decision support intervention
Delivering CDS via services
Other Names:
  • Clinical Decision Support,
  • CDS Consortium,
  • Enterprise Clinical Rules Services

Primary Outcome Measures :
  1. Compliance with guideline [ Time Frame: 6 months ]

Secondary Outcome Measures :
  1. Patient outcomes [ Time Frame: 6 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • PHS clinics using the LMR (Partners electronic health record system). These clinics include Massachusetts General Hospital Back Bay, Brigham Primary Physicians at Faulkner Hospital, Brigham PCA in Brookline, and Brigham and Women's Hospital at Foxboro.

Exclusion Criteria:

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00853619

United States, Massachusetts
Partners HealthCare - Information Systems, Wellesley Gateway
Wellesley, Massachusetts, United States, 02481
Sponsors and Collaborators
Brigham and Women's Hospital
Principal Investigator: Blackford Middleton, MD Brigham and Women's Hospital

Responsible Party: Blackford Middleton, MD, MPH, Study Principal Investigator, Brigham and Women's Hospital Identifier: NCT00853619     History of Changes
Other Study ID Numbers: HHSA290200810010
First Posted: March 2, 2009    Key Record Dates
Last Update Posted: February 29, 2012
Last Verified: February 2012

Keywords provided by Blackford Middleton, MD, MPH, Brigham and Women's Hospital:
clinical decision support
knowledge management
knowledge representation
clinical guidelines
coronary artery disease
myocardial ischemia
diabetes mellitus

Additional relevant MeSH terms:
Coronary Artery Disease
Myocardial Ischemia
Coronary Disease
Vascular Diseases
Cardiovascular Diseases
Heart Diseases
Arterial Occlusive Diseases