Since 2016, the Agency for Healthcare Research and Quality (AHRQ) has been creating a multi-component program to fulfill the legislative requirements of the Patient Protection and Affordable Care Act related to dissemination of patient-centered outcomes research (PCOR) findings and clinical decision support (CDS). Central to AHRQ’s PCOR CDS Initiative is advancing the translation of PCOR findings into practice.
In 2021, AHRQ’s Digital Healthcare Research Program funded the Clinical Decision Support Innovation Collaborative (CDSiC) to promote collaboration and innovation related to CDS. CDSiC is comprised of three Centers that focus on 1) strategic vision and dissemination, 2) stakeholder collaboration, and 3) development of cutting-edge tools and resources for conducting real-world CDS research and demonstration projects.
The CDSiC will integrate diverse perspectives to make clinical decision support more valuable and meaningful to patients, clinicians, and healthcare systems. The CDSiC is expected to:
- Enable a transformative impact in the adoption and use of PCOR evidence in clinical practice using CDS.
- Define, coordinate, and influence short and long-term goals around patient-centered CDS needs that are responsive to the current state of the healthcare ecosystem and patient demands.
- Through stakeholder engagement, identify PCOR findings that may be suitable for implementation via CDS, define and recommend CDS measurement concepts, and test or evaluate via demonstration projects.
- Guide the CDS stakeholder community in establishing the value of CDS, as the healthcare community continues to explore value-based care.
NORC leads this research, with subcontracts to AcademyHealth; Elimu Informatics, Inc.; ICF; Vanderbilt University Medical Center; and the Crohn’s and Colitis Foundation. The effort will involve senior experts in the field of CDS and include patient advocates and providers.
NORC’s work includes establishing an Operations Center which will be responsible for oversight of the project and outreach and dissemination of key outputs and education materials from the CDSiC, including building a CDSiC website. The Stakeholder Community and Outreach Center will gather input and provide direction for advancing the key CDSiC domains and have four Workgroups: CDS Outcomes and Objectives; Scaling, Measurement, and Dissemination of CDS; CDS Trust and Patient-Centeredness; and CDS Standards and Regulatory Frameworks. The Innovation Center, with a focus on conducting CDS research initiatives and projects in real-world applications related to patient-centered CDS.