Patient-Centered Outcomes Research Clinical Decision Support Current State and Future Directions

Beginning in 2016, AHRQ began supporting the development and dissemination of evidence-based, clinical decision support (CDS) through the Patient-Centered Outcomes Research (PCOR) CDS Initiative, which aims to accelerate the movement of evidence into clinical practice through CDS and make CDS more shareable, standards-based, and publicly-available. Now that the initiative has been underway for several years, AHRQ has contracted with NORC to: 1) conduct an evaluation of the PCOR CDS Initiative to assess program accomplishments and lessons learned; 2) identify gaps in CDS development and identify future opportunities; and 3) conduct a proof of concept patient-centered CDS pilot.

As part of the project, NORC is conducting the following activities:

  • Evaluate the extent to which the PCOR CDS Initiative promoted the dissemination and implementation of PCOR findings through sharable, standards-based, and publically available CDS, and how it has done so
  • Identify what stakeholders perceive to be the impacts of the initiative, and what potential impacts they foresee it having in the future
  • Conduct a horizon scan to identify new and promising directions for the future state of PC CDS
  • Convene a technical expert panel (TEP) to identify gaps and prioritize PC CDS research topics. The TEP will also provide input on the conduct of the evaluation, horizon scan, pilot project, and dissemination of project findings
  • Conduct a pilot study to test research questions about the future state of PC CDS
  • Disseminate findings from the pilot

In collecting and later disseminating findings, the project targets PC CDS stakeholders, including clinicians and health systems, health information technology vendors and developers, informaticists, and researchers. The ultimate beneficiaries of the effort will be patients and their caregivers.

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