Question

DISCUSSION QUESTIONS 1. Describe examples of CDS that are available within your 2. Identify the most important barriers to CDS adoption at 3. Explain how healthcare reimbursement reform will affect . What recommendations do you have for the use of CDS to 5. What opportunities do you see for CDS to facilitate the 6. When implementing a CDS system, what should the organization. your organization. healthcare organizations' use of CDS moving forward. improve care value at your organization? work of healthcare professionals? appropriate relationship be between local values and stan- dards and national standards?

Answer 1

• 1it alerts about drug contraindications and out of range lab results and standard order sets in CPOE, suggests less expensive but equally effective drugs and alternate treatments/protocols.
• Point of care alerts and reminders-Rsise the clinicians attention to important conditions or recommendation based on the patients clinical data.
• Medication dosing support-this tools assist clinicians in finding and monitoring the most appropriate doses for medication orders.

2.The most important barriers are

• Multiple data sources with little information exchange. Data sources are not shared with the EHR providing CDS.
• Lack of incentives-Health care payment model fails to reward the provision of higher-quality care.
• Implementation challenges-must have strong organizational culture and design implementation plan.
• Low EHR adoption -Changing rapidly with meaningful use.

4.Some of the consideration to improve patient safety and quality if care are ,improve the patient specificity of CDS rules in would store rules in s knowledge base and allow clinicians experts to review and update the rules. Clinicians can document treatment completely within the EHR. Health informaticians fully involved in design, selection and implementation. Employing health care providers who maximize their use of EHR to care for patients.

5. It will offer options from experts for the clients situation. It remains up for the nurse to make a final decision but the information obtained can be useful in assisting the nurse to select other options of care. The system will not point the nurse in any particular direction ; the nurse view the information and determine the next step to take. The system will not make the decision for the nurse. The CDS system assist the nurse with nursing decisions.