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12/14/2011
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Neil Versel
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10 Innovative Clinical Decision Support Programs

What provides the smarts behind an advanced implementation of electronic health records? Clinical decision support systems. It may be time to revisit your CDS vendor options.
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Clinical decision support system Archimedes IndiGO, which stands for "individualized guidelines and outcomes," is the commercialization of the Archimedes Model. The scientifically validated model, developed by Kaiser Permanente physician-mathematician and Archimedes founder Dr. David Eddy, applies a series of mathematical equations to analyze stores of clinical, administrative, or physiological data, then feeds the results into a computer model that simulates actual healthcare processes and human physiology.

Created with the help of a five-year, $15.6 million grant from the Robert Wood Johnson Foundation awarded in 2007, IndiGO takes patient-specific data from more than 30 different variables to create "individualized guidelines" based on each person's unique risk factors, history, treatments, and, when available, biomarkers across multiple morbidities. The personalized guidelines also can analyze insurance coverage to factor in the costs of recommended treatments.

IndiGO interfaces with electronic health records (EHRs) and disease registries, drawing on those databases to help identify at-risk patient populations and suggest appropriate interventions. In addition, the system can put together patient-specific care plans for better disease management. San Francisco-based Archimedes says that this is exactly the kind of data payers will be looking for as providers evolve into Accountable Care Organizations and adopt the patient-centered medical home model.

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PeterO785
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PeterO785,
User Rank: Apprentice
1/4/2014 | 8:24:17 AM
re: 10 Innovative Clinical Decision Support Programs
Good article but more decision support tools should be considered: VisualDx, GIDEON, IBM Watson, DxMate, SimulConsult, Symcat or a couple of others.
TRICHARDSON000
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TRICHARDSON000,
User Rank: Apprentice
5/8/2012 | 7:55:32 PM
re: 10 Innovative Clinical Decision Support Programs
Larry Weed has been doing Clinical Decision Support longer than many of us has been alive. Some of his ideas are so integral now that we forget how revolutionary they were back in 1968 when he first publicized SOAP notes in the the Problem Oriented Medical Record.

He is a giant. If we can see further it is by standing on his shoulders.

Tim Richardson, PT
www.PhysicalTherapyDiagnosis.c...
Lisa Henderson
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Lisa Henderson,
User Rank: Apprentice
12/19/2011 | 7:48:35 PM
re: 10 Innovative Clinical Decision Support Programs
Some really good apps, but I love the background story on this one. Probably wouldn't happen in the U.S. though, money before innovation.

Lisa Henderson, InformationWeek Healthcare, contributing editor
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