Clinical decision support in small community practice settings: A case study

Joan S. Ash, Dean F. Sittig, Adam Wright, Carmit Mcmullen, Michael Shapiro, Arwen Bunce, Blackford Middleton

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Using an eight-dimensional model for studying socio-technical systems, a multidisciplinary team of investigators identified barriers and facilitators to clinical decision support (CDS) implementation in a community setting, the Mid-Valley Independent Physicians Association in the Salem, Oregon area. The team used the Rapid Assessment Process, which included nine formal interviews with CDS stakeholders, and observation of 27 clinicians. The research team, which has studied 21 healthcare sites of various sizes over the past 12 years, believes this site is an excellent example of an organization which is using a commercially available electronic-health-record system with CDS well. The eight-dimensional model proved useful as an organizing structure for the evaluation.

Original languageEnglish (US)
Pages (from-to)879-882
Number of pages4
JournalJournal of the American Medical Informatics Association
Volume18
Issue number6
DOIs
StatePublished - 2011

ASJC Scopus subject areas

  • Health Informatics

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