Table 3.
Participating organizations |
Tool 1: External repository of clinical content with web-based viewer |
Tool 2: Online, interactive, internet-based content development tool |
Tool 3: Enterprise-wide tool to maintain controlled clinical terminology concepts |
Tool 4: Tool for CDS users to provide feedback regarding CDS interventions |
---|---|---|---|---|
Kaiser
Permanente, Northwest |
Method to extract and download human-readable versions of alerts and order sets to repository |
Yes, via intranet, Kaiser National website, & Epic Community library [14] |
Internal, Convergent Medical Terminology controlled at National KP level 55 |
E-mail address for CDS-related feedback exists. |
Providence
Health System, Portland |
Limited availability via order set library, pdf of what is built in system. |
Zynx author space [56] and viewspace; and Sharepoint site for new content development and vetting by clinicians |
No. | Complaint button |
Regenstrief
Institute, Inc. |
No external repository, because CDS knowledge is integrated into the Gopher Order Entry system. |
No | Internal dictionary of 33,845 terms, mapped to standard terminologies. Terms grouped, with several levels of hierarchy |
Users e-mail system developers with feedback. |
Partners
HealthCare System |
Content is developed, reviewed and curated in “Documentum’s eRooms” using semi-structured knowledge specifications. |
Yes, eRooms [57], |
Combination of proprietary and standard terminologies with terminology services, hierarchy and subsets. |
Interventions have a feedback button and pager number. |
Roudebush
VAMC |
No | Web-based work order system to request new tools. |
CPRS/VistA for controlling ICD- 9, CPT, & DRG groups |
Tool on user interface menu to document problems & suggestions |
Memorial
Hermann |
Yes. use Sharepoint to maintain CDS inventory of CDS. Have separate databases for Order sets, Alerts/Reminders. |
Zynx View Space for Order sets |
No | Yes, for order sets. users can provide feedback via email or production support remedy tickets |