Table 3.
Themes, subthemes, and recommended practices
| Theme | Subtheme | Recommended Practice |
|---|---|---|
| User Component-- Theme 1: Workflow | ||
| Assess workflow early | ||
| Start with simple inline CDS | ||
| Plan to customize products to fit workflow and vice versa |
||
| Content Component-- Theme 2: Knowledge Management | ||
| Knowledge creation | Plan early and allocate sufficient resources | |
| Content library management | Catalog and monitor CDS from the beginning |
|
| Technology Component-- Theme 3: Data as a foundation | ||
| Having enough information about the patient | Develop interfaces to external systems |
|
| Quality of the data | Participate in HIE efforts | |
| Sharing the data | Educate clinicians about reason and importance of good data | |
| Varied uses of data | Promote standards | |
| Technology Component-- Theme 4: User computer interaction | ||
| Customization | Solicit feedback | |
| Usefulness | Test new CDS on users | |
| Technology Component-- Theme 5: Measurement and metrics | ||
| Administrative needs | Identify reporting goals | |
| Monitoring CDS | Plan measures early | |
| Refine CDS based on measures | ||
| Governance Component-- Theme 6: Governance | ||
| Environmental factors | Identify existing structures to repurpose as many as possible |
|
| Setting priorities and resource management | Establish decision making structures early |
|
| Governance structure | Plan to reassess structures regularly |
|
| Relations with vendors | Involve clinicians continuously | |
| New Construct, Translational Interaction--Theme 7: Translation for collaboration | ||
| Collaboration for development | Promote collaboration | |
| Translation for vendor collaboration | Speak language of collaborators | |
| Translation between users and IT | Spend time with users as they work |
|
| Collaboration among clinical orgs. | Create a culture of interaction | |
| New Construct, Translational Interaction--Theme 8: The meaning of CDS | ||
| Multiple meanings | Understand the user view | |
| Informatics philosophy | View CDS broadly | |
| New Construct, Translational Interaction--Theme 9: Roles of special essential people | ||
| As previously defined | Create and formalize roles | |
| Newly found roles | Educate the workforce | |
| New Construct, Translational Interaction--Theme 10: Communication, training, support | ||
| Communication, training, support | Involve users, give resources, over-communicate | |