JoAnn M. Sperl?Hillen|Rebecca C. Rossom|Elyse O. Kharbanda|Rachel Gold|Erik Geissal|Thomas E. Elliott|Jay Desai|D. Brad Rindal|Daniel M. Saman|Stephen Waring|Karen L. Margolis|Patrick J. O’Connor
Priorities Wizard: Multisite Web-Based Primary Care Clinical Decision Support Improved Chronic Care Outcomes with High Use Rates and High Clinician Satisfaction Rates
HealthPartners|HealthPartners|HealthPartners|Kaiser Permanente|Ochin|HealthPartners|HealthPartners|HealthPartners|Essentia Health|Essentia Health|HealthPartners|HealthPartners
introduction priorities wizard electronic health recordlinked webbased clinical decision support cds system designed implemented multiple health care systems research network hcsrn sites support high quality outpatient chronic disease preventive care cds system identifies patients could substantially benefit evidencebased actions b presents prioritized evidencebased treatment options patient clinician point care c facilitates efficient ordering recommended medications referrals proceduresmethods cds system extracts relevant data electronic health records ehrs processes data using webbased clinical decision support algorithms displays cds output seamlessly ehr screen use clinician patient series national institutes healthfunded projects led healthpartners institute healthpartners center chronic care innovation hcsrn partners priorities wizard evaluated clusterrandomized trials expanded include 20 clinical domainsresults clusterrandomized trials show cds system significantly improved glucose blood pressure control diabetes patients reduced 10year cardiovascular cv risk highcv risk adults without diabetes improved management smoking dental patients improved high blood pressure identification management adolescents cds output used 7177 percent targeted visits 8598 percent clinicians satisfied cds system 94 percent reported would recommend colleaguesconclusions recently developed ehrlinked webbased cds systems significantly improved chronic disease care outcomes high use rates primary care clinician satisfaction