A How-To Manual for Implementing Clinical Decision Support
Author(s): Helene Kopal, MPA, MPH; Rachel Sacks, MPH; Donna Shelley, MD, MPH, (ed.) Michelle Shaljian, MPA PCDC, 2012
This manual provides step-by-step guidance for medical directors and senior leaders at primary care organizations to implement quality improvement initiatives, with a special focus on using electronic health records to advance chronic disease management. The manual was developed following a two-year project with Open Door Family Medical Centers (Open Door); a federally qualified health center (FQHC) with four practice sites located in Westchester County, New York serving over 40,000 underserved patients.
Using the Open Door experience as a case study, which focused on caring for patients with hypertension, the manual provides a systematic approach for design, planning, implementation and evaluation of a quality improvement initiative. Specific goals of the manual include defining the project, setting quality improvement goals, assessing and understanding current data and technology capabilities, implementing change, and using data to evaluate and sustain improvements.
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