Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-06T21:55:28 RDF description of Challenges involved in establishing a web-based clinical decision support tool in community health centers - http://repository.healthpartners.com/individual/document-rn23660 Informatics 2022-02-21T22:48:57.408-06:00 10.1016/j.hjdsi.2020.100488 4 document-rn23660 Cardiovascular Diseases 8 <p>Implementation lessons: Establishing a shared 'hub-and-spoke,' web-based clinical decision support system (CDSS) in an EHR shared by >600 community health centers incurred a myriad of challenges, which are summarized here to guide others seeking to use similar CDSS. Legal and compliance challenges involved ensuring secure data exchanges, determining which entity maintains data records, and deciding which data are sent to the CDSS. Technical challenges involved using lab data from multiple sources and improving the CDSS' cache routine performance in its new setting. Clinical implementation challenges involved identifying optimal strategies for generating data on CDSS use rates, modifying the CDSS functionality for obtaining clinician/staff feedback, and customizing the risk thresholds that trigger the CDSS for the new setting.<p> 30110 Clinical Decision Support Systems Healthcare (Amsterdam, Netherlands) Medical Records Systems, Computerized Primary Health Care 17865 Challenges involved in establishing a web-based clinical decision support tool in community health centers Internet public