Title
Provider perceptions of colorectal cancer screening clinical decision support at three benchmark institutions.
Abstract
Implementation of computerized clinical decision support (CDS), and its integration into workflow has not reached its potential. To better understand the use of CDS for colorectal cancer (CRC) screening at benchmark institutions for health information technology (HIT), we conducted direct observation, including opportunistic interviews of primary care providers, as well as key informant interviews and focus groups, to document current challenges to CRC screening and follow-up at clinics affiliated with the Veterans Heath Administration, Regenstrief Institute, and Partners HealthCare System. Analysis revealed six common barriers across institutions from the primary care providers' perspective: receiving and documenting "outside" exam results, inaccuracy of the CDS, compliance issues, poor usability, lack of coordination between primary care and gastroenterology, and the need to attend to more urgent patient issues. Strategies should be developed to enhance current HIT to address these challenges and better support primary care providers and staff.
Year
Venue
Keywords
2009
AMIA
focus groups,benchmarking,physicians
Field
DocType
Volume
Nursing,Alternative medicine,Usability,Health information technology,Clinical decision support system,Workflow,Perception,Medicine,Focus group,Benchmarking
Conference
2009
ISSN
Citations 
PageRank 
1942-597X
3
0.51
References 
Authors
3
7