Provider perceptions of colorectal cancer screening clinical decision support at three benchmark institutions.

Jason J. Saleem*, Laura G. Militello, Nicole Arbuckle, Mindy Flanagan, David A. Haggstrom, Jeffrey A. Linder, Bradley N. Doebbeling

*Corresponding author for this work

Research output: Contribution to journalArticle

14 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)558-562
Number of pages5
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
Volume2009
StatePublished - Jan 1 2009

ASJC Scopus subject areas

  • Medicine(all)

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