Beyond the Silo: Learning from Clinical Decision Support Across Multiple Institutions

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2025 CIC Health System Presentation

Presentation Time: 09:15 AM - 10:15 AM

Abstract Keywords: Adaptive Clinical Decision Support, Bridging Analytics, Bedside Care, Clinical Documentation, and Education, Cross-organization Partnerships including Public-private Partnerships, Learning Health System
Primary Track: Documentation Burden, Clinician Well-Being and Care Outcomes
Programmatic Theme: Clinical Decision Support and Analytics

CDS has become ubiquitous in healthcare delivery, much CDS is ignored or ineffective, resulting in a mere 4.8% improvement in care plan adherence. This stark reality highlights a critical translational science gap: despite CDS being essential for implementing research findings into practice, we cannot reliably predict when it will be effective. With clinician burnout increasingly linked to EHR interruptions and alert fatigue, healthcare organizations can no longer afford to implement CDS tools without systematic evaluation of both their clinical impact and their burden. This panel of four speakers presents a groundbreaking collaborative approach to addressing the critical gap in CDS evaluation across institutions. Leaders from four sites out of a national pediatric CDS collaborative will share how they developed and implemented a pragmatic evaluation framework, systematically selected high-priority CDS use cases, and created human-centered analytics tools to make cross-institutional CDS evaluation more efficient and meaningful. The panel will demonstrate how their collaborative infrastructure balances rigorous implementation science with real-world feasibility constraints, providing attendees with practical tools they can adapt for their own institutions. Through examples from their work, panelists will illustrate how systematic evaluation of CDS can transform its design from expert opinion into a predictive science that accelerates research-to-practice implementation.

Moderator:
Eric Kirkendall, MD, MBI
Wake Forest Baptist School of Medicine/Advocate Health

Speakers:
Allison McCoy, PhD, ACHIP, FACMI, FAMIA
Vanderbilt University Medical Center

Juan Chaparro, MD, MS
Nationwide Children's Hospital

Adam Moses, MHA, PMP
Wake Forest Baptist Medical Center

Matthew Molloy, MD, MPH
Cincinnati Children's Hospital Medical Center

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