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Clinical Decision Support - CDS Sytems

Ahead of the tender award of the Federated Data Platform and the progressive implementation of several Clinical Decision Support –  CDS systems, NHS England has released a new set of guidelines.

We welcome the ‘Six-i’ reference points and success factors. As we delve into this guidance, we have a few questions; 

CDS Systems – Guidance and Resources

What resources will be available to Trust leaders to help guide them through evaluation and business case preparation for CDSs? For example, calculating the ROI for innovative technologies is difficult without established metrics for the cost of common practices or baselines for current performance. 

Funding Prospects

Are there designated sources of funding explicitly earmarked for adopting new CDS solutions? Understanding the financial avenues available will be pivotal in shaping the pace and scale of implementation. 

Effective Interaction

Where is the envisaged point of interaction for these CDS systems? Establishing an effective feedback loop is imperative to gauge the efficacy of interventions and to iteratively enhance their impact over time. 

Mitigating Alert Fatigue

A significant consideration in modern healthcare and mentioned in the guidelines as a common barrier, how will we address the challenge of alert fatigue? Balancing the fine line between providing vital insights and overwhelming healthcare professionals requires a thoughtful approach. 

Economies of Scale

With the progressive rollout of multiple CDS systems, can we anticipate potential economies of scale at an individual Trust level? Exploring synergies as these systems expand could lead to optimised resource allocation and enhanced outcomes. 

Learning from Experience

Reflecting on the journey thus far, what common challenges have been encountered while implementing CDS systems? Equally important, how were these challenges effectively navigated, enabling successful integration?

The NHS CDS guide is worth developing, aligning our efforts towards a more data-driven and insight-rich healthcare landscape.

Alertive Alignment

The Alertive system is a platform to enhance clinical decision making processes and can align itself to the NHS CDS guide. 

Intelligent – Alertive offers an intelligent contact directory enabling role and team-based communication, smart data routing through its orchestration engine, and insightful dashboards for communication pattern analysis, empowering coordinators and managers to enhance patient care.

Interpretable – Alertive enhances transparency with features enabling users to monitor message states, delivery times, and responses while also providing configurable response options and user activity status for meaningful feedback and improved interpretation of communication outcomes.

Integrated – Alertive’s interoperability with hospital systems allows for real-time updates on resources, test results, and patient status ensuring that relevant information is available to users when and where they need it.

Impactful – The use of critical alerts, messaging, and tasks sharing ensures that important information reaches colleagues promptly, positively impacting patient care. The orchestration engine reduces delays in the patient pathway and adapts communication modes based on the urgency of the situation, potentially reducing patient risk. 

Interoperable – Alertive’s interoperability with various hospital systems, including electronic patient records and telephony, enhances productivity, reduces errors, and improves the audit trail of shared information. Leveraging Alertive’s API to share data across applications demonstrates its commitment to interoperability. 

Inclusive – Alertive’s flexible modes of communication cater to the range of communication preferences healthcare professionals need. The application can be accessed on any device, promoting inclusivity and enabling care coordination across the entire organisation. 

CDS Systems