Matt Burton
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Consistently delivering Best Practice care to patients in an efficient, effective, and safe manner holds the most promise for transforming the practice of medicine. Standardized clinical best practices serve to ensure that the highest quality care is delivered consistently to achieve the best outcomes (clinical and utilization) in the most efficient and safe manner. Such standards must be integrated into clinician workflows and oriented to clinician mental models such that they are easy and intuitive and that deviation from such a standard is obvious, assessable, and actionable. Further, the discovery and rapid integration of newly recognized clinical best practices must be similarly integrated into optimal clinician-scientist workflows. For this study, we first employed a mixed-method approach for capturing clinical workflow to define their information and knowledge management needs. Next, we conducted iterative prototyping and in-situ testing using User eXperience design methods to develop practice management and analytics dashboards, and mobile point of care tools. Lastly, we implemented these designs as a limited pilot built as a modern layered software architecture using open standard terminologies (SNOMED, LOINC, RxNorm) and information models (RIM, FHIR) as well as medical informatics best practices (human and machine readable knowledge representation, stateful rules engine, persistence of derived values and linkage to their evidence).
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