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Health IT Enabled QI Resource Sets
Clinical Decision Support-enabled Quality Improvement Worksheet (Essential Version)
HITEQ Center

Clinical Decision Support-enabled Quality Improvement Worksheet (Essential Version)

Essential CDS/QI Worksheet from Jerome A. Osheroff, MD, TMIT Consulting, LLC

This worksheet is a key component of the Guide to Improving Care Processes and Outcomes in Health Centers, developed by TMIT Consulting, LLC and the HITEQ Center.

A helpful QI adage is that “systems are perfectly designed to produce the results they deliver.” This truism highlights the importance of understanding current care processes that are driving sub-optimal performance on the targeted measure (e.g., diabetes control, preventive care, use of expensive tests) so they can be refined to deliver better results. The CDS/QI worksheet supports this analysis through a structured, broadly applicable framework for documenting, analyzing, sharing and improving target-focused care activities.

 

Instructions for using this worksheet

  • Step 1: Document the improvement target and current performance (page 2).
  • Step 2: Think about pertinent information flows and workflows driving performance (page 2) in light of pertinent evidence-based QI and care strategies for the target.
  • Step 3:  After discussion with pertinent stakeholders, document current state information flows and workflows for the target (pages 4-6). Brainstorm potential enhancements to the current state with the QI team, and document these in the pertinent boxes beneath the current state.
  • Step 4: Review all entries (pages 4-6), and summarize them in the overview table (page 3).
  • Step 5: Use this completed worksheet with the QI team to help prioritize and implement high-yield enhancements to current workflows and information flows; consider beginning with those that will yield the greatest benefits with the least effort and resources.

Documents to download

Previous Article Prioritization Matrix
Next Article Research Update: Top Trends to Watch Post HIMSS17
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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable contributions from Chris Espersen, Espersen & Associates and Past President of Midwest Clinicians Network, Dan Tutuer, former head of Colorado's HCCN, and Dr. Jerome Osheroff, TMIT Consulting, LLC, as well as HITEQ's Advisory Committee and many health centers who have graciously shared their experiences with HITEQ.

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