Track 5: Evidence-Based Decision Support

What’s the big idea?

The goal of achieving shareable and evidence-based knowledge-driven clinical decision support (CDS) at the point-of-care has not yet been fully achieved. This effort examines some of the challenges and opportunities facing the CDS community using a concrete CDS-Hooks implementation as an example to foster discussion. It explores the characteristics of ecosystems required to achieve this goal and how to steer initiatives towards complimentary rather than competing efforts in this space.

Why should I care?

There are many opportunities for achieving better alignment of existing CDS resources and efforts in order to have greater impact in clinical practice. Be a part of the process of transforming evidence-based care by brainstorming ways to create a more cohesive ecosystem.

What will I do?

This track is focused on the implementation of evidence-based clinical decision support using the CDS hooks and the FHIR specification. It explores how these and other HL7 standards can be leveraged to support the integration of the AHRQ evidence-based Care Transformation Support (ACTS) goals with the ongoing work in the quality measurement community. Participants will work through the process end-to-end to show how we can take evidence based knowledge artifacts and run them in a real setting.

Who should attend?

Anyone interested in the integration of person-centered quality measures into CDS to advance and align evidence-based decision support outcomes.

Track Lead:

Claude Nanjo is Senior Clinical Informaticist at the University of Utah, where his responsibilities include engaging the broader Clinical Decision Support and Health Standards communities on areas pertinent to the University of Utah Biomedical Informatics R&D and product roadmaps. Mr. Nanjo has been a member of HL7 since 2012 and has been actively involved in a number of HL7, ONC, Healthcare Services Platform Consortium (HSPC), and Object Management Group (OMG) initiatives. He has been actively engaged in various initiatives including the ONC Health eDecision Initiative, the HL7 Clinical Information Modeling Initiative, the ONC Clinical Quality Framework Initiative, the HL7 Catalog Service, and the HL7 Virtual Medical Record (vMR) effort. Mr. Nanjo was awarded the 20th annual W. Edward Hammond, PhD, Volunteer of the Year Award in 2016 for his contributions to HL7. In its award HL7 cited his skill at “connecting people and building bridges between different HL7 work groups to effectively solve challenges and move projects forward.”

Track Faculty:

Brett Marquard believes every patient and health system should be able to freely access the data that will help them provide better care. He is an expert in V2, his first love, the Clinical Document Architecture (CDA), and FHIR. Brett is primary editor of Consolidated CDA, the FHIR Argonaut Data Query implementation guide and the corresponding US Core Data Query guide. He supports both private and public clients in the design and development of healthcare data exchanges. As an industrial engineer with an interest in software development he brings systems thinking to all of his projects.


Bryn Rhodes is a key contributor and Subject Matter Expert in the Clinical Quality Framework Initiative, primarily involved with the development and support of the Clinical Quality Language Specification. His expertise in Clinical Decision Support stems from implementation experience building a real-time Clinical Decision Support system for an industry leading Electronic Health Records system. With 20 years in software development, he has a broad range of implementation experience, from desktop client/server line-of-business and medical applications to enterprise and web-scale information systems. His career has focused on the expression and implementation of logic systems, from simple printer-command and build automation interpreters, through full-scale database query compilers and 4GL interface engines. This focus brings a unique and important perspective to bear on the problem of accurate and automatable sharing of clinical quality logic as expressed in knowledge artifacts for Clinical Decision Support and Clinical Quality Measurement.

Ken Rubin serves as the Director of Standards and Interoperability for the Office of Knowledge-based Systems within the Veterans Health Administration. With over 20 years’ experience in health IT and interoperability both domestically and abroad, Mr. Rubin’s focus is on data, process, and knowledge-sharing between VA and community care partners in support of a seamless veteran care experience. Mr. Rubin is very active in the standards community, serving in leadership roles in the Healthcare Services Platform Consortium (HSPC), the Object Management Group (OMG), the BPM+ Health Community, and HL7, where he became a Fellow last year.


Track Resources

Track 5 folder on Google Drive

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