Patient-Centered and Patient-facing Clinical Decision Support

This website is no longer being maintained. Many of the activities and materials developed by the PCCDS Learning Network are still freely available on this website.

What is Patient-Centered Clinical Decision Support?

Patient-Centered Clinical Decision Support is CDS that supports care for specific* patients, where a major role is played by one or more of these patient-centered factors:

  • Knowledge: Evidence-based research findings (CER and PCOR);

  • Data: Patient-generated health data, patient-reported outcomes and preferences, and/or patient-specific social/environmental/genetic/cultural factors as they affect individual patient health;

  • Use: Patient (and/or caregiver) involvement in consuming and applying the decision support provided (e.g. information directed at patients/caregivers or for shared decision making)

*Note specific patients can include populations if one or more individual patients are supported (as opposed to just supporting a cohort more broadly)


Examples of Patient-Centered Clinical Decision Support:

  1. A PCCDS intervention that gathers patient home blood pressure readings, transmits them to providers, and highlights abnormal values (as determined by patient’s care plan) for provider and patient; then delivers care plan-recommended patient actions for abnormal values.

  2. A PCCDS intervention that promotes shared decision-making between a physician and a 40-year-old woman who is unclear about BRCA1 and BRCA2 genetic testing as well as competing mammography screening guidelines.


An example that is NOT Patient-Centered Clinical Decision Support:

Provider-directed interventions aimed at achieving overall cost-effectiveness of care (e.g., related to ‘choosing wisely’) that do NOT include support for appropriate care for specific patients.


What is Patient-facing Clinical Decision Support?

IF Patient-Centered Clinical Decision Support (PCCDS) is CDS that supports individual patients and their approved caregivers and/or care teams in health-related decisions and actions by leveraging information from patient centered outcomes research findings and/or patient-specific information (e.g. patient-generated health data), THEN Patient-Facing Clinical Decision Support (PFCDS) is CDS that involves direct participation by individual patients in their health-related decisions and actions by leveraging reliable and timely evidence from patient-centered outcomes research findings and/or patient-specific information (e.g. patient-generated health data).