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:
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.
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).