Clinical Decision Support for Worker Health: A Qualitative Study of Five Primary Care Settings

Details

• Personal Author:
  Ash JS ; Baron, Sherry L. ; Chase D ; Filios, Margaret S. ; Luensman GB ; Marovich S ; Shiffman RN ; Wiesen J
• Description:
  Introduction: Although primary care providers are usually the first to see patients with medical issues such as asthma symptoms that may be caused by workplace exposures, they do not routinely ask patients about their work. Occupational health physicians have developed evidence-based guidelines for helping to manage many such patients, but primary care providers are rarely aware of their existence. Though computerized clinical decision support (CDS) holds potential for increasing awareness and providing guidance, it must be developed and implemented to fit the context and workflow of those who would benefit from having the information. This qualitative evaluation project was part of a larger project funded by the National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention. The NIOSH project is designing, developing, and piloting CDS for the health of working patients in primary care outpatient settings. The first step in this project was the development of three knowledge resources (KRs) containing evidence-based information, decision logic, scenarios and examples of use. The KRs were prepared by three subject matter expert (SME) groups for three topics that are related to the health of patients who work and considered especially pertinent to a primary care practice. The three KRs focused on dealing with work environment factors that impact the management of a chronic disease (diabetes), guidance for return-to-work after lower back pain diagnosis not related to work, and diagnosis and management of work-related/work-exacerbated asthma. The goal of this qualitative study is to identify the barriers and facilitators related to CDS for the clinical management of working patients in a variety of primary care settings, including assessment of the technical and organizational feasibility of implementing the CDS represented by each KR. [Description provided by NIOSH]
• Subjects:
  Decision Making Diagnosis Occupational Health Safety
• Keywords:
  Decision Making Diagnostic Techniques Electronic Health Records Guidelines Health Care Information Systems
• ISSN:
  1559-4076
• Publisher:
  American Medical Informatics Association
• Document Type:
  Text
• Funding:
  Contract
• Genre:
  Abstract or Summary
• Place as Subject:
  Connecticut ; New York ; Ohio ; Oregon ; OSHA Region 1 ; OSHA Region 10 ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 5 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DRDS - Division of Respiratory Disease Studies ; DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  11-12
• NIOSHTIC Number:
  nn:20052153
• Citation:
  AMIA Annu Symp Proc 2016 Nov; 2016:11-12
• Contact Point Address:
  Joan S. Ash, Ph.D., Oregon Health & Science University, Portland, OR, USA
• Federal Fiscal Year:
  2017
• Peer Reviewed:
  False
• Source Full Name:
  AMIA Annual Symposium. Proceedings
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:e83db2507154ed6dfe5b13f07a7c3bff02c2bcab826a3c73b0ab17f966446f2f03dec3b707c0ee377f1cf9cfd7ed2e4d8e746d9ad81352156dde3530e2c86b40
• Download URL:
  https://stacks.cdc.gov/view/cdc/211742/cdc_211742_DS1.pdf
• File Type:
  [PDF - 210.71 KB ]