Clinical Decision Support and Knowledge Management

Robert Greenes

Research output: Chapter in Book/Report/Conference proceedingChapter

4 Scopus citations


The provision of computer-based advice and guidance has been one of the principal motivators for health information technology over more than 50 years of healthcare system development. Many ways to deliver clinical decision support (CDS) have been explored, with varying levels of success. Major barriers have been the silos created by individual health systems, both organizationally, and as a result of proprietary or unique implementations (of both electronic health record (EHR) systems and of CDS components themselves), unique data encoding and storage models of differing EHRs, nonstandard knowledge representations, and need for customizations to match workflow for individual implementations. These barriers have persisted despite much effort to create standards for CDS knowledge and interoperability of CDS functions. Coordination and update of the knowledge used throughout the healthcare system is challenging, limiting as the transformation to a more articulated health system is underway—as a consequence of increased demands for safety, quality, value, and care coordination. Strategies and approaches being explored include new infrastructure and CDS delivery models and the knowledge management capabilities to support them.

Original languageEnglish (US)
Title of host publicationKey Advances in Clinical Informatics
Subtitle of host publicationTransforming Health Care through Health Information Technology
Number of pages22
ISBN (Electronic)9780128095232
ISBN (Print)9780128095256
StatePublished - Jan 1 2017


  • Care coordination
  • clinical decision support
  • clinical guidelines
  • knowledge management

ASJC Scopus subject areas

  • General Medicine
  • General Health Professions


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