title: Managing the alert process at NewYork-Presbyterian Hospital.
abstract: Clinical decision support can improve the quality of care, but requires substantial knowledge management activities. At NewYork-Presbyterian Hospital in New York City, we have implemented a formal alert management process whereby only hospital committees and departments can request alerts. An explicit requestor, who will help resolve the details of the alert logic and the alert message must be identified. Alerts must be requested in writing using a structured alert request form. Alert requests are reviewed by the Alert Committee and then forwarded to the Information Systems department for a software development estimate. The model required that clinical committees and departments become more actively involved in the development of alerts than had previously been necessary. In the 12 months following implementation, 10 alert requests were received. The model has been well received. A lot of the knowledge engineering work has been distributed and burden has been removed from scarce medical informatics resources.
authors.affiliation: Department of Quality Assurance, NewYork-Presbyterian Hospital, NY, USA.
authors.forename: Gilad J
authors.initials: GJ
authors.lastname: Kuperman
authors.forename: Rosanna
authors.initials: R
authors.lastname: Diamente
authors.forename: Vrinda
authors.initials: V
authors.lastname: Khatu
authors.forename: Terri
authors.initials: T
authors.lastname: Chan-Kraushar
authors.forename: Pete
authors.initials: P
authors.lastname: Stetson
authors.forename: Aurelia
authors.initials: A
authors.lastname: Boyer
authors.forename: Mary
authors.initials: M
authors.lastname: Cooper
mesh_terms: D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D006739:Hospital Administration; D006751:Hospital Information Systems / Q000458:organization & administration*; D006801:Humans; D016347:Medical Records Systems, Computerized; D009519:New York City; D009936:Organizational Innovation; D017010:Reminder Systems / Q000592:standards