title: The morningside initiative: collaborative development of a knowledge repository to accelerate adoption of clinical decision support.
abstract: The Morningside Initiative is a public-private activity that has evolved from an August, 2007, meeting at the Morningside Inn, in Frederick, MD, sponsored by the Telemedicine and Advanced Technology Research Center (TATRC) of the US Army Medical Research Materiel Command. Participants were subject matter experts in clinical decision support (CDS) and included representatives from the Department of Defense, Veterans Health Administration, Kaiser Permanente, Partners Healthcare System, Henry Ford Health System, Arizona State University, and the American Medical Informatics Association (AMIA). The Morningside Initiative was convened in response to the AMIA Roadmap for National Action on Clinical Decision Support and on the basis of other considerations and experiences of the participants. Its formation was the unanimous recommendation of participants at the 2007 meeting which called for creating a shared repository of executable knowledge for diverse health care organizations and practices, as well as health care system vendors. The rationale is based on the recognition that sharing of clinical knowledge needed for CDS across organizations is currently virtually non-existent, and that, given the considerable investment needed for creating, maintaining and updating authoritative knowledge, which only larger organizations have been able to undertake, this is an impediment to widespread adoption and use of CDS. The Morningside Initiative intends to develop and refine (1) an organizational framework, (2) a technical approach, and (3) CDS content acquisition and management processes for sharing CDS knowledge content, tools, and experience that will scale with growing numbers of participants and can be expanded in scope of content and capabilities. Intermountain Healthcare joined the initial set of participants shortly after its formation. The efforts of the Morningside Initiative are intended to serve as the basis for a series of next steps in a national agenda for CDS. It is based on the belief that sharing of knowledge can be highly effective as is the case in other competitive domains such as genomics. Participants in the Morningside Initiative believe that a coordinated effort between the private and public sectors is needed to accomplish this goal and that a small number of highly visible and respected health care organizations in the public and private sector can lead by example. Ultimately, a future collaborative knowledge sharing organization must have a sustainable long-term business model for financial support.
authors: Arizona State University, Phoenix, AZ, USA. greenes@asu.edu
authors: Robert
authors: R
authors: Greenes
authors: Meryl
authors: M
authors: Bloomrosen
authors: Nancy E
authors: NE
authors: Brown-Connolly
authors: Clayton
authors: C
authors: Curtis
authors: Don E
authors: DE
authors: Detmer
authors: Robert
authors: R
authors: Enberg
authors: Douglas
authors: D
authors: Fridsma
authors: Emory
authors: E
authors: Fry
authors: Mary K
authors: MK
authors: Goldstein
authors: Peter
authors: P
authors: Haug
authors: Nathan
authors: N
authors: Hulse
authors: Tonya
authors: T
authors: Hongsermeier
authors: Saverio
authors: S
authors: Maviglia
authors: Craig W
authors: CW
authors: Robbins
authors: Hemant
authors: H
authors: Shah
references: Nucleic Acids Res. 2010 Jan;38(Database issue):D46-51
references: 19910366
references: Health Aff (Millwood). 2005 Sep-Oct;24(5):1170-9
references: 16162560
references: N Engl J Med. 2007 Oct 11;357(15):1515-23
references: 17928599
references: Health Aff (Millwood). 2009 Jul-Aug;28(4):w719-29
references: 19556248
references: Cold Spring Harb Symp Quant Biol. 2003;68:237-43
references: 15338623
references: Int J Med Inform. 2008 Oct;77(10):650-6
references: 18321775
references: Genome Biol. 2007;8(3):R39
references: 17367534
references: N Engl J Med. 2003 Jun 26;348(26):2635-45
references: 12826639
references: Health Aff (Millwood). 2007 Mar-Apr;26(2):w242-53
references: 17314105
references: Int J Clin Monit Comput. 1993 Nov;10(4):215-24
references: 8270835
references: Stud Health Technol Inform. 2004;107(Pt 1):164-8
references: 15360796
references: Stud Health Technol Inform. 2009;150:26-30
references: 19745260
references: Yearb Med Inform. 2000;(1):65-70
references: 27699347
references: J Am Med Inform Assoc. 2007 Mar-Apr;14(2):141-5
references: 17213487
references: J Manag Care Pharm. 2008 Mar;14(2 Suppl):S3-11
references: 18331114
references: Stud Health Technol Inform. 1993;6:105-12
references: 10163801
references: Genet Med. 2007 Oct;9(10):665-74
references: 18073579
references: BMC Bioinformatics. 2007 Nov 02;8:426
references: 17980028