title: Studying the vendor perspective on clinical decision support.
abstract: In prior work, using a Rapid Assessment Process (RAP), we have investigated clinical decision support (CDS) in ambulatory clinics and hospitals. We realized that individuals in these settings provide only one perspective related to the CDS landscape, which also includes content vendors and electronic health record (EHR) vendors. To discover content vendors' perspectives and their perceived challenges, we modified RAP for industrial settings. We describe how we employed RAP, and show its utility by describing two illustrative themes. We found that while the content vendors believe they provide unique much-needed services, the amount of labor involved in content development is underestimated by others. We also found that the content vendors believe their products are resources to be used by practitioners, so they are somewhat protected from liability issues. To promote adequate understanding about these issues, we recommend a "three way conversation" among content vendors, EHR vendors, and user organizations.
authors.affiliation: Oregon Health & Science University, Portland, OR, USA.
authors.forename: Joan S
authors.initials: JS
authors.lastname: Ash
authors.forename: Dean F
authors.initials: DF
authors.lastname: Sittig
authors.forename: Carmit K
authors.initials: CK
authors.lastname: McMullen
authors.forename: James L
authors.initials: JL
authors.lastname: McCormack
authors.forename: Adam
authors.initials: A
authors.lastname: Wright
authors.forename: Arwen
authors.initials: A
authors.lastname: Bunce
authors.forename: Joseph
authors.initials: J
authors.lastname: Wasserman
authors.forename: Vishnu
authors.initials: V
authors.lastname: Mohan
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Cohen
authors.forename: Michael
authors.initials: M
authors.lastname: Shapiro
authors.forename: Blackford
authors.initials: B
authors.lastname: Middleton
mesh_terms: D003132:Commerce; D020000:Decision Support Systems, Clinical; D057286:Electronic Health Records; D015397:Program Evaluation / Q000379:methods*