title: Outpatient diabetes clinical decision support: current status and future directions.
abstract: Outpatient clinical decision support systems have had an inconsistent impact on key aspects of diabetes care. A principal barrier to success has been low use rates in many settings. Here, we identify key aspects of clinical decision support system design, content and implementation that are related to sustained high use rates and positive impacts on glucose, blood pressure and lipid management. Current diabetes clinical decision support systems may be improved by prioritizing care recommendations, improving communication of treatment-relevant information to patients, using such systems for care coordination and case management and integrating patient-reported information and data from remote devices into clinical decision algorithms and interfaces.
authors.affiliation: Center for Chronic Care Innovation, Minneapolis, MN, USA.|HealthPartners Institute, Minneapolis, MN, USA.
authors.forename: P J
authors.initials: PJ
authors.lastname: O'Connor
authors.affiliation: Center for Chronic Care Innovation, Minneapolis, MN, USA.|HealthPartners Institute, Minneapolis, MN, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Sperl-Hillen
authors.affiliation: HealthPartners, Minneapolis, MN, USA.
authors.forename: C J
authors.initials: CJ
authors.lastname: Fazio
authors.affiliation: HealthPartners, Minneapolis, MN, USA.
authors.forename: B M
authors.initials: BM
authors.lastname: Averbeck
authors.affiliation: HealthPartners, Minneapolis, MN, USA.
authors.forename: B H
authors.initials: BH
authors.lastname: Rank
authors.affiliation: Center for Chronic Care Innovation, Minneapolis, MN, USA.|HealthPartners Institute, Minneapolis, MN, USA.
authors.forename: K L
authors.initials: KL
authors.lastname: Margolis
mesh_terms: D000465:Algorithms; D000553:Ambulatory Care / Q000639:trends*; D020000:Decision Support Systems, Clinical / Q000639:trends*; D003920:Diabetes Mellitus / Q000628:therapy*; D004059:Diffusion of Innovation; D005544:Forecasting; D006292:Health Priorities; D006801:Humans; D007318:Inservice Training; D007857:Leadership; D010348:Patient Care Team / Q000592:standards; D058996:Quality Improvement / Q000639:trends; D057188:Workflow