title: Automating Performance Measures and Clinical Practice Guidelines: Differences and Complementarities.
abstract: Through close analysis of two pairs of systems that implement the automated evaluation of performance measures (PMs) and guideline-based clinical decision support (CDS), we contrast differences in their knowledge encoding and necessary changes to a CDS system that provides management recommendations for patients failing performance measures. We trace the sources of differences to the implementation environments and goals of PMs and CDS.
authors.affiliation: Stanford University, Stanford, CA.
authors.forename: Samson W
authors.initials: SW
authors.lastname: Tu
authors.affiliation: VA Palo Alto Health Care System, Palo Alto, CA.
authors.forename: Susana
authors.initials: S
authors.lastname: Martins
authors.affiliation: VA Palo Alto Health Care System, Palo Alto, CA.
authors.forename: Connie
authors.initials: C
authors.lastname: Oshiro
authors.affiliation: VA Palo Alto Health Care System, Palo Alto, CA.
authors.forename: Kaeli
authors.initials: K
authors.lastname: Yuen
authors.affiliation: VA Palo Alto Health Care System, Palo Alto, CA.
authors.forename: Dan
authors.initials: D
authors.lastname: Wang
authors.affiliation: VA Palo Alto Health Care System, Palo Alto, CA.
authors.forename: Amy
authors.initials: A
authors.lastname: Robinson
authors.affiliation: VA Palo Alto Health Care System, Palo Alto, CA.
authors.forename: Michael
authors.initials: M
authors.lastname: Ashcraft
authors.affiliation: Stanford University, Stanford, CA; VA Palo Alto Health Care System, Palo Alto, CA.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Heidenreich
authors.affiliation: Stanford University, Stanford, CA; VA Palo Alto Health Care System, Palo Alto, CA.
authors.forename: Mary K
authors.initials: MK
authors.lastname: Goldstein
mesh_terms: D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D020000:Decision Support Systems, Clinical / Q000592:standards; D003695:Delivery of Health Care / Q000592:standards*; D006333:Heart Failure / Q000188:drug therapy / Q000628:therapy*; D006801:Humans; D010349:Patient Compliance; D017410:Practice Guidelines as Topic; D057188:Workflow
chemical_list: D000806:Angiotensin-Converting Enzyme Inhibitors