Regenstrief Institute, an Indianapolis-based nonprofit research institute, has created a new approach to clinical decision support tool that allows clinicians to write CDS rules based on personal experience with the individual patient populations they serve.
The tool, Rule Authoring and Validation Environment, aims to place CDS rule writing in the hands of clinicians, where they can input their own knowledge and experience.
"With the introduction of RAVE's distributed approach to clinician decision support rule writing we are incentivizing creativity from the bottom up — something which isn't typically done in healthcare," said Titus Schleyer, DMD, PhD, diretor of the Regenstrief Institute's Center for Biomedical Informatics. "We have developed an organizational and technical approach to put rule authoring capability directly into the hands of motivated clinicians — partially turning the typical balance of power regarding how EMRs function upside down."
RAVE does include certain quality checks to ensure any CDS rules entered are legitimate. Any clinician-suggested rules must meet certain criteria, and eventually they are all evaluated and tested before being made available to every clinician on the system.
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