CClinicalTrials.gg
Status unknownNCT00853619CDSCUpdated Feb 29, 2012

Clinical Decision Support Consortium

An interventional study of Service based decision support intervention in Diabetes, Coronary Artery Disease and Hypertension, sponsored by Brigham and Women's Hospital. Status unknown at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2012-02-29.

Sponsored by Brigham and Women's Hospital · Not applicable, Interventional, and Health services research

The sponsor has not verified this record recently (last verified Feb 2012), so the status shown — last known as Enrolling by invitation — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of the Clinical Decision Support (CDS) Consortium research study is to assess, define, demonstrate, and evaluate best practices for knowledge management (KM) and CDS in healthcare information technology across multiple ambulatory care settings and electronic health records (EHR) technology platforms.

There are seven specific research objectives focusing on two practical areas of implementation for clinical decision support services: a) healthcare maintenance and preventive care screening, and b) two chronic disease conditions: Coronary Artery Disease (CAD), and Adult-onset Diabetes Mellitus (AODM). The research objectives are: 1) Knowledge management lifecycle, 2) Knowledge specification, 3) Knowledge portal and repository, 4) CDS knowledge content and public web services, 5) CDS Dashboard, 6)Evaluation, and 7) Dissemination.

Read the detailed description

Investigators and developers of electronic health records from both academe and industry have come together to form the Clinical Decision Support (CDS) Consortium. Members of the CDS Consortium are intimately involved in creating and providing CDS tools and services in electronic health records used in both academic settings as well as community-based physician office practices. These investigators share a common interest and goal of enhancing the wide-spread adoption of CDS tools and services to improve the delivery of healthcare both domestically and world-wide.

Our approach to the project is iterative and cyclical: we will begin with a survey of the knowledge management lifecycle and supporting infrastructure (such as knowledge management systems, terminology services and data standards) at the participating clinical sites. We will then work together to define best practices for translating knowledge into a multi-layered array of human readable knowledge artifacts and public web services. At each point in this process, we will conduct careful evaluation, documenting lessons learned from each site. The ultimate work products will fall into three main categories:

First, tangible, actionable knowledge artifacts such as the shareable, human-readable and computable forms of clinical practice guidelines (CPGs) under study, public web-services for CDS demonstrations, and a CDS Knowledge Portal and Repository to facilitate widespread adoption of these artifacts.

Second, detailed guidance and recommendations, based on what we learn from our combined efforts, for external parties such as the Certification Commission for Health Information Technology (CCHIT), the Health Information Technology Standards Panel (HITSP), and the clinical practice guideline developer community.

Third, a set of knowledge and best practices, such as methods for the knowledge management lifecycle, development of both human readable knowledge artifacts and machine-interpretable knowledge, and management of decision-support related organizational change. We will share this knowledge through a variety of channels, such as presentations and academic papers.

02

Conditions studied

  • Diabetes
  • Coronary Artery Disease
  • Hypertension

Keywords

  • clinical decision support
  • knowledge management
  • knowledge representation
  • clinical guidelines
  • coronary artery disease
  • myocardial ischemia
  • diabetes mellitus
  • hypertension
03

In context

Hypertension

6,689 studies on the registry are indexed under Hypertension; 965 are open to participants now.

This study's planned enrollment of 70 is below the median of 90 across 4,995 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Brigham and Women's Hospital is the lead sponsor of 1,236 studies on the registry; 224 are open to participants now.

Of its 116 completed or terminated interventional studies of FDA-regulated products, 64 (55%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • PHS clinics using the LMR (Partners electronic health record system). These clinics include Massachusetts General Hospital Back Bay, Brigham Primary Physicians at Faulkner Hospital, Brigham PCA in Brookline, and Brigham and Women's Hospital at Foxboro.

Exclusion criteria

Exclusion Criteria:

  • None
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
70 participants (estimated)

Study arms

  • Experimental
    Services Demo at PHS and RI

    Service based CDS intervention at PHS.

    Other: Service based decision support intervention

  • Active comparator
    Normal CDS interventions at PHS and RI

    Normal CDS intervention at both PHS and RI hospitals

    Other: Service based decision support intervention

Interventions

  • OtherService based decision support intervention

    Delivering CDS via services

    Also known as: Clinical Decision Support,, CDS Consortium,, Enterprise Clinical Rules Services

06

What researchers measure

Primary outcomes

  1. Compliance with guideline

    Time frame: 6 months

Secondary outcomes

  1. Patient outcomes

    Time frame: 6 months

07

Study locations

1 site
  • Partners HealthCare - Information Systems, Wellesley Gateway
    Wellesley, Massachusetts 02481, United States
08

References and documents

Publications

  • Middleton B. The clinical decision support consortium. Stud Health Technol Inform. 2009;150:26-30. PubMed 19745260 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 29, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00853619
Lead sponsor
Brigham and Women's Hospital
Responsible party
Blackford Middleton, MD, MPH (Study Principal Investigator, Brigham and Women's Hospital) — Principal investigator
First posted
Mar 2, 2009
Start date
Mar 2008
Primary completion
Jul 2013 (estimated)
Completion
Jul 2013 (estimated)
Last update
Feb 29, 2012

Study contacts

Blackford Middleton, MD
principal investigator · Brigham and Women's Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Feb 2012. You cannot join it, but the record below documents what was studied.

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