![]() ![]() Cumulatively, alerts in telemedicine encounters had an action taken rate of 5.3% (3257/64,938) compared to 8.3% (19,427/233,636) for office visits. In 3 of the top 5 alerts, providers were significantly less likely to take action in telemedicine when compared to office visits. Results: Our assessment revealed that 10 of our top 40 alerts by volume were not firing as expected in telemedicine visits. Informaticists then reported on themes and optimization opportunities through the existing CDS governance structure. Board-certified physician informaticists then completed a formal workflow review of alerts with inferior performance in telemedicine visits. This assessment began with a quantitative analysis comparing CDS alert performance in the context of in-person and telemedicine visits. Methods: Our clinical informatics team devised a practical framework for an intrapandemic ambulatory CDS assessment focused on the impact of the telemedicine expansion. Objective: Our objective is to reassess the ambulatory CDS program at a large academic medical center in light of telemedicine's expansion in response to the COVID-19 pandemic. This is especially true after an immense change, like the COVID-19 telemedicine expansion. It is essential to regularly reassess an organization's ambulatory CDS program to maintain care quality. Clinical decision support (CDS) is critically important to chronic care providers, and CDS malfunction is common during times of change. ![]() Online Journal of Public Health InformaticsĮmail: The transformation of health care during COVID-19, with the rapid expansion of telemedicine visits, presents new challenges to chronic care and preventive health providers.Asian/Pacific Island Nursing Journal 13 articles.JMIR Bioinformatics and Biotechnology 38 articles.JMIR Biomedical Engineering 70 articles.Journal of Participatory Medicine 82 articles.JMIR Perioperative Medicine 94 articles.JMIR Rehabilitation and Assistive Technologies 219 articles.JMIR Pediatrics and Parenting 298 articles.Interactive Journal of Medical Research 337 articles.JMIR Public Health and Surveillance 1231 articles.Journal of Medical Internet Research 7890 articles.
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