Define specific objectives for DSS tools to deliver on agreed goals.
How:
One of the first tasks for this guiding coalition is to set specific goals and SMART (Specific, Measurable, Achievable, Relevant, and Time-Bound) objectives by which success will be judged from a broad organisational perspective.
A key element of converting goals into focused SMART objectives is identifying DSS interventions which can deliver on organisational goals. Table 1 below provides examples to illustrate how goals, objectives and decision support tools can relate to each other.
Table 1: Examples of links between organisational goals, project objectives and decision support modules
Organisational goal |
Objectives |
Examples of decision support tools |
Patient safety |
Safer prescribing |
High risk prescribing alerts in electronic health record (E H R) systems |
Reduce or minimise adverse drug reactions |
Drug-drug or drug-condition interaction checker |
|
Medicines guidance and formularies delivered as web and mobile apps |
||
Efficiency |
Improving patient flow for unscheduled and urgent care |
Referral and discharge guidelines |
Risk stratification algorithms with associated |
||
Better usage of diagnostic services |
Guidance on test ordering and on interpreting the results |
|
Integrating diagnostic test recommendations into online ordering systems. |
||
Shift from treatment to preventive care |
Targeted risk assessment for patient groups at highest risk of developing diabetes type 2. |
Shared decision-making app for risk assessment, referral for diagnostic test, and supporting guidance on approaches for risk reduction. |