Project Summary

The objective of the GLIDES project is the development, implementation and evaluation of demonstration sub-projects that advance understanding of how best to incorporate clinical decision support (CDS) into the delivery of healthcare.

The project is being performed under contract to the US Agency for Healthcare Research and Quality (AHRQ). Yale University School of Medicine has received a 2-year, $2.5 M contract from AHRQ to demonstrate a systematic and replicable process by which knowledge contained in practice guidelines can be transformed into computer-based clinical decision support and taken to scale to improve the quality of healthcare delivery in the U.S.

Richard Shiffman, MD, MCIS (Professor of Pediatrics and Associate Director of the Yale Center for Medical Informatics) serves as Project Director.

Current Status GLIDES is now focused on roll-out of Phase II CDS at Yale and Nemours, and evaluation of Phase I Asthma CDS at Yale Specialty Clinic. Progress overall is satisfactory, although roll-out is running behind schedule by several weeks, as we complete testing and training and deploy strategies to encourage adoption by clinicians. Scope is substantial, with parallel roll-out of CDS for Obesity and Asthma at five clinical locations, across two hospital organizations (Nemours and Yale) using two EHR systems (EPIC and Centricity). We are now able to evaluate a number of CDS design and implementation techniques in this varied environment. We are on track to complete Phase II roll-out in July, and then commence evaluation. Phase III (which is significantly smaller in scope) will commence in August. The current GLIDES project contract will end in February 2010 by which time we will have met all original objectives.