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Enhancing Worker Health Through Clinical Decision Support (CDS): An Introduction to a Compilation

Filios, Margaret S. MSc, RN; Storey, Eileen MD, MPH; Baron, Sherry MD, MPH; Luensman, Genevieve B. PhD; Shiffman, Richard N. MD, MCIS

Journal of Occupational and Environmental Medicine: November 2017 - Volume 59 - Issue 11 - p e227–e230
doi: 10.1097/JOM.0000000000001179
Computer-Mediated Clinical Decision Support in Primary Care Fast Track Articles

Objective: This article outlines an approach to developing clinical decision support (CDS) for conditions related to work and health. When incorporated in electronic health records, such CDS will assist primary care providers (PCPs) care for working patients.

Methods: Three groups of Subject Matter Experts (SMEs) identified relevant clinical practice guidelines, best practices, and reviewed published literature concerning work-related asthma, return-to-work, and management of diabetes at work.

Results: SMEs developed one recommendation per topic that could be supported by electronic CDS. Reviews with PCPs, staff, and health information system implementers in five primary care settings confirmed that the approach was important and operationally sound.

Conclusion: This compendium is intended to stimulate a dialogue between occupational health specialists and PCPs that will enhance the use of work information about patients in the primary care setting.

Surveillance Branch, Respiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention (CDC), Morgantown, West Virginia (Filios, Drs Storey, Luensman); Queens College, City University of New York, Queens, New York (Dr Baron); and Yale University, New Haven, Connecticut (Dr Shiffman).

Address correspondence to: Margaret S. Filios, MSc, RN, National Institute for Occupational Safety and Health, CDC, M/S 900.2, 1095 Willowdale Rd, Morgantown, WV 26505 (MFilios@cdc.gov).

This work was performed and funded by the CDC, National Institute for Occupational Safety and Health, NORA project #927ZLDN, and included Intergovernmental Personnel Act (IPA) agreements with Drs Baron and Shiffman to support their participation.

The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

The authors have no conflicts of interest.

The findings and conclusions in this report are those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.

Copyright © 2017 by the American College of Occupational and Environmental Medicine