what we can learn from amazon for clinical decision support

Sidra Abid, Karim Keshavjee, Arsalan Karim and Aziz Guergachi

ITCH 2017 Feb 18, 2017Victoria, BC

LINK TO OPEN-ACCESS PAPER:

Abid S, Keshavjee K, Karim A, Guergachi A. What We Can

Learn from Amazon forClinical Decision Support Systems.

Stud Health Technol Inform. 2017;234:1-5.PubMed PMID:

28186006.

Provocations for rethinking CDSS Features from Amazon Clinical Application Barriers to Applying Learnings How we’ll overcome the barriers Conclude

What if electronic medical record (EMR) systems were designed like the World Wide Web?

What if we could improve user experience rapidly because we could see how users were using the software?

What if we could make actionable information available at the point of care instantly using Big Data techniques?

What if we could quickly test whether new ideas will work and make them available into all EMRs immediately?

Can Amazon’s “purchasing decision support” teach us anything about Clinical decision support?

CBC - Complete Blood CountAnemiaLeukemiaThalassemia

$6

X

Xray –Chest PA & LateralCHFPneumoniaLung cancer

$200

CHFCa

Pn

5 Star4 Star3 Star2 Star1 Star

Atorvastatin

Love it. Dropped my LDL like a stone. I can Eat French Fries again!

Worst drug ever. I was in pain all the time. Couldn’t sleep at night.

Let patients provide their ratings on medications!

5 Star4 Star3 Star2 Star1 Star

Omeprazole

It’s fantastic. Solved all my heart burn problems. I can finally sleep all night. Pizza, here I come!

I would highly recommend this. I tried 5 medsBefore trying this one. None of the others worked.

Makes it easy to do something

Read it for freeBuy it nowGet a free sampleGive it as a giftAdd it to your wish list

Prescribe Now

Remind me Later

Print Patient Education

Patient Refuses

Patient is diabetic

Patient should be on ACE inhibitor

Patient Not Candidate

Deprescribe Now

Remind me Later

Print Patient Education

Patient Refuses

Patient is elderly

Patient should NOT be on a benzodiazepine

Lower Dose Now

Deprescribe Now

Remind me Later

Print Patient Education

Patient Refuses

Patient is elderly

Patient should NOT be on a benzodiazepine

Lower Dose Now

Long Acting BAInhaled

Corticosteroid

Short Acting BAOral

CorticosteroidLTRA

Short Acting BA

Most Popular Asthma Treatment Protocols in Canada (by Age/Sex)

This Patient

72% 21% 7%

Analysis of actual experiences with specific medications

Doctors and Hospitals work in silos

Clinic 1

Clinic 2

Clinic 3

Oh no!

What shall we do?

Multi-EMR Structured Data Entry Form: User-Acceptance Testing of a Prototype

1:15-2:45 Spirit C/D