Decision Systems Seminar: “Toward widespread adoption of computer-based clinical decision support: Obstacles and approaches”

Robert A. Greenes, M.D., Ph.D., Chair & Professor, Dept. of Biomedical Informatics (BMI)

Friday, January 25th 2013, 12:00pm-1:15pm


“Toward widespread adoption of computer-based clinical decision support: Obstacles and approaches”

Abstract: Clinical decision support (CDS) is considered a primary means for proactive process and quality improvement in health care, and broad adoption of electronic health record (EHR) systems is facilitating this.  A wide variety of approaches to CDS have been explored for more than 50 years, however, and even now, adoption is quite limited, mainly in academic medical centers and elsewhere limited to the most basic capabilities.  Obstacles include lack of standards and variety of proprietary platforms and data/information models, but more importantly, lack of strong methodologies for adapting CDS knowledge to settings, workflows, priorities, and preferences.  In this presentation, new initiatives for addressing these challenges on a national scale will be described.

Bio: Robert A. Greenes joined Arizona State University as Ira A. Fulton Chair and Professor of Biomedical Informatics, in 2007.  He is also Professor of Biomedical Informatics at the Mayo Clinic College of Medicine. Before his move to Arizona, he was founder and director of the Decision Systems Group, a Harvard-based biomedical informatics laboratory at the Brigham and Women’s Hospital.  For over 25 years, Dr. Greenes was the Program Director of the National Library of Medicine-supported Boston Research Training Pro­gram in Biomedical Informatics, based at the Harvard-MIT Division of Health Sciences and Technology.  He was also Distinguished Chair in Biomedical Informatics at Brigham and Women’s Hospital, Professor of Radiology and Health Sciences and Technology at Harvard Medical School, and Professor of Health Policy and Management, Harvard School of Public Health.

With an M.D. and Ph.D. in applied mathematics/compu­ter science from Harvard, he is Board Certified in Diagnostic Radiology.  He is a member of the Institute of Medicine, and a Fellow of the American College of Medical Informatics (also its past President), the American College of Radiology, and the Society of Imaging Informatics in Medicine. He was the 2008 recipient of the Morris F. Collen Award for contributions that have made a lasting impact on the field of biomedical informatics, from the American College of Medical Informatics.  The Robert A. Greene Directorship in Biomedical Informatics at the Brigham and Women’s Hospital continues to bear his name.

Dr. Greenes’ main interests are in the area of clinical informatics, with a particular focus on clinical decision support, health care quality improvement, and application usability/interoperability to optimize clinical care processes.