Department of Biomedical Informatics
Guest Speaker: Bimal Desai, MD, MBI; AVP & Chief Health Informatics Officer at Children’s Hospital of Philadelphia (CHOP)
Topic: Human Centered Decision Support: Beyond the Five Rights
When: Wednesday, October 17, 2018
Time: 3:00 – 4:00PM
Where: NEW LOCATION: BMI FACULTY AND STUDENT SUITE: HSC –L3 ROOM 045
In this lecture, Dr. Desai will describe the evolution of Clinical Decision Support (CDS) paradigms at Children’s Hospital of Philadelphia (CHOP), from his first medication safety projects as a resident in 2003 to his team’s current work at characterizing the usability and utility of CDS interventions. Electronic health records (EHR) are simultaneously a necessary tool for healthcare delivery and a source of immense frustration for users. Traditional models of CDS in commercial EHRs often rely heavily on coarse alerts as the principal mechanism for modulating user behavior, but many lines of evidence suggest all EHR alerting strategies are not created equal. From dosing guidance, to diagnosis of rare conditions, to screening for sepsis and decompensation, Dr. Desai will summarize CDS design best-practices gleaned from over 15 years of work by the CDS and Informatics teams at CHOP. Attendees will take away key lessons in information architecture, characterizing CDS utility using principles of biostatistics, and the emerging discipline of cognitive informatics.
1) Attendees can describe why clinical decision support techniques for rare conditions are difficult to operationalize because of low precision / positive predictive value.
2) Attendees will recognize that two-stage alerting strategies offer the same advantages in discriminate health and disease as two-stage diagnostic testing strategies.
3) Attendees can apply principles from the emerging field of cognitive informatics to design better decision support interventions, with the awareness that an interruptive alert may not be the tool of choice for a given problem.
Bimal Desai, MD, MBI, is AVP & Chief Health Informatics Officer at Children’s Hospital of Philadelphia (CHOP) where he leads the pro-grams in Digital Health, Enterprise Analytics, and Clinical Informatics. Bimal received his bachelor’s degree in biology from Emory University, his medical degree from Washington University, and a master’s degree in biomedical informatics from Oregon Health & Sciences University. He completed his residency and chief residency in pediatrics at CHOP in 2004. He holds a faculty appointment as Clinical Assistant Professor of Pediatrics in the Perelman School of Medicine at the University of Pennsylvania and is a member of the CHOP Department of Biomedical Health & Informatics. Bimal is an inpatient attending in the Division of General Pediatrics and is board certified in pediatrics and clinical informatics. In 2017, Bimal was awarded the PACT Enterprise Healthcare Innovator award and has been recognized three times as one of the country’s “CMIO’s to Know” by Becker’s Healthcare. He is a founding faculty member of the AMIA Clinical Informatics Board Review Course and co-founder of Haystack Informatics, a 2014 graduate of the DreamIt Health startup accelerator. His academic interests are in the area of clinical decision support and novel uses of complex EHR data. Bimal lives in West Philadelphia with his wife Naomi and their 9-year old twins. In his free time, he is an amateur technology tinkerer, photographer, and road cyclist
**CME Credit Available**
The School Of Medicine, State University of New York at Stony Brook, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The School of Medicine, State University of New York at Stony Brook designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s) ™. Physicians should only claim the credit commensurate with the extent of their participation in the activity. Disclosure Policy: All those in control of CME content are expected to disclose any relevant financial relationship with the provider of commercial products or services discussed in the educational presentation or that have directly supported the CME activity through an educational grant to the sponsoring organization(s). All commercial relationships that create a conflict with the planners, speakers, author’s control of content must be resolved before the educational activity occurs.
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