The Guidelines Into Decision Support (GLIDES) project will support the development, implementation, and evaluation of demonstrations that advance understanding of how best to incorporate clinical decision support (CDS) into health care delivery. The project will demonstrate how knowledge contained in practice guidelines can be transformed into computer-based CDS.

Partners

The GLIDES team includes the following organizations:

• Yale University School of Medicine
• Yale New Haven Health System
• Nemours Foundation

Scope

The GLIDES project team will develop, conduct, and evaluate the implementation of clinical guidelines for asthma and pediatric obesity in a total of six clinical sites along the East Coast.

The clinical sites are:

• Yale Specialty and Primary Care
• Nemours Delaware Primary Care
• Nemours Orlando, Jacksonville, Pensacola

Stakeholders

Stakeholders include patients, health care providers and care managers, hospitals, health information technology (health IT) suppliers, guideline developers, and policymakers.

Goals

The principal goals of GLIDES are:

• Identify and implement preferred methods and processes for incorporating CDS tools into electronic health records (EHRs).
• Improve CDS tools for measuring and improving quality of care and providing performance feedback.
• Evaluate benefits and drawbacks of creating, storing, and replicating CDS across multiple clinical sites.

Funding

Yale University School of Medicine is funded by a two-year, $2.5 million contract from the Agency for Healthcare Research and Quality.

The GLIDES project will implement the decision support intervention within the functioning EHR system at clinical sites in three phases.

• Phase I: CDS for asthma at Yale Specialty clinic.
• Phase II: CDS for obesity at Yale Primary Care and Delaware Primary Care, and for asthma at Nemour's Jacksonville, Orlando and Pensacola facilities.
• Phase III: CDS for asthma at Yale Primary Care and Delaware Primary care.

The demonstration projects will implement CDS tools in two health IT products certified by the Certification Commission for Health IT (CCHIT). The GE Centricity system is used at all Yale practice settings, and the EPIC Epicare system is used at Nemours.

In addition, the project will make extensive use of Yale's Guideline Elements Model (GEM), a structured online editing system for the transformation of clinical guidelines into XML.

This incorporation of CDS into multiple products will demonstrate cross-platform utility and will help to establish a wide range of best practices useful to the health IT vendor community.

Data Exchange Standards Used

ANSI Health IT Standards Panel (HITSP) standards will be applied where available and applicable.

Additional information can be found on the GLIDES's website:

http://gem.med.yale.edu/glides