In years One and Two, GLIDES' core work was the transformation of knowledge contained in narrative clinical guidelines into computer-mediated decision support (CDS). A centralized project team organized and managed the project and performed analysis and decomposition of the targeted clinical guidelines. Local implementation teams at Yale-New Haven Health system and Nemours were responsible for CDS design, system development, and implementation. This process was performed for two guidelines, at eight clinical sites and on two different Electronic Health Record (EHR) systems. CDS solutions were implemented for specialists and primary care physicians. GLIDES conceptualized the transformation process as a document-centered, 4-layer "knowledge stack."
Focus in Year Three is on the following goals and collaborations:
1. Using systematic and replicable processes, continue to design, develop, implement, and demonstrate guideline-based clinical decision support. GLIDES is collaborating with the Geisinger Health System and Children's Hospital of Philadelphia (CHOP)
2. Recognizing the critical importance of transparently developed and clearly stated guideline recommendations for effective implementation, work closely with guideline developers to provide tools and guidance to improve guideline development and reporting processes. GLIDES is collaborating with the American Association of Pediatrics (AAP) and the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS)
3. Update the Guideline Elements Model (GEM) and increase GEM adoption nationally and internationally. GLIDES is collaborating with the ECRI Institute.