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Mayo Clinic Adds Clinical Decision Support Tools to Labs

Mayo Clinic and the National Decision Support Company are developing CDS tools for point-of-care lab test ordering.

Clinical Decision Support

Source: Thinkstock

By Kate Monica

- Mayo Clinic recently partnered with the National Decision Support Company (NDSC) to develop a clinical decision support (CDS) tool comprising recommendations for lab test ordering.

The tool will be available to healthcare providers through their EHR systems.

The CDS tool — CareSelect Lab — collects clinical knowledge about a comprehensive selection of conditions and offers best practices recommendations to improve patient care and cut costs through more appropriate, accurate, and less redundant lab test ordering.  

Past research has linked excessive lab test ordering to the increased likelihood of patient harm. One Cedars-Sinai study found groups of physicians that cut down on test ordering reduced patient safety risks by 29 percent and costs by seven percent.

“CareSelect Lab is a natural extension of NDSC’s capabilities to deliver EHR-integrated guidelines and brings together the industry standard for EHR-delivered guidance with the more than 1,500 best-practice care models—authored, curated and maintained by Mayo Clinic,” said NDSC CEO Michael Mardini.  

CareSelect guidance integrates directly into the hospital’s EHR system and is delivered through the CareSelect platform. To date, the platform has been adopted by over 250 health systems nationwide, providing CDS for imaging decisions 3 million times a month.

“It is commonly recognized that laboratory tests are frequently misordered, with a risk of profound negative impact on both care and cost,” said Mayo Clinic Chair of the Department of Laboratory Medicine and Pathology William Morice, MD.

“Health care providers around the world who rely on Mayo Clinic for testing need more than just access to our broad menu of tests,” he continued. “We must extend to them the same decision guidance that we avail to our own physicians and scientists — and we must do so in a way that integrates with their current workflows and systems.”

CareSelect Lab offers real-time decision support for areas of lab test utilization in EHR order entry including the following: 

  • Extensive clinical guidance on all laboratory, pathology and genetic testing that can be ordered (sourced from Mayo’s clinical library of evidence-based guidelines, and curated and delivered through NDSC’s CareSelect Platform).
  • Direct interaction with the test guidelines in a health care provider’s normal EHR workflow, receiving feedback as to the most appropriate test(s) to order.
  • Benchmarking and analytics tools that enable organizations to compare health care provider ordering patterns, identify gaps in care and manage overall test utilization.

Mayo Clinic stated it will use any revenue from the product to support its not-for-profit mission in patient care, education, and research.

This newest Mayo Clinic innovation follows a recent partnership with Epic Systems to offer Mayo Clinic’s secure, web-based systems assessment tool Ask Mayo Clinic through Epic MyChart to help patients manage their own care.

“Care guidance, based on the user’s selection of symptoms and responses to relevant questions, includes more information about possible causes tied to the symptoms, and, in most cases, provides recommendations on home care in non-emergent situations,” said Mayo Clinic Global Business Solutions Associate Medical Director Sandhya Pruthi, MD.

The assessment tool is available to patients 24/7 online and is aimed at assisting patients 18 months and older, as well as women who are not pregnant.

Epic MyChart also offers users patient-facing educational resources developed, reviewed, and updated by Mayo Clinic.

Patients can view more than 18,000 pages of content on more than 4,000 different health topics through their patient portal. The app offers health information in both English and Spanish through formats including articles, videos, slideshows, and expert answers.  

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