Developing CPG for Implementation of CDSS in Digital Hospitals

Lee, Hyung-Lae; Won, Chang-Won; Lee, Sang-Chul; Park, Sang-Chan

Journal of Korean Society for Quality Management > Volume 42(1); 2014 > Article

Journal of Korean Society for Quality Management 2014;42(1): 81-.

디지털 병원의 CDSS구현을 위한 CPG 개발

이형래¹, 원장원², 이상철³, 박상찬¹

¹경희대학교 의료경영학과
²경희대학교의과대학 가정의학교실
³그리스도대학교 경영학부

Developing CPG for Implementation of CDSS in Digital Hospitals

Hyung-Lae Lee¹, Chang-Won Won², Sang-Chul Lee³, Sang-Chan Park¹

¹Dept. of Health Services Management, School of Management, Kyung Hee University
²Dept. of Family Medicine, College of Medicine, Kyung Hee University
³Dept. of Business Administration, Korea Christian University

ABSTRACT

Purpose:
The purpose of this study is to propose Clinical Practice Guideline(CPG) model and Clinical Index(CI) for implementing CDSS in digital hospitals.
Methods:
This study uses EMR data at department of family practice in A hospital; 636 patients, 570 diseases (based on ICD 10-CM criteria), and 37,000 data related with labs and treatments. This study focuses on disease J342 which is the most high rate of incidence.
Results:
Using the suggested model, this study calculates frequency matrix and probability matrix to find out the correlation of diseases and labs. This study indicates the lab sets of Disease (J342) as CI for CPG.
Conclusion:
This study suggests CPG model including Lab-based, Disease-Based and Case-based modules. Through 6 level cased-based CPG model, especially, this study develops Clinical Index(CI) such as the Incidence Rate, Lab Rate, Disease Lab Rate, Disease confirmed by Lab.

Key Words: CDSS(Clinical Decision Support System);LIS(Lab Information System);CPG(Clinical Practice Guideline);CI(Clinical Index);