CLINICAL DECISION SUPPORT - A CLINICIANS VIEW -
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1 CLINICAL DECISION SUPPORT - A CLINICIANS VIEW - Christoph Mitsch, MD Department of Ophthalmology and Optometry Head: Univ.-Prof. Dr. Ursula Schmidt-Erfurth Medical University of Vienna Workshop: Clinical decision support in practice HL7 standards, interoperability, and selected applications ehealth Summit Schönbrunn, Vienna, Austria
2 Contents Why clinical decision support? Example: Efforts and Strategy to establish Precision Medicine in Ophthalmology
3 Why Clinical Decision Support?
4 Why Clinical Decision Support? male female
5 Why Clinical Decision Support?
6 Outpatients (Ophthalmology, Vienna) Why Clinical Decision Support?
7 Why Clinical Decision Support? number of publications Automated yearly statistics of PubMed results for any query, Web resource at URL:
8 Why Clinical Decision Support? public + private sectors (USD/capita)
9 Healthcare Challenges Quantitative Age-related Lifestyle-related Medicine itself-related Qualitative Medicine is on the doorstep to Precision Medicine: Better, but largely more expensive and complicated diagnosis Better, but largely more expensive and costly (time and money) treatment
10 ehealth as a solution Guideline-based management and treatment Available Knowledge Management Systems Assures quality Optimizes resources Population-based studies (EHR)
11 CDS and precision medicine - in Ophthalmology -
12 OCT FA Imaging AF CF OCT-A
13
14 Moving towards Precision Medicine
15 Example: Macular Edema Intraretinal fluid Subretinal fluid
16 Morphological Patterns Intraretinal cystoid fluid over time in patients with retinal vein occlusion
17 Stratified Medicine
18 An integrated view on clinical Ophthalmology OCT FA Imaging AF CF OCT-A
19 An integrated view on clinical Ophthalmology ELGA OCT ehealth Electronic Health Records (EHR) ViDiNet AKIM Imaging FA AF Multimodal imaging Healthcare Delivery Process Mgmt. AKIM: Zeiss Forum Morphology + Morphometry CF OCT-A Method evaluation Integrated Health Care HL7 CDA Guide Ophthalmology Structured Data Models Hypothesis Generation Phenotyping Phase-3 Studies: Safety/Efficiency Translational research Interoperability OphthalNet Advanced education Data models + processing Implementation Projects A.I. + Clinical Decision Support Stratified medicine Personalized medicine Precision medicine Individualized therapy Ressource Optimization Health Improvement
20 Conclusion Clinical Decision Support Systems and Knowledge Management Systems will soon be essential to enable physicians to provide up-to-date care
21 Conclusion Translational research result and implementation cycles are getting shorter: Standards need to be applied and test platforms must be implemented to improve transition.
22 Thank you
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