Health Technology Assessment: How to choose the best Medical Decision Support System to

implement in your wards

Dott. Filippo BartoccioniU.O. Education and Clinical GovernanceS.Camillo-Forlanini Hospital, Rome, Italy

Medical Decision Support System (MDSS)

What problem are you trying to solve?

1. Quality Assurance2. Safety (reduction of medication errors)3. Regulatory (in compliance with standards)4. Operational efficiencies (automatic requests for consultation)5. Financial (reduce duplicate test ordering)

It is a Clinical reference tool created by physicians for physicians and other healthcare professionals

for use primarily at the 'point-of-care' with clinically-organized summaries

Aim of the study

We evaluated several MDSS and We focused especially on the free ones

To identify the best MDSS for the San Camillo-Forlanini Hospital library for year 2011

optimizing quality and costs

Decision-making

Free

Based on EBM and daily update

With MD Consult (MDSS) provide ebook and electronic journals

Clinical Knowledge Summaries sponsored by Nati onal Isti tute for Health and Clinical Excelence

Created for emergency medicine

Clinical database only for members of American College of Physicians

Secti on of Web Mdhealth Professional Network.Has about 28000 multi medial fi les

Decisional tree for physicians

General Practi ce Notebook created by student now available for healthcare professionals

To Purchase

Available free of charge only in part

Identification of key parameters to evaluate the MDSS

Following letterature reviews were selected 81 evaluations parameters , rappresenting the main characteristics of ideal MDSS for physician and other healthcare professional.

Fundamental Very important Important Unimportant Not important

•Update

•Clear of results

•Levels of evidence

•Keyword search

•Pc access

• Number of Topics

•Differential diagnosis

•Newsletter

•Access PDA

•Patient card

•Pictures and videos on PDA

•Decision tree on PDA

Results

The decision tree model was used

Dynamed

First

consu

ltCKS

Map of M

edicine

E Medici

ne

Best Bets

GP Note

book0

5

10

15

20

25

Conclusions

Thank you for your attention

Nucleo HTAE-mail: htacamp@gmail.com

The HTA allowed us to identify the best quality product and compare it with the others products on the market, especially the free ones.

It has very helpful to choose the best investiment, according to the budget.

Thanks to HTA was possible to identify the best quality/cost ratio product and to add new free MDSS in the library