the morningside initiative sharing of knowledge and methods for clinical decision support
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the morningside initiative sharing of knowledge and methods for clinical decision support
The Morningside Initiative:Sharing of Knowledge and Methods for Clinical Decision Support

American Medical Informatics Association; Arizona State University; Department of Defense Tri-Care Management Activity, Military Health System; Henry Ford Health System; Intermountain Healthcare; Kaiser Permanente; Partners Healthcare; Veterans Healthcare Administration

External

Knowledge Sources

Shared Knowledge Base

Goals and approaches

  • Overcome resistance to sharing clinical decision support (CDS) knowledge, methods, and experience among organizations
    • Establish feasibility with small group of committed and experienced participants
  • Develop an organizational framework for collaboration
    • Intent to become self-sustaining
  • Establish functional requirements for content and tools to foster interoperability
    • Address knowledge acquisition, representation/ markup, curation, and localization
    • Drive process with use cases requiring SOA-based implementation
  • Develop representations and tools to overcome technical barriers
    • Adopt standards and drive development of ones that are lacking to foster interoperability
    • Identify and separate medical vs. business logic and facilitate localization and adaptation
  • Content foci
    • Begin with implemented CDS knowledge content and reuse
      • Initially diabetes rules and order sets
      • Subsequent goal of assimilating best practice knowledge

Sponsorship

  • Convening and organizational support by TATRC
  • AMIA to provide organizational home for public-private partnership during early stages

Structure

  • Steering Committee
    • Representatives of each organization
    • Processes and procedures for collaboration, pursuit of funding, growth of initiative, approach to long-term sustainability
  • Content Committee
    • Use-case driven focus on kinds of application needs, sources of knowledge, editing and approval process, application of knowledge
  • Technical Committee
    • Tools and resources to share, manage, represent, update knowledge

Functional requirements

  • Driving use cases: Interoperable delivery of CDS at point of care through SOA interface
    • DoD AHLTA and NHIN interoperability node as first case
      • Goal of establishing a Knowledge Management Repository (KMR) and Guideline Workbench
      • To deliver CDS into AHLTA environment via SOA
      • Show interoperability on the NHIN DoD Federal Adapter
  • Overall model has 4 components
    • Knowledge Repository – the content
      • Maintaining stages of analysis, provenance of content
      • Target of standard representation with annotations enabling localization and adaptation to particular settings
    • Tools for knowledge acquisition, markup, management, and localization - the technology
    • Methods, ontologies, and schemas for sharability
      • Meta data tags, standards, templates, and vocabularies for representation and markup
      • Taxonomy of process/workflow/implementation contexts
    • SOA-based delivery – the execution environment
      • Not the focus of Morningside but provide the driving use cases

Collaborative Knowledge Management

Enterprise Knowledge Base

Enterprise Knowledge Base

Enterprise Knowledge Base

Guidelines

Reminders

Alerts

Order sets

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