Setting the agenda: an informatics-led policy framework for adaptive CDS

Abstract

On December 5, 2019, the American Medical Informatics Association (AMIA) held its thirteenth annual policy meeting in Washington, DC with the theme “Clinical Decision Support in an Era of Big Data & Machine Learning.”1 The 2019 Health Informatics Policy Forum was predicated on three basic premises. First, the field of medical informatics credibly lays claim to the intellectual pedigree of clinical decision support (CDS). The founders of the American College of Medical Informatics and AMIA invented CDS, and the wider health informatics community has championed the advancement of CDS for decades. Second, the environment surrounding CDS is evolving rapidly with an exponential growth in health data, combined with growing capacities to store and analyze such data through cloud computing and machine learning (ML). Third, our current governance and policy-making structures are ill-equipped to handle such a dynamic landscape. The 2019 Policy Forum included submitted content approved by a review...

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