Development and implementation of a computerised clinical decision support system for hospital-in-the-home patient identification

Abstract

Background: Identification of appropriate patients for hospital-in-the-home (HITH) remains a significant challenge. We hypothesise that a human-centred design (HCD) approach can assist in developing a computerised clinical decision support system (CDSS) to address this issue via leveraging data within the electronic medical record (EMR). Aims: We describe the design, development, validation and implementation outcomes of the HITH Eligibility Identifier (HEI), a CDSS for identifying inpatients suitable for HITH in Melbourne, Australia. Methods: Approaches include: (a) describing digital algorithmic design and workflow development via the iterative HCD process; (b) validation of the HEI algori..