EVOLUTION

of the

Online Clinical Practice Guidelines - VA/DoD

 

1997 - First CPG:                                                     

-  Cardiovascular

         -   Diabetes

1998 - First EES Independent Study Project    

- Develop online CBT on the Algorithms of the Diabetes Guideline

♦ -  Algorithms as  decision support tool and organizer of relevant knowledge

1999 - Summary and Pocket Cards                

 -  Information Reduction (hard copy)

-  Key recommendations that provider needs on the job

2001 - First OQP  Website                             

    -  Website

    -  Guideline Community  (GOL)

   -  GuidelineOnline - Interactive display of recommendations linked to steps in care

♦ 2001 - VA/DoD                                              

  - Mirror website - OQP.MEDCOM.ARMY.MIL

 - First electronic pocket card - after 9/11 - Chemical Biological Radiation

  - Emphasis on Evidence-based process  - [SR]

 

2004 - First PDA version                                

♦

- Design for the small screen       WEB -> PDA

- HTN04 - for Palm and Pocket PC  (Isilo reader)

    -  CPG2GO branding

2008

2008 - Discontinue Guideline online (WEB based CPGs)

Challenge:

- Intranet and Internet

- WEB standards (508)

   - Security issues (Download, Sync)

2009 - Healthquality.va.gov                                      

-   Full CPG + Summaries

-  Only in PDF format

2010 - Development of Toolkits                              

  - Multimedia training  (Physical Exam Podcast)

- Need for access to CPG documents and tools

  -  Toolkit Home page

 

- Disconnect  from EMR  (Info-button in CPRS;  Links to outside in AHLTA) 

♦ 2011 - AHLTA Tools                                                  

- CPG summary in side window next to AHLTA HMR  (4' window = 320 pixels)

2011 - Mobile CPG                                                     

- Access to Summary and Pocket Card from Mobile Devices  [LBP]

 

What's Next?