After previously demonstrating improved screening rates using Context Aware Clinical Decision Support (CA-CDS) compared to traditional pop up alerts, we now have been able to demonstrate that the improved screening rates remain so over time despite minimal additional training. We hypothesized that the intuitive nature of the PHQ-2 Questionnaire being presented directly into the nursing workflow section of our electronic health record (EHR) would sustain yearly screening rates with minimal additional training. As previously, we used a rule based mechanism to display the PHQ-2 in the workflow based on the patient’s age, presence or absence of depression diagnosis, and whether the screen had been done in the previous 365 days. Depression screening rates were compared to the average of previous year’s quarters. Rates were also compared to one department that did not move to the new decision support technique.

Learning Objective 1: Demonstrate improved techniques for CDS build in EHRs

Learning Objective 2: Demonstrate improved techniques for Quality Improvement


John Gill (Presenter)
Heart of Texas Community Health Center

Matt Rafalski, Heart of Texas Community Health Center
Luke Barron, Baylor University
Channing Cochran, Baylor University

Presentation Materials: