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Clinical decision support has been a strong contributor to improved quality and safety in many healthcare settings, but this success has not been universal. The process of translating new medical knowledge into better outcomes through CDS involves several steps, which are often difficult to achieve at scale: developing consistent guidelines, converting those guidelines to specific interventions, implementing the CDS interventions in commercial EHR systems, gaining provider adoption and effective use, and measuring the resulting quality benefits. Several organizations and agencies have sought to address one or more elements of this chain, including guideline consortia, AHRQ, the National Quality Forum, Integrating the Healthcare Enterprise, and AMIA (through the Roadmap for National Action on Clinical Decision Support), so as to realize widely effective end-to-end CDS. This session brings together national leaders representing the key stakeholders in the chain: guideline developers, CDS infrastructure developers, EHR vendors, care providers, and quality measurement organizations. They will provide collaborative and contrasting viewpoints on what is needed to build a framework for end-to-end CDS, how their constituencies can contribute, what they need from the other stakeholders to do their part effectively, and current work that is leading the way

The American Medical Informatics Association is engaged in an effort to establish the foundation for a system that will certify competency of physicians as a subspecialty of applied clinical informatics. The growing role of information technology within health care delivery organizations has created the need to deepen the pool of physician informaticians who are able to help organizations maximize the effectiveness of their investment in information technology and in so doing maximize impact on safety, quality, effectiveness and efficiency of care. The project, funded by the Robert Wood Johnson Foundation, will produce two documents; a core content document and an essential training requirements document that will lay the groundwork for a nationally recognized program of certification in clinical informatics for physicians. Christine Cassel, MD, President and CEO of the American Board of Internal Medicine, stated "this grant is a significant milestone for AMIA as it supports the importance of physicians and using information technology in the process of improving the quality and efficiency of patient care.”