Session ID: 

How Embedding Care Standards into the EHR Empowers Clinical Variation Reduction

10:30am - 11:30am Tuesday, February 12
Orlando - Orange County Convention Center


Cedars-Sinai Health System (Los Angeles, CA) partnered with Optum Advisory Services to design and execute an observational study which evaluated the correlation between clinical decision support delivered to physicians based on measurable outcomes. Our observational study found that adherence to clinical decision support delivered to clinicians through the electronic health record is associated with savings of $944 per patient encounter (7% of the median encounter cost) and a 6% decrease in the length of stay. In the three-year study, these improvements in care efficiency were driven by improving physician adherence to set guidelines. For patients whose providers did not adhere to recommendations, the odds of readmission within 30 days increased by 14% and the odds for complications by 29%. The study, which appeared in The American Journal of Managed Care, adds to an existing body of research that has established correlations between CDS adherence and outcomes such as length of stay,

Learning Objectives: 

  • Recognize how Cedars-Sinai Health System implemented 18 high-volume alerts and measured their impact across 26,424 alerted inpatient encounters between October 2013 and July 2016
  • Identify the association between adherence to multiple evidence-based guidelines delivered via clinical decision support and changes in clinical and financial outcomes
  • Discuss implications of broader and more comprehensive CDS adoption to address unwarranted care variation across the patient


Executive Consultant, Office President,
Cedars-Sinai Health System
Executive Vice President,


Chief Quality, Chief Clin Transformation Officer
Clinical Informaticists