Clinical decision support is an emerging type of healthcare information technology that aims to actively guide doctors’ decision-making processes. In its various forms, it can help physicians design treatment regimens, regulate dosage, avoid potentially harmful drug interactions and allergies, order preventative screenings, and even establish a diagnosis.
This project is a journalistic investigation of this new technology, its applications, and its effect on the medical profession. It examines two decision support systems, Partners Healthcare‘s clinical reminder system, and Logical Images’ product VisualDx, in order to explore the potential for these technologies and how their use may change the practice of medicine. Through extensive interviews of experts in medicine, healthcare IT, and healthcare policy, it considers the major problems in implementing decision support, with emphasis on how the technology may affect doctors’ autonomy, and how physicians’ financial and professional incentives may influence how it is used.
Joshua Feblowitz, M.D., M.S., is the assistant medical director of Frederick Health Hospital Emergency Department in Frederick, Maryland, and an attending physician with Sound Physicians. He completed his residency training at Brigham & Women's Hospital / Massachusetts General Hospital in Boston and subsequently worked as an attending emergency physician and administrative fellow at Carroll Hospital in Westminster, Maryland. He also works as the Senior Medical Editor for the educational simulation app Full Code (full-code.com. His science writing has been published in the NYU Physician, Living Without, and multiple Children’s Hospital Boston publications (Dream, Vector, Pediatric Views, Thriving). His research in healthcare IT and clinical decision support has appeared in the New England Journal of Medicine, Journal of the American Medical Informatics Association, Applied Clinical Informatics, Annals of Emergency Medicine and others. He graduated from Harvard in 2009 with a degree in American History & Literature and completed MIT’s Graduate Program in Science Writing in 2010. He received his M.D. from Harvard Medical School in 2015. He grew up in Winchester, MA, and now lives in Frederick, MD.
Thesis: Computer, MD