Approved October 2012
The UW Health Best Practice and Alert Committee oversees the processes for the request, consideration, build, approval and revision of multi-disciplinary clinical alerts. The UW Health Clinical Knowledge Management (CKM) Council and Strategic Plan charged formation of this committee specifically for the strategic goal of quality distinction. The committee is charged with balancing the request for alerts with measurable value and consideration of alert fatigue for clinicians. Consideration will be given to implementing approaches other than pop-up alerts where possible to meet the requested quality or safety improvement.
- Implement request process for multi-disciplinary clinician alerts (requests from one group of clinicians to alert another group of clinicians)
- Evaluate the evidence (if not based on a UW Health Guideline), measurability and technical feasibility of the request
- Identify alternate approaches to meeting the clinical need for an alert. This workgroup does not oversee the build and evaluation of alternate approaches.
- Triage the BPA creation and maintenance process towards the most important BPAs that can be managed within limited resources. Priority of BPA requests is determined by committee voting.
- Build alerts that support implementation of UW Health Clinical Practice Guidelines or clinical practice guidelines that are supported by external evidence if no specific UW Health guideline exists
- Build alerts that fire to the right person at the right time in the workflow
- Review existing alerts on a 3 year or more frequent basis as needed
- Create a common location for housing and tracking alerts
- Institute and maintain feedback and tracking mechanisms that allow quantitative and qualitative assessment of alert performance and be responsible to responding to recipient feedback
The UW Health Best Practice and Alert Committee is a standing committee with membership representing all UW Health partners – UW Hospitals and Clinics (UWHC), UW Medical Foundation (UWMF), and DFM. CCKM supports the committee by providing administrative coordination. Additional clinical disciplines are invited when a BPA involves or is requested by their discipline.
- Physicians from Inpatient, ED and Ambulatory Settings
- Nursing (Nursing Practice, Clinics, Nursing Informatics)
- Additional clinical disciplines are invited when a BPA involves or is requested by their discipline
- Center for Clinical Knowledge Management
Authority to Act: The UW Health Best Practice and Alerts Committee has authority to guide development, review and endorsement of multi-disciplinary alerts as granted by the CKM Council. Endorsement by UW Health Best Practice and Alerts Committee is the required step for final approval of any clinical alerts firing to a multi-disciplinary group of clinicians.
The committee will maintain a list of guiding principles for evaluating alert requests.
A simple majority of the voting membership must be present to constitute a quorum. All committee members are voting members.
Advanced Electronic Polling:
BPA alert requests and/or screenshots of drafted alerts will be sent out to committee members a minimum of 2 business days before the scheduled monthly meetings. If there is an urgent request for a BPA outside of the monthly meeting schedule, email consent will be sought. A majority voting members will constitute approval. Non-voting counts as abstention.
The UW Health Best Practice and Alerts Committee is a standing committee that meets on a monthly basis.