FHIR-Based AI-Powered Clinical Decision Support System

Client Background.

A large hospital network in the U.S. struggling with physician burnout due to excessive manual data entry and fragmented clinical decision-making.

Business Problem.

  • Physicians were overwhelmed with decision-making, leading to errors and inefficiencies.
  • EHR data was unstructured, making it difficult to apply evidence-based guidelines.
  • Delays in prior authorization approvals led to patient treatment delays.

Our Solution.

  • Built a SMART on FHIR-based Clinical Decision Support System (CDSS) that integrates with the EHR.
  • Implemented AI-driven predictive analytics to recommend treatments based on patient history.
  • Integrated CDS Hooks & CQL logic for real-time evidence-based decision-making.

Implementation Process.

  • Week 1-4: FHIR-based data standardization & API integration.
  • Week 5-8: AI model training & rule-based engine implementation.
  • Week 9-12: CDS Hooks integration & clinician testing.
  • Week 13-16: Deployment & provider training.

Results & Impact.

  • 30% reduction in physician documentation time.
  • 50% improvement in clinical decision accuracy.
  • Faster prior authorization approvals through automated AI processing.

Key Takeaways.

  • AI-powered FHIR-based CDSS significantly enhances provider efficiency.
  • SMART on FHIR allows seamless integration with existing EHRs.
  • CDS Hooks provide a scalable approach to real-time decision-making.