OP199 From Pilot Studies To System-Wide Innovation: Challenges And Opportunities For Clinical Decision Support Systems (CDSS) Implementation In Australia

Introduction The clinical data is increasing at a considerably higher rate than the capacity of healthcare system and clinicians to manage this data. Digital tools such as decision support systems (CDSS) provide opportunities for evidence-based patient care by intelligently filtering presenting information required making point care. Despite success pilot projects, CDSS have had limited implementation in broader health systems. We aimed identify challenges faced policymakers policy recommendations. Methods conducted eleven semi-structured interviews with Australian from state national committees involved digital activities. were analyzed using reflexive thematic analysis priorities. Results Our findings indicate that fragmentation processes structures ecosystem one main impediments delivering coordinated CDSS. Five themes action identified: (i) establishing shared conceptual framework user-centered design aligned stakeholders’ priorities, (ii) maintaining right balance between customization standardization systems, (iii) developing mutually agreed semantic interoperability standards local, level, allowing generation exchange across without changing its context meaning, (iv) reorienting organizational build foster change, (v) collaborative models avoid conflicting interests stakeholders. Conclusions Findings highlight importance system-wide guidance establish clear vision alignment all levels There need modelling innovative activities landscape which minimizes operational strategic different organizations.