. . . . . . . . . . . Table 8.4 Lessons Learned Lesson Learned Project initiation Healthcare organizations have competing priorities CDS cannot come from external mandate Project planning Customization of content and workflow is important One size CDS does not fit all CDS must match the 5 Rights of CDS Make CDS as non-intrusive and non-interruptive as possible Ideally, there should be recommendations for clinicians and patients Interventions should include a reason for overrides Intervention should make recommendation and not just assessment "Do CDS with users, not to them" EHR data must be up to date for triggers to work correctly Project execution Feedback buttons in CDS work well Include CDS training into EHR training CDS must be tested for UACS and patient safety Project monitoring and control Knowledge management is time consuming Be sure intervention content is up to date Comments Ensure the organization can support a new CDS initiative. Even if CDS is intended to match meaningful use, it must be embraced by all and match organizational goals Customization is desirable but labor intensive and not available at smaller organizations. Specialists and primary care clinicians have different needs. Clinicians do not want to stop and speed is important. Table 8.1 CDS Taxonomy User feedback is critical There may have to be a separate knowledge management committee