Panel Redesigning the Choice Architecture to reduce the

Panel: Redesigning the “Choice Architecture” to reduce the burden of clinical decision support S 95 Adam D. Cheriff, MD Jessica S. Ancker, MPH, Ph. D Sameer Malhotra, MD, MS Yiye Zhang, Ph. D Weill Cornell Medicine

Disclosure I and my spouse/partner have no relevant relationships with commercial interests to disclose. AMIA 2017 | amia. org 2

Panel Intro Redesigning the “Choice Architecture” to reduce the burden of clinical decision support • How do we fulfill the promise of clinical decision support? • Moving away from the “alert” paradigm • Applying principles from cognitive psychology and behavioral economics AMIA 2017 | amia. org 3

Choice Architecture The framing or design of a choice in order to influence the outcome of the decision • Choices can be influenced by the layout, sequence, or defaulting of options • Some influences are obvious, but others can be quite subtle • Ease and simplicity of a choice influences behavior • Designs often referred to as “nudges” AMIA 2017 | amia. org 4

Presentations • Jessica S. Ancker, MPH, Ph. D: How “Choice Architecture” Works • Sameer Malhotra, MD, MS: Increasing the Generic Prescribing Rate Through Defaults • Yiye Zhang, Ph. D: Paving the Cow Path: Exploiting Defaults to Optimize Efficiency in Order Sets • Jessica S. Ancker, MPH, Ph. D: Reducing Disparities Through Defaults AMIA 2017 | amia. org 5