Table 1.

Assumptions related to the use of clinical decision support systems for chronic kidney disease management in the United States

• Electronic health records (EHR) will not be in widespread use in the U.S. for some time
• Clinicians will not adopt new technology unless (i) it is financially advantageous (or at least cost neutral) or (ii) use is mandated
• Clinician use of technology will not be mandated in the U.S. for some time
• There will be a diversity of EHR systems used in the U.S. for some time
• Clinicians would like to provide better care to their patients if they can do so easily
• A useful clinical decision support systems (CDS) for use in CKD must support a full spectrum of information technology infrastructures & data availability
• All clinicians will have access to a fax machine
• Most clinicians will have access to a personal computer (PC) with an Internet connection
• Many patients will not have Internet access
• It is reasonable to restrict the intended audience of the CDS system to clinicians with PCs and Internet access in their work areas/exam rooms