Challenges in creating an enterprise clinical rules service.

At Partners HealthCare, we are engaged in developing and implementing a strategy for our Clinical Decision Support systems and services that will enable CDS to be made available across the enterprise, allow development of consistent standards of care regardless of where a patient presents, and permit migration of current CDS functions to a supportable and scalable model. We report here on progress toward these goals, describe steps taken and proposed, and consider remaining challenges.