{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T08:37:43Z","timestamp":1769157463144,"version":"3.49.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Despite guideline recommendations, vitamin D testing has increased substantially. Clinical decision support (CDS) presents an opportunity to reduce inappropriate laboratory testing.<\/jats:p><jats:p>\n          Objectives and Methods\u2003To reduce inappropriate testing of vitamin D at the Vanderbilt University Medical Center, a CDS assigned providers to receive or not receive an electronic alert each time a 25-hydroxyvitamin D assay was ordered for an adult patient unless the order was associated with a diagnosis in the patient's chart for which vitamin D testing is recommended. The CDS ran for 80 days, collecting data on number of tests, provider information, and basic patient demographics.<\/jats:p><jats:p>\n          Results\u2003During the 80 days, providers placed 12,368 orders for 25-hydroxyvitamin D. The intervention group ordered a vitamin D assay and received the alert for potentially inappropriate testing 2,181 times and completed the 25-hydroxyvitamin D order in 89.9% of encounters, while the control group ordered a vitamin D assay (without receiving an alert) 2,032 times and completed the order in 98.1% of encounters, for an absolute reduction of testing of 8% (p\u2009&lt;\u20090.001).<\/jats:p><jats:p>\n          Conclusion\u2003This CDS reduced vitamin D ordering by utilizing a soft-stop approach. At a charge of $179.00 per test and a cost to the laboratory of $4.20 per test, each display of the alert led to an average reduction of $14.70 in charges and of $0.34 in spending by the laboratory (the savings\/alert ratio). By describing the effectiveness of an electronic alert in terms of the savings\/alert ratio, the impact of this intervention can be better appreciated and compared with other interventions.<\/jats:p>","DOI":"10.1055\/s-0040-1701678","type":"journal-article","created":{"date-parts":[[2020,2,27]],"date-time":"2020-02-27T00:12:23Z","timestamp":1582762343000},"page":"160-165","source":"Crossref","is-referenced-by-count":6,"title":["Is the Climb Worth the View? The Savings\/Alert Ratio for Reducing Vitamin D Testing"],"prefix":"10.1055","volume":"11","author":[{"given":"Chase D.","family":"Hendrickson","sequence":"additional","affiliation":[{"name":"Division of Diabetes, Endocrinology, and Metabolism, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}]},{"given":"Michael F.","family":"McLemore","sequence":"additional","affiliation":[{"name":"Health Information Technology, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}]},{"given":"Kathryn M.","family":"Dahir","sequence":"additional","affiliation":[{"name":"Division of Diabetes, Endocrinology, and Metabolism, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}]},{"given":"Shari","family":"Just","sequence":"additional","affiliation":[{"name":"Health Information Technology, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}]},{"given":"Zahra","family":"Shajani-Yi","sequence":"additional","affiliation":[{"name":"Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}]},{"given":"Joseph","family":"LeGrand","sequence":"additional","affiliation":[{"name":"Health Information Technology, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}]},{"given":"Christoph U.","family":"Lehmann","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}]},{"given":"Asli","family":"Weitkamp","sequence":"additional","affiliation":[{"name":"Health Information Technology, Vanderbilt University Medical Center, Nashville, Tennessee, United States"},{"name":"Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}]}],"member":"194","published-online":{"date-parts":[[2020,2,26]]},"container-title":["Applied Clinical Informatics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1701678.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,27]],"date-time":"2020-02-27T00:12:24Z","timestamp":1582762344000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1701678"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":0,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2020,1,1]]},"published-print":{"date-parts":[[2020,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1701678","relation":{},"ISSN":["1869-0327"],"issn-type":[{"value":"1869-0327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}