44th ICAAC
A meeting of the American Society for Microbiology

October 30 – November 2, 2004, Washington, DC
For more information on any presentation at the 44th ICAAC contact Jim Sliwa, ASM Office of Communications at


EMBARGOED UNTIL: Sunday, October 31, 2004, 8:30 a.m. EST
(Session 63, Paper 636)
Stanley Pestotnik
Salt Lake City, UT, United States
Phone: 801-415-4407

Mr. Pestotnik’s presentation will describe how an expert clinical decision-support system (CDSS) can intelligently survey, filter and present actionable information to the clinician at the appropriate time. He will explain how a CDSS can help hospital-based clinicians prescribe antibiotics more appropriately–the first time–and improve their ability to manage infectious diseases. Attendees will learn how a CDSS can enable efficient information management and informed clinical decision-making by connecting clinicians to the patient data and medical knowledge they need—in real-time and at the point-of-care.

The presentation will include information about the historical barriers to implementing a CDSS including the lack of an electronic infrastructure and a controlled medical vocabulary. He will also explain why CDSS’ that do not embed medical knowledge while supporting patient care cannot be successful. In addition, he will detail CDSS capabilities that allow hospitals to follow the Centers for Disease Control’s 12-step program for preventing antimicrobial resistance.

Mr. Pestotnik will talk about how hospitals can successfully improve the quality, safety and efficiency of patient care through clinical decision-support systems that provide the following benefits:

  • Compliance with national public health and information system standards
  • Standardized clinical reference terminologies
  • Integration with a hospital’s ancillary and IT systems that enables automated surveillance
  • Connectivity that allows clinicians to leverage and manage clinical data in real-time
  • Improved clinical efficiencies through integration with the clinical workflow and an intuitive, customizable interface
  • Patient-specific information that allows clinicians to focus on the individual’s particular situation and promotes more appropriate e-prescribing
  • Actionable patient and disease-specific information that enables educated decision-making
  • Electronic access to patient data and evidence-based medical reference materials
  • On-line communication that facilitates reporting and user feedback as well as enables public reporting and pay-for-performance measures
  • Support for the six levels of clinical decision-support, including alerting, reminding, critiquing, assisting, diagnosing and managing

In addition to the above-mentioned benefits, Mr. Pestotnik will talk about how clinical decision-support systems can significantly improve clinician efficiency by helping to focus their attention on the healthcare industry’s five "W’s." He’ll explain why real-time, actionable information that is presented within the daily workflow enables clinicians to quickly address the following critical questions:

  1. Who do I need to look at?
  2. What do I need to look at?
  3. What do I need to do?
  4. Why should I do it?
  5. What do I need to document or report?

Value Proposition

Finally, Mr. Pestotnik will describe why clinical decision-support systems provide a continuum of care that is a catalyst for improving patient safety and quality of care. He proposes that CDSS’ offer a unique value proposition to today’s hospitals by providing the interactive tools that deliver a significant return-on-investment to healthcare institutions and hospital-based clinicians while improving the quality, safety and efficiency of patient care overall.

About Stanley Pestotnik

Stanley Pestotnik, TheraDoc’s president and CEO, contributes more than 20 years of clinical, technical and research in medical informatics, clinical decision-support and patient safety to the development of TheraDoc’s expert systems for clinical decision support. Mr. Pestotnik also serves the federal government and hospitals across the country as an expert consultant on the integration of clinical decision support systems for disease management.

Pestotnik is a prolific writer and contributor to medical journals and publications and has published more than 75 peer-reviewed manuscripts about the clinical and financial benefits of programs that improve decision-making and, ultimately, patient safety. He is frequently invited to speak at medical conferences around the country where he addresses a broad range of topics that include Clinical Quality Improvement, Infectious Diseases, Improving Patient Safety, Prevention of Medical Errors and Health in the Digital Age.