The Division of Clinical Decision Making, Informatics and Telemedicine began as a collaboration between computer scientists at the Massachusetts Institute of Technology (MIT) and physicians at Tufts Medical Center (Tufts MC) and Tufts University School of Medicine. Under the guidance of Drs. Stephen Pauker and Jerome Kassirer, it was formally established within the Department of Medicine in 1980 to conduct research, teach, train physicians and provide consultations.
Applying decision analysis, utility assessment, literature synthesis, medical informatics and artificial intelligence in medicine, the division focuses on clinical decision analysis, cost-effectiveness and health policy analysis at institutional and policy levels. It has been involved with technology assessment, guideline development, health outcome analysis, consensus conferences, expert panels, clinical informatics, clinical decision support, quality of care assessment and theory of constraints.
The division uses techniques for computerized decision analysis in medical decision-making:
- Decision tree construction
- Markov model development
- Monte Carlo simulation
- Bayesian interpretation of diagnostic tests
- Measurement of patient preferences
- Cost-effectiveness analysis
- Literature review
- Discrete event simulation