Clinical Decision Support Software Makers Seek ‘Regulatory Clarity’

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The Clinical Decision Support Coalition says FDA is not providing “regulatory clarity” on clinical decision support (CDS) software. A 2/25 white paper from the group says that the agency had identified CDS software guidance a top priority in its 2015 regulatory agenda, but the agency has yet to define the “portion of CDS software it intends to regulate and, for that portion it does regulate, the appropriate regulatory pathway to market..



CDS software, which analyzes clinical and nonclinical data to guide health care decision-making, has the potential to drive significant improvements in health care quality and efficiency, the coalition says. “Of course, developing a regulatory framework for CDS software is no easy task, as FDA must strike a delicate balance between ensuring patient safety and promoting innovation,” the paper says. “However, until a regulatory approach is defined, CDS innovators will be left in the dark with regard to the expected costs and timelines for CDS development. Such uncertainty has already contributed to delays in CDS products reaching the market and, worse yet, the abandonment of CDS development projects altogether.”



The paper notes that a recent survey of CDS developers found that nearly two thirds reported encountering delays due to regulatory uncertainty, and one third reported that regulatory uncertainty caused them to abandon CDS product development.  “Without clear regulatory guidance on which CDS products will be regulated and, for those that are, how such products will be regulated, valuable CDS tools, which can improve health outcomes, enhance the quality and consistency of care, and increase efficiency, will be kept out of the hands of clinicians and patients.”

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