Mayo Clinic, Rochester, Minn, has teamed with National Decision Support Company (NDSC), Madison, Wis, to develop CareSelect Lab, a decision-support tool that aggregates clinical knowledge around a comprehensive menu of conditions and translates that knowledge into best-practice recommendations.


“CareSelect Lab is a natural extension of NDSC’s capabilities to deliver EHR-integrated guidelines and brings together the industry standard for EHR-delivered guidance with the more than 1,500 best-practice care models authored, curated, and maintained by Mayo Clinic,” says Michael Mardini, CEO of NDSC.

CareSelect Lab integrates with a hospital’s electronic health record (EHR) and is delivered via NDSC’s CareSelect platform, which is the same platform that drives NDSC’s industry-standard CareSelect Imaging decision-support product. CareSelect has already been adopted by more than 250 health systems across the United States, informing practitioners’ imaging decisions 3 million times per month.

CareSelect Lab provides real-time guidance and addresses common areas of laboratory test misutilization at the EHR point-of-order entry, including:

  • Extensive clinical guidance on all laboratory, pathology, and genetic testing that can be ordered (sourced from Mayo’s clinical library of evidence-based guidelines, and curated and delivered through NDSC’s CareSelect platform).
  • Direct interaction with the test guidelines in a healthcare provider’s normal EHR workflow, receiving feedback as to the most appropriate tests to order.
  • Benchmarking and analytics tools that enable organizations to compare healthcare provider ordering patterns, identify gaps in care, and manage overall test utilization.

“It is commonly recognized that laboratory tests are frequently misordered, with a risk of profound negative impact on both care and cost,” says William Morice II, MD, PhD, chair of Mayo Clinic’s department of laboratory medicine and pathology. “Healthcare providers around the world who rely on Mayo Clinic for testing need more than just access to our broad menu of tests. We must extend to them the same decision guidance that we avail to our own physicians and scientists—and we must do so in a way that integrates with their current workflows and systems.”

“Mayo Clinic and NDSC are developing better ways to improve healthcare for providers and their patients,” says Curt Hanson, MD, chief medical officer of Mayo Medical Laboratories. “We have all this knowledge at our fingertips—IT capabilities, clinical and laboratory expertise, laboratory test analytics, healthcare data, etc. Why not put that knowledge at the ordering physician’s fingertips?”

For more information, visit Mayo Clinic and National Decision Support Company.