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Step 5: Achieve Meaningful Use Stage 2

Clinical Decision Support Rule

Objective:

Use clinical decision support to improve performance on high-priority health conditions.

Measure:

Measure 1 - Implement five clinical decision support interventions related to four or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period. Absent four clinical quality measures related to an EP’s scope of practice or patient population, the clinical decision support interventions must be related to high-priority health conditions.

Measure 2 - The EP has enabled and implemented the functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period.

Changes from Meaningful Use Stage 1:

  Stage 1 Stage 2
Objective Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance that rule Use clinical decision support to improve performance on high-priority health conditions
Measure Implement one clinical decision support rule
  1. Implement 5 clinical decision support interventions related to 4 or more clinical quality measures, if applicable, at a relevant point in patient care for the entire EHR reporting period.
  2. The EP, eligible hospital, or CAH has enabled the functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period

Clinical Importance:

Clinical Decision Support (CDS) is a process designed to aid directly in clinical decision making, in which characteristics of individual patients are used to generate patient specific interventions, assessments, recommendations, or other forms of guidance that are then presented to a decision making recipient or recipients that can include clinicians, patients, and others involved in care delivery. (Osheroff, 2012; Bright, Wong, Dhurjati et al, 2012; Kawamoto, Houlihan, Balas et al, 2005).It represents one of the most promising tools to mitigate the ever-increasing complexity of the day-to-day care practice of medicine. When implemented successfully, CDS can assure that all patients in a practice receive appropriate and timely preventive services. The effective use of a clinical decision support system means patients get the right tests, the right medications, and the right treatment, particularly for chronic conditions.

CMS Resources:

The following resources are available to help you meet the Clinical Decision Support Rule meaningful use core measure:

CMS EHR Incentive Program Frequently Asked Questions (FAQs)

 

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