Objective 3: Clinical Decision Support

This is an article in a series of articles describing each objective to meet the requirements for the 2019 Medicaid Promoting Interoperability Objectives. You can access the other objectives by clicking the corresponding links below.

• Objective 1: Protect Patient Health Information

• Objective 2: Electronic Prescribing

• Objective 3: Clinical Decision Support <---

• Objective 4: Computarized Provider Order Entry

• Objective 5: Patient Electronic Access To Health Information

• Objective 6: Coordination Of Care Through Patient Engagement

• Objective 7: Health Information Exchange

• Objective 8: Public Health And Clinical Data Registry Reporting

Objective: Implement clinical decision support (CDS) interventions focused on improving performance on high-priority health conditions.

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

Measure 2: The EP, eligible hospital, or CAH has enabled and implemented the functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period.

Exclusion: For the second measure, any EP who writes fewer than 100 medication orders during the EHR reporting period.

We are adopting Objective 3:Clinical Decision Support at § 495.24(d)(3)(i) for EPs and § 495.24(d)(3)(ii) for eligible hospitals and CAHs. We further specify that in order to meet this objective and measures, an EP, eligible hospital, or CAH must use the capabilities and standards of as defined for as defined CEHRT at § 495.4. We direct readers to section II.B.3 of this final rule with comment period for a discussion of the definition of CEHRT and a table referencing the capabilities and standards that must be used for each measure.

Measure 1 is met by creating five (5) Clinical Decision Rules, located in References > Clinical Decision Rules. These Rule MUST relate to CQMs that you are measuring. Once the rules are created, they will appear throughout MP to prompt you to ensure you complete the actions required for those CQMs.

You can read more about Clinical Decision Rules here.

Measure 2 is met by ensuring you are using FDB Medications and ePrescribe. As long as you are keeping your patient's medication records up to date, ePrescribe's functionality will detect any drug allergy conflicts.