Measure at a Glance
Type: enabled function
Duration: enabled during the entire reporting period
Objective: Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with that rule.
Measure: Implement one clinical decision support rule.
Exclusion: No exclusion.
There are no changes to this objective and measure regardless of when EPs attest to Stage 1 Meaningful Use.
Clinical decision support (CDS) in electronic health records continues to be a topic widely discussed with far-ranging applications, but the best guidance for this measure focuses on the practice-level and is stated in the considerations listed in the technical specification, "workflow, patient population, and quality improvement efforts."
As the technical specification mentions, the clinical decision support rule should be implemented for the length of the reporting period. For the first year of Stage 1 Meaningful Use, EPs should have their CDS selected and working in the EHR system by the first day of the 90 day reporting period.
The attestation portal will require the EP to choose yes or no to having enabled this functionality. Additionally, the EP will answer which CDS rule he implemented and can indicate the answer is a rule or intervention by briefly listing the patient population targeted, alert prompted, and relevance to the EP’s practice.
Here are a few examples of CDS from meaningful use attestations:
Relevant CMS FAQs
A short overview of the findings of Clinical Decision Support 2011: Understanding the Impact reveals surveyed providers’ evaluations of the ability of CDS to influence clinical decisions and standardize care to improve quality outcomes. Vendor performances are graphed.
CMS' Final Rule
§ 495.6(d)(11) see objective and measure above
Standards and Certification Final Rule
§ 170.304(e)Clinical decision support