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Objective 3: Clinical Decision Support

Updated: 10/21/2019
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Medicaid Promoting Interoperability - Stage 3

Objective: Implement Clinical Decision Support (CDS) interventions focused on improving performance on high-priority health conditions.
Measure 1: Implement five CDS interventions related to four or more clinical quality measures (CQMs) at a relevant point in patient care for the entire EHR reporting period. Absent four CQMs related to an EPs scope of practice or patient population, the CDS interventions must be related to high-priority health conditions.
Measure 2: Enable and implement the functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period.
Exclusion for Measure 2 only: Any EP that writes fewer than 100 permissible prescriptions during the EHR reporting period.

Kareo has implemented five clinical decision support (CDS) interventions, in addition to the United States Preventive Services Task Force (USPSTF) recommended CDS interventions. These interventions are visible in the right-hand column of a patient opened chart.  Interventions are suggested based upon a patient’s individual conditions.  

CDS interventions, Drug-drug interactions (DDI) and Drug-allergy interactions (DAI) are automatically enabled in Kareo.
Attestation:
  • An EP must attest YES to Implementing five CDS interventions related to four or more CQMs at a relevant point in patient care for the entire EHR reporting period.
  • An EP must attest YES to enabling and implementing the functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period.
Audit Documentation: We recommend that screenshots are taken of the Clinical Decision Support section found in Practice Settings. Go to Clinical, then open Prescription Preferences and take a screenshot. Then select Clinical Decision Support and take screenshots.  Please note: Making changes to the settings is not recommended.

Save the screenshots and any supporting documentation in your audit folder and save it for a minimum of 6 years after your attestation.  Your audit folder should provide necessary verification if you are selected for a CMS Incentive Program audit.