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Kareo Help Center

Navigate the Clinical Decision Support Tool / USPSTF Recommendations

The clinical decision support tool is provided by the Agency for Healthcare Research and Quality (AHRQ) and retrieves up-to-date recommendations from the US Preventative Services Task Force (USPSTF) database for the effectiveness of a broad range of clinical preventative services, including screening, counseling and preventative medications.

Each recommendation is based on a review of the patient's record that includes age, gender, pregnancy status, tobacco use status and sexual activity status. The recommendation is linked to a letter grade that reflects the magnitude of net benefit and the strength of the evidence supporting the provision of the specific preventative service. The AHRQ recommendations identified in Kareo are those graded as:

  • "A": High certainty that the net benefit is substantial.
  • "B": High certainty that the net benefit is moderate or there is moderate certainty that the net benefit is moderate to substantial.

Note: The recommendations made by the USPSTF are intended for use in primary care settings. The USPSTF realizes clinical decision-making with patients involves more complex considerations than the evidence alone. It is important that clinicians understand the evidence, but also that the decision-making be tailored to the specific patient and situation. The "Clinical Considerations" section of each USPSTF Recommendation Statement offers information to be used by clinicians as they put the recommendations into practice with individual patients.


Navigate to a Patient Chart

  1. Enter the first 2–3 letters of the patient's name in the top search box.
  2. Click to select the patient from the auto-populated results. The patient's chart opens.

Access Clinical Recommendations

  1. On the patient's chart, the Clinical Recommendations are on the right of the Face Sheet.
  2. Click on a recommendation to access information.

Recommendation Details

  1. Grade (certainty of net benefits) and description of the Specific Recommendations.
  2. Use the scroll bar to view additional text.
  3. Support tabs:
  • General: Contains the frequency of service and risk information.
  • Clinical Considerations: Contains the facts or ideas taken into account surrounding the recommendation.
  • Rationale: Contains the reasons or logical basis for the recommendation.
  1. Prev and Next: Navigate to other recommendations in the list that are based on the patient's results.
  2. Clear: Removes the recommendation from the list for a specified time (3 months, 6 months, or 1 year). Note that this action is user- and patient-specific; clearing the recommendation does not clear it for other users or other patients.
  3. Save: Click after making a selection from the "Clear" options.