Step 5: Achieve Meaningful Use

  1. Assess Your Practice Readiness
  2. Plan Your Approach
  3. Select or Upgrade to a Certified EHR
  4. Conduct Training & Implement an EHR System
  5. Achieve Meaningful Use
  6. Continue Quality Improvement

Core Measure 11

Clinical Decision Support Rule

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.

CMS Resources

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

Related CMS EHR Incentive Program Frequently Asked Questions

Lessons from the Field

"To approach any major practice transformation, starting small and building off lessons learned is vital. Input from staff at all levels — from billing representatives to physicians — must be incorporated to ensure the system works for every internal stakeholder to ultimately improve the quality of care for patients."

David Peterman, MD, President, Primary Health Medical Group External Links Disclaimer

Coordination between physicians, nurses, administration, and IT is crucial for the successful implementation of a clinical decision support system. The entire team needs to look at the processes in place and create new processes to work within the clinical decision support system. With multiple clinics, we tested and revised clinic processes multiple times before incorporating the new system at all of our clinics. This testing phase allowed us to refine how we worked with the clinical decision support system to ensure that patients received the best care based on evidence-based medicine. The successful implementation of a clinical decision support system means patients get the right tests, the right medications, and the right treatment for their chronic condition.

National Learning Consortium Resources

The following resources are examples of tools that are used in the field today to assist in meeting clinical decision support rule meaningful use measures. These tools have been recommended by "boots-on-the-ground" professionals for use by others who have made the commitment to implement or upgrade to certified EHR systems.

Learn more about The National Learning Consortium.

Reference in this web site to any specific resources, tools, products, process, service, manufacturer, or company does not constitute its endorsement or recommendation by the U.S. Government or the U.S. Department of Health and Human Services.

National Learning Consortium Resources
Resource NameDescriptionSource

Clinical Decision Support Initiative

View

Collection of research regarding the use of CDS to promote safe and effective health care.

Agency for Healthcare Research and Quality (AHRQ)

Clinical Decision Support Systems Studies

View

 External Links Disclaimer

Summary of PubMed articles specific to clinical decision support system implementation, case studies, and best practices.

AccessMedicine

Electronic Preventative Services Selector (ePSS)

View

Tool designed to help primary care clinicians identify the screening, counseling, and preventive medication services that are appropriate for their patients.

Agency for Healthcare Research and Quality (AHRQ)

Pediatric Rules and Reminders

View

Downloadable pediatric rules and reminders for the ambulatory environment to serve as examples of reminders that can be integrated into EHR systems and modified to fit the needs of the practice.

Agency for Healthcare Research and Quality (AHRQ)

Return to All Objectives

Preparing for
Meaningful Use
Stage 2

Objective:

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

Measure:

  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

Source: Centers for Medicare & Medicaid Services [PDF - 256 KB]