2018 Medicaid Meaningful Use Stage 2 Objective 2: Clinical Decision Support

Overview

This objective requires that you implement clinical decision support (CDS) notifications in the EHR to improve health outcomes. There are two components to this objective:

  • Measure 1: Implement five clinical decision support interventions related to four or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period.
  • Measure 2: The eligible professional (EP) has enabled and implemented the functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period.

Exclusion (learn more)

  • For Measure 1: No exclusion
  • For Measure 2: Any provider who writes fewer than 100 medication orders during the EHR reporting period.

Practice Fusion Meaningful Use Dashboard Calculation

The Meaningful Use Dashboard will record that this measure has been met if you have at least 5 clinical decision support (CDS) rules and at least one level of drug-drug/drug-allergy interaction checks enabled for the entire reporting period. If you or your practice administrator change the number of CDS advisories or drug-drug/drug-allergy interaction checks to fewer than the minimum 5 required for Meaningful Use and leave these settings for an overnight period, the Dashboard will update to indicate that you have not met this measure and you will not be able to reactivate this measure until the next reporting period.

It is a good practice to ensure that everyone on your staff, including EHR account administrators, understands these limitations and does not disable CDS advisories or drug-drug/drug-allergy interaction checks without understanding the ramifications to your Meaningful Use measure credit.

Measure Requirements: Practice Fusion Suggested Workflow

The measure requires you to have 5 CDS interventions enabled for your entire reporting period. Please note that completing the action recommended by the CDS intervention does not impact your achievement of the measure.

1.  Confirm which CDS interventions and/or drug-drug/drug-allergy interaction checks are active in your account, go to the Settings section and select CDS and Surveillance as shown in Graphic 1 below. Practice Fusion offers numerous CDS interventions to choose from to help meet the measure requirements, all of which are initially enabled by default in your EHR account.

Graphic 1: Practice Fusion EHR Settings

2. Ensure at least 5 CDS interventions are enabled and at least one drug-drug and drug-allergy interaction check is enabled for the entire reporting period (see Graphic 2 below). If you save your own or practice level CDS settings at any point during your reporting period with less than 5 CDS interventions enabled you will not receive credit for this measure.

Graphic 2: Practice Fusion CDS Checklist

More information


Meaningful Use

  1. What is Meaningful Use?
  2. How do I attest for Meaningful Use?
  3. How does the Meaningful Use Dashboard work?
  4. 2018 Medicaid Meaningful Use Stage 2 Objective 1: Protect Patient Health Information
  5. 2018 Medicaid Meaningful Use Stage 2 Objective 2: Clinical Decision Support
  6. 2018 Medicaid Meaningful Use Stage 2 Objective 3: CPOE for Medication, Lab, and Radiology Orders
  7. 2018 Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)
  8. 2018 Medicaid Meaningful Use Stage 2 Objective 5: Health Information Exchange
  9. 2018 Medicaid Meaningful Use Stage 2 Objective 6: Patient-Specific Education
  10. 2018 Medicaid Meaningful Use Stage 2 Objective 7: Medication Reconciliation
  11. 2018 Medicaid Meaningful Use Stage 2 Objective 8: Patient Electronic Access
  12. 2018 Medicaid Meaningful Use Stage 2 Objective 9: Secure Electronic Messaging
  13. 2018 Medicaid Meaningful Use Stage 2 Objective 10: Public Health Reporting
  14. 2017 Medicaid Meaningful Use Stage 2 Objective 1: Protect Patient Health Information
  15. 2017 Medicaid Meaningful Use Stage 2 Objective 2: Clinical Decision Support
  16. 2017 Medicaid Meaningful Use Stage 2 Objective 3: CPOE for Medication, Lab, and Radiology Orders
  17. 2017 Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)
  18. 2017 Medicaid Meaningful Use Stage 2 Objective 5: Health Information Exchange
  19. 2017 Medicaid Meaningful Use Stage 2 Objective 6: Patient-Specific Education
  20. 2017 Medicaid Meaningful Use Stage 2 Objective 7: Medication Reconciliation
  21. 2017 Medicaid Meaningful Use Stage 2 Objective 8: Patient Electronic Access
  22. 2017 Medicaid Meaningful Use Stage 2 Objective 9: Secure Electronic Messaging
  23. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health Reporting
  24. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Immunization Registry Data Submission
  25. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Syndromic Surveillance Data Submission
  26. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Specialized Registry Reporting
  27. What are the Modified Stage 2 Meaningful Use requirements for 2017?
  28. What are the exclusions for Meaningful Use?
  29. What patients are counted for Meaningful Use?
  30. How do the components of a chart note relate to Meaningful Use?
  31. How do I print the Meaningful Use Dashboard?
  32. How do I minimize or refresh CDS notifications?
  33. How can I send a referral using Direct Messaging?
  34. How does patient portal access and auto-invite relate to Meaningful Use?
  35. What constitutes a "unique" patient?
  36. Meaningful Use attestation for previous years
  37. How do Meaningful Use payment adjustments work?
  38. How do I apply for a Meaningful Use Hardship Exception?
  39. How do I find Practice Fusion's CMS EHR Certification ID?
  40. How do I register for the Medicaid Meaningful Use Program?
  41. Can I change, modify, or cancel my attestation?
  42. How do I choose my reporting period duration for Medicaid Meaningful Use?
  43. Is Practice Fusion a certified EHR?
  44. Patient records maintained in the EHR for Meaningful Use attestation
  45. How do I get my AIU letter from Practice Fusion?
  46. How do I report eCQMs for Medicaid Meaningful Use?
  47. Do I have to meet all 10 objectives to achieve Meaningful Use?
  48. Can I participate in both MIPS (Medicare) and Meaningful Use (Medicaid)?
  49. Are there patient education materials available in Spanish?
  50. How do I select or change my reporting period start date?
  51. When do I need to sign chart notes for Meaningful Use? Can I sign a chart after the reporting period?
  52. How do I contact my state about the Medicaid EHR Incentive Program?
  53. How do I qualify for Meaningful Use if I see patients in multiple locations?
  54. How many exclusions can each provider claim for meaningful use?
  55. How do I use multiple EHR's to qualify for Medicaid Meaningful Use?
  56. What stage of Medicaid Meaningful Use am I in?
  57. How do I prepare for the PQRS Penalty Informal Review?
  58. How do I prepare for a Meaningful Use audit?
  59. How do I batch export patient data from the EHR?
  60. How can I report CQMs for PQRS?
  61. Diabetes: Low Density Lipoprotein (LDL) Management (CMS 163v4)
  62. Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control (CMS 182v5)
  63. Use of Appropriate Medications for Asthma (CMS 126v4)

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