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 provider 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 2: Any provider who writes fewer than 100 medication orders during the EHR reporting period.


Learn more about exclusions


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 are enabled for the entire reporting period. If you or your practice administrator change the number of CDS advisories or drug-drug/drug-allergy notification alerts to fewer than the minimum 5 required for Meaningful Use and leaves these settings for an overnight period, the Dashboard will indicate that you have not met this measure and you will not be able to re-activate 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 notification alerts without understanding the ramifications to your Meaningful Use status.


Practice Fusion workflow

The requirement asks you to have 5 CDS interventions enabled for your entire reporting period. Completing the action recommended by the intervention does not impact your achievement of the measure. If you complete the action for a particular CDS intervention, the alert should not display on the Finalization screen for the next visit.

Practice Fusion currently offers several CDS advisories for providers to choose from when implementing this measure, all of which are enabled by default in your EHR account. Note: The Paroxysmal Nocturnal Hemoglobinuria (PNH) Compliance and Vaccination Compliance alerts do not count towards this measure.


If you would like to disable any of the CDS advisories or drug-drug/drug-allergy notification alerts, go to the Settings section and select CDS and Connected Care.




Ensure at least 5 CDS rules are enabled and at least one alert for drug-drug and drug-allergy interactions are enabled for the entire reporting period.



FAQ


Which CDS rules does Practice Fusion support?

Practice Fusion currently supports many CDS alerts that can be used to satisfy this objective. Seven of our CDS advisories relate to Clinical Quality Measures (CQMs) that are supported by Practice Fusion. These alerts are listed below with the associated Practice Fusion-supported CQM:

  • Controlling High Blood Pressure (CMS 165, NQF 18))

  • Documentation of Current Allergies

  • Diabetes: Eye Exam (CMS 131, NQF 55)

  • Diabetes: Foot Exam (CMS 123, NQF 56)

  • Diabetes: Hemoglobin A1c Poor Control (CMS 122, NQF 59)

  • Documentation of Current Medications in the Medical Record (CMS 68, NQF 419)

  • Screening for Clinical Depression and Follow-Up Plan (CMS 2, NQF 418)

  • Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up (CMS 69, NQF 0421)


Below are some of our additional CDS advisories that relate to CQMs that are not currently supported by Practice Fusion:

  • COPD Management (3 separate alerts)

  • Asthma Management (3 separate alerts)

  • Urinary incontinence (3 separate alerts)


For more information on the CQMs that these CDS advisories pertain to, click the Reference Information link found within the CDS notification.


More information

Review the CMS specifications for more information about this measure.


For more information on the EHR Incentive program, you should visit the Meaningful Use Center.

Meaningful Use

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

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