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The practice implements clinical decision support+ (e.g., point-of-care reminders) following evidence-based guidelines for conditions identified below.
NCQA has provided the following explanation defining clinical decision support:
The practice maintains continuous relationships with patients through care management processes based on evidence-based guidelines. A key to successful implementation of guidelines is to embed them in the practice’s day-to-day operations (frequently referred to as “clinical decision support”). Clinical Decision Support (CDS) is a systematic way to prompt clinicians to consider evidence based guidelines at the point of care. CMS notes that CDS is “not simply an alert, notification, or explicit care suggestion. CDS encompasses a variety of tools including, but not limited to:
- Computerized alerts and reminders for providers and patients
- Clinical guidelines
- Condition-specific order sets
- Focused patient data reports and summaries
- Documentation templates
- Diagnostic support
- Contextually relevant reference information.”
While CDS may relate to clinical quality measures, measures alone do not achieve the broader goals of CDS.
3.E.1 A mental health or substance use disorder. (CRITICAL FACTOR) .
3.E.2 A chronic medical condition.
3.E.3 An acute condition.
3.E.5 Well child or adult care.
3.E.6 Overuse/appropriateness issues.