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CDS - Clinical Decision Support

What is CDS?

CDS provides timely information to help inform decisions about a patient's care. The Centers for Medicare & Medicaid Services (CMS) defines CDS as ‘health IT functionality that builds upon the foundation of an EHR to provide persons involved in care processes with general and person-specific information, intelligently filtered and organized, at appropriate times, to enhance health and health care’.

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CDS/eCQM Harmonization

How are CDS & eCQM different?

Clinical Decision Support (CDS) and electronic Clinical Quality Measures (eCQMs) are closely related, share many common requirements, and support health care quality improvement. It’s important to also understand the differences between them and the efforts to help them work together (harmonize).

The standards used for the electronic representation of CDS and eCQM were developed separately and use different data models and computable expression languages. The use of different standards

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Health IT Certification for eCQM Reporting

The Office of the National Coordinator for Health Information Technology’s (ONC) Health IT Certification Program is a voluntary certification program established by ONC to provide for the certification of health IT on use of standards, implementation specifications, and certification criteria.  The ONC Health IT Certification Program supports the availability of certified health IT for encouraged and required users under federal, state and private programs. 

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Electronic Clinical Quality Improvement (eCQI)

Electronic Clinical Quality Improvement (eCQI) uses a variety of processes , health IT tools, standards and measurement to help continuously improve the quality of care, support improved health and outcomes. Health IT enables this improvement through the rapid feedback of performance via electronic clinical quality measures (eCQMs) as well as real-time improvement tools such as clinical decision support (CDS).

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eCQM Addendum Checklist


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eCQM Implementation Checklist

The Centers for Medicare & Medicaid Services (CMS) requires an Eligible Professional (EP), Eligible Clinician, Eligible Hospital (EH) or Critical Access Hospital (CAH) to use the most current version of the eCQMs for quality reporting programs.

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eCQM Tools Education

Learn more about eCQM tools through eCQM 101 sessions presented on August 17, 2017:

eCQM Tools:

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About electronic Clinical Quality Measures (eCQMs)

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eCQI Educational Resources

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Eligible Hospital / Critical Access Hospital eCQMs

The electronic clinical quality measures (eCQMs) are updated for calendar year 2019 reporting for the Hospital Inpatient Quality Reporting (IQR) Program and the Medicare and Medicaid Promoting Interoperability programs for Eligible Hospitals and Critical Access Hospitals. Measures will not be eligible for 2019 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program.

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