Providers choosing not to adhere to clinical decision support information during treatment should document the reason why under Stage 2 meaningful use criteria, according to comments from the American Health Information Management Association on initial draft criteria. "When the treatment of care deviates from the direction guided by the CDS, this should be captured and included in the reporting for meaningful use," the association recommends.

AHIMA also urges policymakers to consider the current regulatory environment, which includes ICD-10 compliance and health reform initiatives among others, as 2013 draws near. "There are a number of other regulatory initiatives developing with a compliance timeframe of 2013 and we suggest aligning these programs to allow for a coordinated approach to implementation and production."

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