Navigate Clinical Recommendations

The clinical recommendations is provided by the Agency for Healthcare Research and Quality (AHRQ) and retrieves up-to-date recommendations from the US Preventative Services Task Force (USPSTF) database for the effectiveness of a broad range of clinical preventative services, including screening, counseling and preventative medications.

Each recommendation is based on a review of the patient's record that includes age, gender, pregnancy status, tobacco use status, and sexual activity status. The recommendation is linked to a letter grade that reflects the magnitude of net benefit and the strength of the evidence supporting the provision of the specific preventative service. The AHRQ recommendations are graded as:

• A: High certainty that the net benefit is substantial.
• B: High certainty that the net benefit is moderate or there is moderate certainty that the net benefit is moderate to substantial.

The recommendations made by the USPSTF are intended for use in primary care settings. The USPSTF realizes clinical decision-making with patients involves more complex considerations than the evidence alone. It is important that clinicians understand the evidence, but also that the decision-making be tailored to the specific patient and situation. The Clinical Considerations tab of each USPSTF Recommendation Statement offers information to be used by clinicians as they put the recommendations into practice with individual patients.

Note: The USPSTF Recommendation must be enabled to display on the patient's facesheet.

Access Clinical Recommendations Enter the first 2–3 letters of the patient's name or date of birth (mm/dd/yyyy) in the top navigation bar search box. Click to select the patient from the auto-populated results. The patient's Facesheet page opens. Click a recommendation. The Clinical Recommendations pop-up window opens.

Navigate Clinical Recommendations Review the Grade and Specific Recommendation. Review Support Tabs: General: Displays the frequency of service and risk factor information. If applicable, click Edit to add any relevant or supplemental information for the recommendation. Then, click Save when finished. Clinical Considerations: Displays the facts or ideas taken into account surrounding the recommendation. Note: The tab is disabled when clinical considerations are unavailable or do not apply for the recommendation. Rationale: Displays the reasons or logical basis for the recommendation. Note: The tab is disabled when the rationale is unavailable or do not apply to the recommendation. DSI Inputs: Displays which attributes were used to trigger the specific DSI. If applicable, click Edit to add any relevant or supplemental information for the recommendation. Then, click Save when finished. Feedback: Optionally, indicate if the recommendation was helpful and add comments. The practice can export this feedback for review. To indicate the recommendation was helpful, click to select the thumb up icon. To indicate the recommendation was not helpful, click to select the thumb down icon. If applicable, enter Comments. Note: Comments can only be entered after the user selects a thumb up or thumb down icon. Click the arrows to navigate to the previous or next recommendations for the patient. Dismiss For: Select the duration (3 months, 6 months, or 12 months) to dismiss the recommendation from the patient's facesheet. To remove the selected duration, click Undo on the notification banner. Note: The option to undo is only available prior to closing the Clinical Recommendations pop-up window. Click Done to close the Clinical Recommendations pop-up window and if applicable, to save the selected dismissal duration and/or feedback. Dismissed recommendations are removed from the patient's facesheet for the duration selected.