Table 2.
Clinical informaticist review of the 5 rights of clinical decision support as applied to NYU Langone Health alerts firing in telemedicine visits.
| Alerts | Right time? | Right information? | Right person? | Right format? | Right channel? |
| Shingles vaccine | Vaccines cannot be given virtually. Telemedicine is only the right time if guidance is for the patient to follow up at the pharmacy or office | Should include a link to shingles vaccine administration locator for available locations that have the vaccine in stock | Yes | Yes | Yes |
| High BMI counseling | Yes, but alerts not firing without weight being entered | Yes | Yes | Yes | Yes |
| Provider missing weight for BMI | No, once the video encounter starts, it is already too late. Weight should be collected before the encounter | Yes | Alert should go to patient or office staff | Yes | Consider patient-facing alert through portal |
| Tobacco use intervention | No, not showing up at the right time in the workflow without staff documenting social history before the provider | Yes | Support staff should be encouraged to virtually room the patient and collect history | Consider adding an interruptive alert after provider enters tobacco use history | Yes |