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. 2021 Jan 27;9(1):e21712. doi: 10.2196/21712

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