Abstract: Methods and apparatus for providing clinical decision support to a healthcare provider. Eligibility criteria and quality measure information for a plurality of performance-based programs is stored and shared quality measures across performance-based programs are identified. Provider and patient characteristics are compared to the stored eligibility criteria and quality measure information to determine which quality measures apply to which providers and patients of the providers. A healthcare provider is provided with a notification at the point of care indicating a recommended action that, when performed by the healthcare provider will satisfy a quality measure in compliance with one or more performance-based programs. Customized reports may be generated and transmitted to program sponsors of performance-based programs, based on formatting rules specified by the program sponsors.