When it comes to ramping up on imaging clinical decision support, now is the time to assess your choices, set expectations, map out a plan and get the wheels of implementation turning. Imaging leaders need to play a key role in implementing CDS, educating ordering physicians and ensuring program success. The leadership team at NewYork-Presbyterian/Weill Cornell Medical Center in New York City was an early adopter of CDS. Now they are sharing their experience and expert advice on deploying targeted CDS as the right solution at the right time.