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PI Measures

In 2018, there are two measure set options for reporting. The option eligible clinicians use to submit the data is based on their electronic health record edition.

  • Option 1: 2018 Promoting Interoperability Objectives and Measures
  • Option 2: 2018 Promoting Interoperability Transition Objectives and Measures

MIPS eligible clinicians will have the option to attest to the Promoting Interoperability Objectives and Measures using 2015 Edition CEHRT or a combination of 2014 and 2015 Edition CEHRT, as long as their EHR technology can support the objectives and measures to which they plan to attest.

MIPS eligible clinicians will have the option to report the Promoting Interoperability Transition Objectives and Measures using 2014 Edition CEHRT, 2015 Edition CEHRT, or a combination of 2014 and 2015 Edition CEHRT, as long as the EHR technology they possess can support the objectives and measures to which they plan to attest.

Measure Set Option
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#PI_PHCDRR_5 Clinical Data Registry Reporting

Description :

The MIPS eligible clinician is in active engagement to submit data to a clinical data registry. Earn a 5 % bonus in the advancing care information performance category score for submitting to one or more public health or clinical data registries.

  • Objective Name :

    Public Health and Clinical Data Registry Reporting

  • Required For Base Score :

    No

  • Performance Score Weight :

    0

#PI_HIE_3 Clinical Information Reconciliation

Description :

For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation. The MIPS eligible clinician must implement clinical information reconciliation for the following three clinical information sets: (1) Medication. Review of the patient’s medication, including the name, dosage, frequency, and route of each medication. (2) Medication allergy. Review of the patient’s known medication allergies. (3) Current Problem list. Review of the patient’s current and active diagnoses.

  • Objective Name :

    Health Information Exchange

  • Required For Base Score :

    No

  • Performance Score Weight :

    Up to 10%

#PI_EP_1 e-Prescribing

Description :

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

  • Objective Name :

    Electronic Prescribing

  • Required For Base Score :

    Yes

  • Performance Score Weight :

    0

#PI_PHCDRR_3 Electronic Case Reporting

Description :

The MIPS eligible clinician is in active engagement with a public health agency to electronically submit case reporting of reportable conditions. Earn a 5 % bonus in the advancing care information performance category score for submitting to one or more public health or clinical data registries.

  • Objective Name :

    Public Health and Clinical Data Registry Reporting

  • Required For Base Score :

    No

  • Performance Score Weight :

    0

#PI_PHCDRR_1 Immunization Registry Reporting

Description :

The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data and receive immunization forecasts and histories from the public health immunization registry/immunization information system (IIS)

  • Objective Name :

    Public Health and Clinical Data Registry Reporting

  • Required For Base Score :

    No

  • Performance Score Weight :

    0 or 10%

#PI_CCTPE_3 Patient-Generated Health Data

Description :

Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.

  • Objective Name :

    Coordination of Care Through Patient Engagement

  • Required For Base Score :

    No

  • Performance Score Weight :

    Up to 10%

#PI_PEA_2 Patient-Specific Education

Description :

The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician.

  • Objective Name :

    Patient Electronic Access

  • Required For Base Score :

    No

  • Performance Score Weight :

    Up to 10%

#PI_PEA_1 Provide Patient Access

Description :

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient’s health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician’s certified EHR technology.

  • Objective Name :

    Patient Electronic Access

  • Required For Base Score :

    Yes

  • Performance Score Weight :

    Up to 10%

#PI_PHCDRR_4 Public Health Registry Reporting

Description :

The MIPS eligible clinician is in active engagement with a public health agency to submit data to public health registries. Earn a 5 % bonus in the advancing care information performance category score for submitting to one or more public health or clinical data registries.

  • Objective Name :

    Public Health and Clinical Data Registry Reporting

  • Required For Base Score :

    No

  • Performance Score Weight :

    0

#PI_HIE_2 Request/Accept Summary of Care

Description :

For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient’s record an electronic summary of care document.

  • Objective Name :

    Health Information Exchange

  • Required For Base Score :

    Yes

  • Performance Score Weight :

    Up to 10%

#PI_CCTPE_2 Secure Messaging

Description :

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative).

  • Objective Name :

    Coordination of Care Through Patient Engagement

  • Required For Base Score :

    No

  • Performance Score Weight :

    Up to 10%

#PI_PPHI_1 Security Risk Analysis

Description :

Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician’s risk management process.

  • Objective Name :

    Protect Patient Health Information

  • Required For Base Score :

    Yes

  • Performance Score Weight :

    0

#PI_HIE_1 Send a Summary of Care

Description :

For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2) electronically exchanges the summary of care record.

  • Objective Name :

    Health Information Exchange

  • Required For Base Score :

    Yes

  • Performance Score Weight :

    Up to 10%

#PI_PHCDRR_2 Syndromic Surveillance Reporting

Description :

The MIPS eligible clinician is in active engagement with a public health agency to submit syndromic surveillance data from a urgent care ambulatory setting where the jurisdiction accepts syndromic data from such settings and the standards are clearly defined. Earn a 5 % bonus in the advancing care information performance category score for submitting to one or more public health or clinical data registries.

  • Objective Name :

    Public Health and Clinical Data Registry Reporting

  • Required For Base Score :

    No

  • Performance Score Weight :

    0

#PI_CCTPE_1 View, Download and Transmit (VDT)

Description :

During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician. An MIPS eligible clinician may meet the measure by either-(1) view, download or transmit to a third party their health information; or (2) access their health information through the use of an API that can be used by applications chosen by the patient and configured to the API in the MIPS eligible clinician’s certified EHR technology; or (3) a combination of (1) and (2).

  • Objective Name :

    Coordination of Care Through Patient Engagement

  • Required For Base Score :

    No

  • Performance Score Weight :

    Up to 10%