PI Scoring Logic

1. MIPS eligible clinicians are required to report certain measures from each of the four objectives, with performance-based scoring occurring at the individual measure-level.

2. Each measure is scored based on the MIPS eligible clinician’s performance for that measure, except for the measures associated with the Public Health and Clinical Data Exchange objective, which require a yes/no attestation.

3. The scores for each of the individual measures are added together to calculate the total Promoting Interoperability performance category score of up to 100 possible points for each MIPS eligible clinician.

4. To calculate the Promoting Interoperability performance category score, the measure scores are added together, and the total sum is divided by the total possible points (100). The total sum cannot exceed the total possible points. This calculation results in a fraction from zero to 1, which can be formatted as a percent.

5. For a MIPS eligible clinician to earn a score greater than zero for the Promoting Interoperability performance category, in addition to completing the actions included in the Security Risk Analysis measure, the MIPS eligible clinician must submit their complete numerator and denominator or yes/no data for all required measures.

How to Fulfill the PI base score

list of 2018 Promoting Interoperability

Promoting Interoperability
Objectives & Measures

Base Score Required Measures

Measure	Result
Security Risk Analysis	Yes
E-Prescribing	1 Patient
Provide Patient Access	1 Patient
Send a Summary of Care	1 Patient
Request/Accept a Summary of Care	1 Patient

2018 Promoting Interoperability
Transition Objectives & Measures

Base Score Required measures

Measure	Result
Security Risk Analysis	Yes
E-Prescribing	1 Patient
Provide Patient Access	1 Patient
Health Information Exchange	1 Patient
a

Note: Exclusions available for Electronic Prescribing and Health Information Exchange Objective and Measures

How to Fulfill the PI Performance score

Promoting Interoperability Transitional Measures

Measure	Performance Score
Protect Patient Health Information	0
Electronic Prescribing	0
Patient Electronic Access	Provide Patient Access – Up to 20% View, Download, or Transmit (VDT) – Up to 10%
Patient-Specific Education	Up to 10%
Secure Messaging	Up to 10%
Health Information Exchange	Up to 20%
Medication Reconciliation	Up to 10%
Public Health Reporting: Immunization Registry Reporting Syndromic Surveillance Reporting Electronic Case Reporting Public Health Registry Reporting Clinical Data Registry Reporting	0 or 10%

How to Fulfill the PI bonus score

5%

BONUS

For reporting on one or more additional of the following Public Health and Clinical Data Registry Reporting measures beyond the one identified for performance score.

10%