Base Measure: Provide Patient Access

Denominator

To be included in the denominator:

Patient must be seen by the EC during the performance period

Numerator

To be included in the numerator:

Patient or patient-authorized representative must have an active patient portal account prior to the patient’s first visit during the performance period

AND

The patient or patient-authorized representative must be provided instructions to access the patient’s health information from the patient portal using a third-party application prior to the patient’s first visit during the performance period

AND

Encounter in which patient was seen must be finalized by the EC within 4 business days of the visit date

To enroll a patient or patient-authorized representative in the patient portal, go to Tools > Patient Portal > Add Patient/Alternate

Prior to creating a patient portal account for a patient-authorized representative, the representative must be added as an alternate contact in the patient’s chart. To add a patient-authorized representative as an alternate contact, go to Chart > Demographics > Contacts > Alternate > Update

The Patient Portal Access checkbox must be selected to authorize portal access for the representative.

Additional Information

Patient portal account must be active prior to the finalization of the patient’s first encounter during the performance period.
The steps to provide instructions to access the patient’s health information from the patient portal using a third party application must occur prior to the finalization of the patient’s first encounter during the performance period.
In Sevocity, 4 business days is calculated based on business days (Monday – Friday) and does not include weekend days (Saturday – Sunday).
Patients seen more than once during the performance period will only count once toward the measure.
- For ECs reporting as a group, a patient seen by more than one EC in the group will only count once toward the measure.
If a patient is seen more than once during the performance period, the patient must meet the numerator conditions during their first visit and all subsequent visits during the performance period to remain in the numerator.
- Patients who meet the numerator during their first visit but fail to meet the numerator during their second or subsequent visits during the performance period will be removed from the numerator.
- Patient who do not meet the numerator during their first visit are not eligible to meet the numerator during any subsequent visits during the performance period.

Measure: For at least one unique patient seen by the MIPS EC Eligible Clinician: a Medicare provider who qualifies for MIPS participation: (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 CEHRT Certified EHR Technology, an EHR that conforms to the ONC's Health IT Certification Program criteria and standards.
Denominator	The number of unique patients seen by the MIPS eligible clinician during the performance period.
Numerator	The number of patients in the denominator (or patient authorized representative) who are provided timely access to health information to view online, download, and transmit to a third party and to access using an application of their choice that is configured meet the technical specifications of the API in the MIPS eligible clinician's CEHRT.