Base Measure: Request/Accept Summary of Care

Measure: For at least one transition of care or referral received or patient encounter in which the MIPS ECClosed Eligible Clinician: a Medicare provider who qualifies for MIPS participation has never before encountered the patient, the MIPS EC receives or retrieves and incorporates into the patient’s record an electronic summary of care document.
Denominator Number of patient encounters during the performance period for which a MIPS eligible clinician was the receiving party of a transition or referral or has never before encountered the patient and for which an electronic summary of care record is available.
Numerator Number of patient encounters in the denominator where an electronic summary of care record received is incorporated by the clinician into the CEHRTClosed Certified EHR Technology, an EHR that conforms to the ONC's Health IT Certification Program criteria and standards.

To be included in the denominator:

OR

  • Patient must have a Continuity of Care Document (CCD) stored to their chart during the performance period

Patients with a CCD stored to their chart can only be counted toward the denominator and cannot be counted toward the numerator. Sevocity recommends performing a clinical reconciliation for all files in C-CDA format received for a patient.

  1. Go to Chart > Chart Tools > C-CDA Reconciliation or Tools > C-CDA Reconciliation
  2. Click Import to choose a C-CDA file
  3. Select the file and click Open
  4. Verify patient selected matches the file chosen and select the I have verified the document belongs to the above patient checkbox
    1. If reconciling from the Tools menu, click Select to search for and select a patient, then select the verification checkbox
  5. Click Next
  6. Reconcile the file by selecting the checkbox(es) next to the problems, allergies, and medications to be incorporated into the patient’s chart
    1. At least one problem, allergy, or medication must be selected to complete the reconciliation
  7. Click Review
  8. Review the incorporated data for accuracy and click Sign to complete the reconciliation
  1. Select a message with a C-CDA file attachment from the PPDX Inbox
  2. From the Attachments section, select the checkbox next to the C-CDA file to be reconciled
  3. Click Import
  4. Click Select to search for and select a patient and select the I have verified the document belongs to the above patient checkbox
  5. Click Next
  6. Click Reconcile
  7. Reconcile the file by selecting the checkbox(es) next to the problems, allergies, and medications to be incorporated into the patient’s chart
    1. At least one problem, allergy, or medication must be selected to complete the reconciliation
  8. Click Review
  9. Review the incorporated data for accuracy and click Reconcile/Sign to complete the reconciliation or click Start Reconciliation Encounter to document additional information in a Reconciliation encounter type
    1. If Start Reconciliation Encounter is selected, the encounter must be finalized by the EC

From the Attachments section of an open message, select the C-CDA file to be reconciled and click View to view the contents of the file prior to beginning a reconciliation.

To be included in the numerator:

  • Patient must have a clinical reconciliation of a C-CDA performed by the EC during the performance period

The clinical reconciliation of a C-CDA can be performed from the C-CDA Reconciliation tool or the PPDX Inbox using the steps outlined in the denominator.

Return to 2018 MIPS Promoting Interoperability Measures

 

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