Retired: Support Electronic Referral Loops by Receiving and Incorporating Health Information

This measure workflow applies to electronic summary of care records incorporated from January 1, 2019 – September 30, 2019. See Support Electronic Referral Loops by Receiving and Incorporating Health Information for the current measure workflow, valid from October 1, 2019 – December 31, 2019.

Measure: For at least one electronic summary of care record received for patient encounters during the performance period for which a MIPS ECClosed Eligible Clinician: a Medicare provider who qualifies for MIPS participation was the receiving party of a transition of care or referral, or for patient encounters during the performance period in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician conducts clinical information reconciliation for medication, medication allergy, and current problem list.
Denominator Number of electronic summary of care records received using CEHRTClosed Certified EHR Technology, an EHR that conforms to the ONC's Health IT Certification Program criteria and standards for patient encounters during the performance period for which a MIPS eligible clinician was the receiving party of a transition of care or referral, and for patient encounters during the performance period in which the MIPS eligible clinician has never before encountered the patient.
Numerator The number of electronic summary of care records in the denominator for which clinical information reconciliation is completed using CEHRT 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; and (3) Current Problem List – Review of the patient’s current and active diagnoses.
Exclusion

Any MIPS eligible clinician who is unable to implement the measure for a MIPS performance period in 2019 would be excluded from having to report this measure

Or

Any MIPS eligible clinician who receives fewer than 100 transitions of care or referrals or has fewer than 100 encounters with patients never before encountered during the performance period

CMS defines a transition of care as the movement of a patient from one setting of care (hospital, ambulatory primary care practice, ambulatory, specialty care practice, long-term care, home health, rehabilitation facility) to another. At a minimum, this includes all transitions of care and referrals that are ordered by the MIPS eligible clinician.

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 an electronic clinical reconciliation for all patient records received in C‑CDA format

  1. Go to Chart > Chart Tools > C‑CDA Reconciliation or Tools > C‑CDA Reconciliation
  2. Click Import
  3. Locate and select the C‑CDA file from the local computer 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 performing the reconciliation 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 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
  1. Go to Chart > Chart Tools > C‑CDA Reconciliation or Tools > C‑CDA Reconciliation
  2. Click Import
  3. Locate and select the C‑CDA file from the local computer 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 performing the reconciliation from the Tools menu, click Select to search for and select a patient, then select the verification checkbox
  5. Click Next

  6. After reviewing the patient's Problems, Allergies, and Medications, select the I have reviewed theinformation above and will not be importing clinical data into the patient chart checkbox

  7. 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 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
  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. After reviewing the patient's Problems, Allergies, and Medications, select the I have reviewed the information above and will not be importing clinical data into the patient chart checkbox

  8. Click Sign to complete the reconciliation

To be included in the numerator:

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

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

 

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