Section
2018 MIPS PI
Articles
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Performance Measure: Secure Messaging
Measure: For at least one unique patient seen by the MIPS EC during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative). Denominator The number of unique […]
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Base Measure: e-Prescribing
Measure: At least one permissible prescription written by the MIPS EC is queried for a drug formulary and transmitted electronically using CEHRT. Denominator The number of prescriptions written for drugs requiring a prescription in order to be dispensed other than controlled substances during the performance period; or number of prescriptions written for drugs requiring a […]
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2018 MIPS Promoting Interoperability Measures
For the 2018 performance year, MIPS Promoting Interoperability measures are divided into three sets: Base, Performance, and Bonus. Data submission for all Base measures is required to attest for MIPS PI. Performance and Bonus measures are elective but can improve an EC’s performance in this category. Base Measures Base Measure: e-Prescribing Base Measure: Provide Patient […]
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Performance Measure: Clinical Information Reconciliation
Measure: For at least one transition of care or referral received or patient encounter in which the MIPS EC 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 […]
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Performance Measure: Immunization Registry Reporting
Measure: The MIPS EC is in active engagement with a public health agency (PHA) to submit immunization data and receive immunization forecasts and histories from the public health immunization registry/immunization information system (IIS). Reporting To meet this measure, the MIPS eligible clinician must attest YES to being in active engagement with a PHA to submit […]
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Bonus Measure: Electronic Case Reporting
Measure: The MIPS EC is in active engagement with a public health agency to electronically submit case reporting of reportable conditions. Reporting To meet this measure, the MIPS eligible clinician must attest YES to being in active engagement with a public health agency to electronically submit case reporting of reportable conditions. ECs interested in exchanging […]
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Bonus Measure: Syndromic Surveillance Reporting
Measure: The MIPS EC is in active engagement with a public health agency to submit syndromic surveillance data from an urgent care ambulatory setting where the jurisdiction accepts syndromic data from such settings and the standards are clearly defined. Reporting To meet this measure, the MIPS eligible clinicians must attest YES to being in active […]
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Base Measure: Security Risk Analysis
Measure: Conduct or review a security risk analysis in accordance with the requirements under 45 CFR 164.308(a)(1), including addressing the security (including encryption) of data created or maintained by CEHRT in accordance with requirements under 45 CFR 164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of […]
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Performance Measure: Patient-Specific Education
Measure: The MIPS EC must use clinically relevant information from CEHRT 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. Denominator The number of unique patients seen by the MIPS eligible clinician during the performance period. Numerator The number of […]
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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 EC 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 […]
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Performance Measure: Patient-Generated Health Data
Measure: Patient-generated health data or data from a non-clinical setting is incorporated into the CEHRT for at least one unique patient seen by the MIPS EC during the performance period. Denominator The number of unique patients seen by the MIPS eligible clinician during the performance period. Numerator The number of patients in the denominator for […]
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Base Measure: Send a Summary of Care
Measure: For at least one transition of care or referral, the MIPS EC that transitions or refers their patient to another setting of care or health care clinician—(1) creates a summary of care record using CEHRT; and (2) electronically exchanges the summary of care record. Denominator Number of transitions of care and referrals during the […]
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Base Measure: Provide Patient Access
Measure: For at least one unique patient seen by the MIPS EC: (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 […]
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Bonus Measure: Clinical Data Registry Reporting
Measure: The MIPS EC is in active engagement to submit data to a clinical data registry. Reporting To meet this measure, the MIPS eligible clinician must attest YES to being in active engagement to submit data to a clinical data registry. ECs interested in exchanging data with a clinical data registry (CDR) should contact Sevocity […]
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Performance Measure: View, Download, or Transmit (VDT)
Measure: During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS EC actively engages with the EHR made accessible by the MIPS eligible clinician by either—(1) viewing, downloading or transmitting to a third party their health information; or (2) accessing their health information through the use of an Application […]
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2018 MIPS Promoting Interoperability Report
The 2018 MIPS Promoting Interoperability Report (formerly Advancing Care Information) displays provider or provider group performance for MIPS PI percentage-based measures.
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Bonus Measure: Public Health Registry Reporting
Measure: The MIPS EC is in active engagement with a public health agency to submit data to public health registries. Reporting To meet this measure, the MIPS eligible clinician must attest YES to being in active engagement with a public health agency to submit data to public health registries. ECs interested in exchanging data with […]