What is the Advancing Care Information (ACI) category for MIPS and how is it scored?

What is Advancing Care Information (ACI)?
Under the Merit-based Incentive Payment System (MIPS) pathway of the MACRA Quality Payment Program, Advancing Care Information (ACI) will replace Medicare’s Meaningful Use program starting in 2017. ACI is also one of the four performance categories that will be considered and weighted for scoring a clinician’s performance under MIPS. ACI scoring will be determined based on a clinician’s satisfaction of four required base score measures as well as certain additional performance score measures. If a clinician satisfies these additional ACI measures, that clinician can increase his or her overall ACI score. The clinician’s total ACI score will account for 25% of that clinician’s total MIPS score during the 2017 reporting year (Year 1).

What are the 2017 ACI Transitional Measure base score requirements?  
For achieving the ACI base score, eligible clinicians will need to fulfill the four required measures for a minimum of 90 days during the 2017 reporting year. The ACI base score accounts for 50% of the total ACI score and is measured based on a clinician’s achievement of the four required reporting measures, which consist of the following:

  • Security Risk Analysis: During the clinician’s reporting period in 2017, complete a security risk analysis for the clinician’s practice (including performing a security risk analysis outside of the EHR and correcting any security deficiencies as part of the practice’s risk mitigation plan).

  • e-Prescribing (eRx): During the clinician’s reporting period in 2017, have at least one permissible prescription that has been queried for a drug formulary be sent electronically.

  • Provide Patient Access: During the clinician’s reporting period in 2017, 1) make the health information of at least one patient that has been seen by the clinician available for the patient to view, and 2) invite the patient to view that health information by enrolling the patient in his or her patient portal.

  • Health Information Exchange: During the clinician’s reporting period in 2017, send at least one electronic referral of a patient to another clinician or care provider, with an attached electronic summary of care document that can be viewed by the receiving clinician or care provider.

What are the 2017 ACI Transitional Measure performance score options for 2017?
For achieving an ACI performance above the base score, a clinician needs to satisfy additional performance score measures for a minimum of 90 days during the reporting period in 2017. These additional ACI performance score measures can account for up to another 90% of the total ACI score, and include the following:

  • Provide Patient Access (increases total ACI score by up to 20%): During the clinician’s reporting period in 2017, 1) make the health information of additional patients seen by the clinician available for viewing by each of those additional patients, and 2) invite each of those additional patients to view the available health information by enrolling said patients in the patient portal.

  • View, Download, Transmit (increases total ACI score by up to 10%): During the clinician’s reporting period in 2017, ensure as many patients as possible (or their patient-authorized representatives) that are seen by the clinician actively log in to the patient portal.

  • Health Information Exchange (increases total ACI score by up to 20%): During the clinician’s reporting period in 2017, send as many electronic referrals as are appropriate to other clinicians or care providers (for example, via the Practice Fusion network or via Direct Message), with an attached electronic summary of care document that can be viewed by the receiving clinician or care provider.

  • Secure Messaging (increases total ACI score by up to 10%): During the clinician’s reporting period in 2017, send as many secure messages as are appropriate to patients via the patient portal.

  • Medication Reconciliation (increases total ACI score by up to 10%): During the clinician’s reporting period in 2017, perform medication reconciliation for any patients that have been referred to the clinician as incoming transfer of care patients.

  • Patient-Specific Education (increases total ACI score by up to 10%): During the clinician’s reporting period in 2017, provide required patient-specific education resources to patients seen by the clinician.

  • Immunization Registry Reporting (increases total ACI score by 10%): During the clinician’s reporting period in 2017, the clinician must be in required active engagement with the clinician’s immunization registry.

To earn up to a 15% bonus for the ACI performance score, a clinician may also:

  • Report to one or more additional public health and clinical data registries beyond the Immunization Registry Reporting measure (5% bonus).

  • Use certified EHR technology to complete certain improvement activities in the Improvement Activities performance category (10% bonus).

More information

You can visit Practice Fusion’s Quality Payment Program resource center here.

Further details of the MIPS program requirements can be found here.

CMS also provides further resources about the Quality Payment Program here.

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