- Numerator: The number of patients in the denominator for whom a secure electronic message is sent to the patient (or patient-authorized representative), or in response to a secure message sent by the patient (or patient-authorized representative), during the performance period.
- Denominator: Number of unique patients seen by the MIPS eligible clinician during the performance period.
Additional Measure Information
To earn performance score credit with this measure under the ACI performance category, a MIPS eligible clinician must meet the numerator requirements for as many denominator eligible patients as the clinician deems appropriate during his or her selected 2017 performance period. Each patient who is seen by the MIPS eligible clinician during the clinician’s selected performance period will count towards the measure denominator.
To gain denominator credit within the Practice Fusion EHR, patients must have at least one signed encounter note with a date of service from within the performance period and an encounter type of Office Visit, Home Visit, Nursing Home Visit, or Telemedicine Visit. Only the MIPS eligible clinician who signs the note receives credit. For information on earning numerator credit for this measure, see the Practice Fusion Suggested Workflow section below.
Practice Fusion Suggested Workflow
Practice Fusion suggests the following workflow to ensure that you gain numerator credit for this measure within the Practice Fusion EHR.
- Update your Patient communications settings to enable secure messaging under the Patient messages tab.
- Ensure that the patient you wish to message has enrolled in their Patient Fusion (patient portal) account - only patients with active patient portal accounts will be able to receive and send secure messages.
- Send the patient a secure message from the Messages section of your Practice Fusion EHR account, ensuring that you have “Patient” selected in the “To” drop-down so that your patient recipient list will populate.
1. Update your Patient communications settings
To get started, an account administrator must first enable secure messaging by clicking Settings in the upper right-hand corner of the EHR and selecting Patient Communications from the Patient engagement section.
Within the Patient Communication Settings, select the Patient Messages tab. To opt in to patient messaging, turn on the "Enable secure messaging" toggle button. Enabling or disabling patient messaging will update this setting for the entire practice. This setting must be enabled and stay enabled for the duration of your performance period to gain credit for this measure in Practice Fusion.
2. Send a secure message
After you enroll a patient in their PHR, the patient will need to complete their registration and log in to their Patient Fusion account in order to utilize the secure messaging feature, which allows them to send secure messages to your practice. We recommend that patients use Chrome or Firefox as their web browser when accessing their PHR for optimal functionality.
To send a secure message to a patient, navigate to the Messages section and click New Message. Select "Patient" in the To field and begin typing a patient's name. The recipient list will only show patients who have completed patient portal registration. Once you have composed your message, click Send.
For more information, please see:
In order to get performance score credit for this measure, do my patients need to message me and do I have to respond to my patient messages?
During the selected performance period, a secure message must be sent to at least one patient who was seen by the MIPS eligible clinician during the performance period in order to get numerator credit for this measure. Alternatively, the clinician can get credit for messaging a particular patient by responding to a secure message sent by the patient (or patient authorized representative) during the performance period.
CMS has published guidance to help providers better understand the documentation they should retain around meeting MIPS requirements. CMS calls this guidance "MIPS Data Validation Criteria" because it describes the types of documentation that would validate the data the provider submits to CMS at the end of the performance period. You can learn more about this by reviewing CMS’ MIPS Data Validation Fact Sheet and you can see the specific documentation guidelines applicable to the ACI Transition Measures in CMS’ MIPS Data Validation Criteria for ACI Transition Measures.