2017 ACI Transition Measure: View, Download, or Transmit (VDT)

Under the Merit-based Incentive Payment System (MIPS) pathway of the MACRA Quality Payment Program, the Advancing Care Information (ACI) category replaces the Medicare EHR Incentive Program (Meaningful Use). ACI is one of the four performance categories that will be considered and weighted for scoring an eligible clinician’s performance under MIPS. This measure is not required to achieve the ACI base score, but may be selected to earn additional performance score credit. For more information on ACI scoring methodology, please click here.


Patient Electronic Access


View, Download, or Transmit (VDT)                   

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

Scoring Information:

  • Required for Base Score (50%): No
  • Percentage of Performance Score (up to 90%): Up to 10%
  • No bonus points available

Reporting Requirements

  • Numerator: The number of unique patients in the denominator (or their authorized representatives) who have viewed online, downloaded, or transmitted to a third party the patient’s health information during the performance period.
  • Denominator: Number of unique patients seen by the MIPS eligible clinician during the performance period.

 Practice Fusion Suggested Workflow
Practice Fusion suggests the following workflow to ensure that you meet the requirements of this measure within the Practice Fusion EHR.

  1. Determine whether the patient has already been enrolled in Patient Fusion. If they have, you will not need to do anything else to meet this measure (as long as the patient’s PHR access has not been revoked).
  2. If the patient has not been enrolled in the PHR, enroll  the patient in Patient Fusion (the patient portal) from the patient’s chart.
  3. Ensure the patient completes their Patient Fusion registration and logs into his or her account during the 2017 performance period.

 2. Enroll the patient in Patient Fusion (Patient Portal)
In order for a patient to view, download, or transmit his or her health information, he or she must first be enrolled in the Patient Portal. To enroll a patient in the Patient Portal, you may use the Invite to patient portal link located in the patient’s chart header or opt to turn on the auto-invite feature in your Patient communications settings. For detailed instructions on Patient Portal (i.e. PHR) enrollment, please click here.

 3. Patient Fusion registration
After you invite your patient (or their authorized representative) to access his or her PHR, the patient will receive a registration email to the email address on record in his or her patient profile. They can then complete the registration process on their computer or mobile device to gain access to their Patient Portal account. For detailed instructions on how the registration process looks for each patient, please click here. Once registered, your patients must log into their Patient Portal at least once during the 2017 calendar year in order for you to gain credit for this measure.

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 the 2017 calendar year, regardless of the clinician’s selected performance period (i.e. 90 days or full year).
  • 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. (Note: Only the MIPS eligible clinician who signs the note will gain credit towards this measure.)
  • For information on earning numerator credit for this measure, see the Practice Fusion Suggested Workflow section above.
Data Validation
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.  

More information

  • Review the CMS specifications for more information about this measure.
  • For more information on the Merit-based Incentive Payment System (MIPS) program, you can visit Practice Fusion’s Quality Payment Program Center.
  • CMS also provides further resources about the Quality Payment Program here.

Quality Payment Program

  1. 2018 Quality Payment Program: What is the Merit-Based Incentive Payment System (MIPS)
  2. What is the MIPS Dashboard watch list and how do I use it?
  3. How does the MIPS Dashboard work?
  4. What is the Promoting Interoperability (formerly Advancing Care Information) performance category in MIPS?
  5. 2018 What is the Quality performance category in MIPS?
  6. 2018 What are Improvement Activities in MIPS?
  7. Which Improvement Activities qualify for the Promoting Interoperability performance category bonus in 2018?
  8. What is the Cost performance category of MIPS and how is it scored in 2018?
  9. How is the MIPS Final Score Calculated in 2018?
  10. What is a MIPS eligible clinician in 2018?
  11. MIPS for Small, Rural and Underserved Practices
  12. 2018 PI Transition Measure: Medication Reconciliation
  13. 2018 PI Transition Measure: Electronic Prescribing (eRx)
  14. 2018 PI Transition Measure: Secure Messaging
  15. 2018 PI Transition Measure: Security Risk Analysis
  16. 2018 PI Transition Measure: Health Information Exchange
  17. 2018 PI Transition Measure: Immunization Registry Reporting
  18. 2018 PI Transition Measure: Specialized Registry Reporting
  19. 2018 PI Transition Measure: Syndromic Surveillance Reporting
  20. 2018 PI Transitional Measure: View, Download, or Transmit (VDT)
  21. 2018 PI Transition Measure: Provide Patient Access
  22. 2018 PI Transition Measure: Patient-Specific Education
  23. What is the Practice Fusion QCDR?
  24. 2017 Quality Payment Program: What is the Merit-Based Incentive Payment System (MIPS)
  25. How do I report my 2017 MIPS data to CMS using the Practice Fusion QCDR?
  26. What is the Advancing Care Information (ACI) Performance Category for MIPS and how is it scored?
  27. 2017 ACI Transition Measure: Security Risk Analysis
  28. 2017 ACI Transition Measure: Electronic Prescribing (eRx)
  29. 2017 ACI Transition Measure: Provide Patient Access
  30. 2017 ACI Transition Measure: Health Information Exchange
  31. 2017 ACI Transition Measure: View, Download, or Transmit (VDT)
  32. 2017 ACI Transition Measure: Patient-Specific Education
  33. 2017 ACI Transition Measure: Secure Messaging
  34. 2017 ACI Transition Measure: Medication Reconciliation
  35. 2017 ACI Transition Measure: Immunization Registry Reporting
  36. 2017 ACI Bonus Measure: Syndromic Surveillance Reporting
  37. 2017 ACI Bonus Measure: Specialized Registry Reporting
  38. What is the Improvement Activities Performance Category for MIPS?
  39. What are the Quality performance category reporting requirements for MIPS?
  40. What is the difference between the two Advancing Care Information measure sets available in 2017?
  41. What are Alternative Payment Models (APMs) and Advanced APMs?
  42. What is Comprehensive Primary Care Plus (CPC+)?
  43. Which Improvement Activities Qualify for the Advancing Care Information (ACI) Bonus Score in 2017?
  44. How do I contact CMS about the Quality Payment Program?
  45. How do I indicate interest in the Practice Fusion QCDR and get my MIPS estimated scores?
  46. Chronic Care Management FAQs
  47. How do I export a JSON file for 2017 MIPS reporting?
  48. How is the MIPS Final Score Calculated in 2017?

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