2018 PI Transitional Measure: View, Download, or Transmit (VDT)

Under the Merit-Based Incentive Payment System (MIPS) pathway of the MACRA Quality Payment Program, Promoting Interoperability (PI) is one of the four performance categories that will be considered and weighted for scoring an eligible clinician’s performance under MIPS.

In 2018, there are 2 measure set options for submission depending on the Certified EHR Technology (CEHRT) edition a clinician is using:

  • Promoting Interoperability Measures
  • Promoting Interoperability (PI) Transition Measures

Depending on the CEHRT Edition, there will be different objectives from which the MIPS eligible clinician may choose to report. This article outlines the measure details and specifications for the 2018 PI Transition Measure: View, Download, or Transmit (VDT).  

Measure Set

PI Transition Measures

Objective:

Patient Electronic Access

Measure:

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: No
  • Percentage of Performance Score: Up to 10%
  • Eligible for Bonus Score: No


Measure Requirements

  • Numerator: The number of unique patients (or their authorized representatives) in the denominator 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.

Scoring Requirements

  • To earn performance score credit with this measure under the PI performance category, a MIPS eligible clinician must meet the numerator requirements for as many denominator eligible patients as the clinician deems appropriate during the 2018 calendar year, regardless of the clinician’s selected performance period. 
  • 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 will gain credit towards this measure. For information on meeting the requirements of this measure in Practice Fusion, see the Practice Fusion Suggested Workflow section below.

Measure Requirements: Practice Fusion Suggested Workflow

Practice Fusion suggests the following workflow to help ensure that you meet the workflow requirements for this measure within the Practice Fusion EHR. See the Detailed Information about the Practice Fusion Suggested Workflow section below for screenshots of each step.

  1. Determine whether the patient has already been enrolled in Patient Fusion and that their portal access has not been revoked. You can check this by clicking on the Patient Portal status in the blue header of the patient chart.
  2. If the patient has not been enrolled in the PHR, ensure the patient has a valid email address recorded in their Practice Fusion EHR profile and enroll the patient in the Patient Portal (Patient Fusion) from the patient’s chart.
  3. Ensure the patient completes their Patient Fusion registration and logs into his or her account during the 2018 performance period. Logging into the PHR meets the measure requirements for “viewing” their health information online. Other actions that the patient may take in the PHR that count towards this measure include downloading data from the PHR and transmitting data from the PHR to a third party.

Detailed information about the Practice Fusion Suggested Workflow

1. 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.

2. 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 (pictured below) to the email address on record in his or her patient profile. The patient can then complete the registration process on their computer or mobile device to gain access to his/her Patient Portal account. Once registered, your patients must log into their Patient Portal at least once during the 2018 calendar year in order for you to gain numerator credit for this measure. Logging into the PHR meets the measure requirements for “viewing” their health information online.

Other information applicable to this measure

  • 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 2018 calendar year in order for you to gain numerator credit for this measure. Logging into the PHR meets the measure requirements for “viewing” their health information online.
  • Other actions that the patient may take in the PHR that count towards this measure include downloading data from the PHR and transmitting data from the PHR to a third party. For information on how patients can download or transmit data from the PHR, click here.

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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