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).
PI Transition Measures
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.
- 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.
- 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.
- 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.
- 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.
- 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.