2018 PI Transition Measure: Provide Patient Access

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: Provide Patient Access.  

Measure Set

PI Transition Measure

Objective:

Patient Electronic Access

Measure:

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the eligible clinician’s discretion to withhold certain information.

Scoring Information:

  • Required for Base Score: Yes
  • Percentage of Performance Score: Up to 20%
  • Eligible for Bonus Score: No

Measure Requirements

  • Numerator: The number of patients in the denominator (or patient authorized representative) who are provided timely access to health information to view online, download, and transmit to a third party.
  • Denominator: The number of unique patients seen by the MIPS eligible clinician during the performance period.

Scoring Requirements

  • To earn base score numerator credit for this measure, at least one patient seen by the MIPS eligible clinician during the performance period must be provided timely access to view online, download, and transmit to a third party their health information within 4 business days of the patient’s relevant encounter. Every 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.
  • To earn further numerator credit for the performance score component of this measure, the MIPS eligible clinician may complete the numerator requirements detailed above for as many additional denominator eligible patients as the clinician deems appropriate during his or her selected 2018 performance period. 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. From the patient chart, use the Invite to Patient Portal link in the patient header to begin the Patient Fusion (patient portal) enrollment process. Ensure that you complete this process for the patient within four business days of the date of service on the patient encounter.
  2. Ensure that you have entered a valid email address and phone number for the patient or for their patient-authorized representative before sending the invitation email.
  3. Confirm that the information you have entered in the invite window is correct prior to clicking Invite.  

Detailed information about the Practice Fusion Suggested Workflow

1. Open the patient chart and click the Invite to Patient Portal link in the patient’s chart header.

2. Enter the patient's email address and phone number, then click Invite to patient portal. You may also invite a patient-authorized representative such as a family member, caregiver, or guardian to access the patient's health record by clicking Add Users.

3. You will be prompted to review the information, then confirm the invitation by clicking Invite.

Anyone in your practice who is enabled to manage Patient Portal access can enroll patients in the Patient Portal. The clinician who signs the patient encounter that occurs during the performance period will still gain credit towards this measure in his/her MIPS Dashboard.

Patient Portal auto-invite

If you would like to automatically invite all patients you see to join the Patient Portal, you can opt to use the auto-invite feature. Please note that in order to effectively use the auto-invite feature for this measure, you must ensure the following:

  • Your chart notes are signed within 4 business days of the chart note’s date of service.
  • The patient is between 18-85 years of age.
  • The patient has a valid email address and phone number entered in their profile.

For more detailed information on enabling the Patient Portal auto-invite feature, please click here.

FAQs

  • What if a patient has more than one office visit during the performance period?

If a patient has multiple encounters notes from during the selected performance period, numerator credit can be achieved for this measure as long as the patient is invited to enroll in their Patient Portal within 4 business days of any one of those encounters. The patient will be included in the denominator after the first encounter during the performance period.

  • What if the patient was enrolled in the Patient Portal prior to the performance period?

If a patient has been granted access to their Patient Portal account prior to his or her first encounter of the performance period, measure credit will be accounted for once the chart note for the first encounter has been signed.

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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