2018 PI Transition Measure: Patient-Specific Education

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: Patient-Specific Education.

Measure Set

PI Transition Measures

Objective:

Patient-Specific Education

Measure:

Patient-Specific Education                  

The MIPS eligible clinician must use clinically relevant information from certified EHR technology (CEHRT) to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

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 patients in the denominator who were provided access to patient-specific educational resources using clinically relevant information identified from CEHRT during the performance period.
  • Denominator: The number of unique patients seen by the MIPS eligible clinician during the performance period.

Scoring Requirements

  • This measure is not required to achieve the PI base score, but may be selected to earn additional performance score credit.
  • 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 (i.e. 90 days or full year).

Measure Denominator Requirements

  • 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.
  • Please note that only the MIPS eligible clinician who signs the note receives credit. Every patient who is seen by the MIPS eligible clinician during the clinician’s selected performance period who meets denominator requirements will count towards the measure denominator.
  • For information on meeting the requirements of this measure in Practice Fusion, see the Practice Fusion Suggested Workflow section below.

Measure Numerator Requirements: Practice Fusion Suggested Workflow

Practice Fusion suggests the following workflow to help ensure that you meet the numerator requirements for this measure within the Practice Fusion EHR.

  1. When recording a diagnosis, lab order, or medication for a patient, click on the Patient education materials link as shown in Graphic 1 below.

  2. The linked Infobutton materials will open in a new window or tab in your web browser and you can provide the available education resources to the patient via the method of your choice (e.g. print, verbally sharing, etc.).

    1. The Practice Fusion EHR leverages Infobutton content from Medline Plus. For information on how to configure your EHR to an alternative Infobutton content source, click here.

  3. Provided the patient has an eligible visit from within your selected reporting period, education materials may be accessed and provided at any time during the 2018 calendar year to gain numerator credit for this measure.

Graphic 1: Patient Education Links

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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