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 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