Promoting Interoperability Objectives (formerly ACI Transition Measures)

Promoting Interoperability Transition Measures (formerly ACI Transition Measures)

Base Score Measures (50 Points)

* Security Risk Analysis
* E-Prescribing & Formulary Comparison
* Health Information Exchange (Summary of Care)
* Patient Online Access to Health Information within 4 business days

You must complete all 4 base score measures to receive 50 points. Completing some of the measures will NOT earn you partial credit. Failure to complete a security risk assessment will yield 0 points for the PI category. You only need to have 1 in the numerator for E-Prescribing, Health Information Exchange, and Patient Online Access, to receive credit as based score measures.

Performance Score Measures (Earn up to 90 Points):

* Immunization Registry Reporting = 0 or 10
* Health Information Exchange (Summary of Care) = 20
* Patient Online Access to Health Information within 4 business days = 20
* Medication Reconciliation = 10
* Patient Specific Education = 10
* Patient View/Download/Transmit their Health Information = 10
* Secure Messaging to patient = 10

You must complete all base score measures in order to earn any additional credit, up to 90 points, for the performance scored measures. Select the measures that best suit your practice.

Bonus Points (Earn up to 25 points):

* Using certain activities (PI Bonus) in the Improvement Activities category = 10
* Public Health and Clinical Data Registry Reporting not reported in Performance Score section = 0 to 5

You must complete all base score measures in order to earn any additional bonus points (up to 15 points).

Promoting Interoperability Hardship Exceptions

If you’re participating in MIPS during the 2018 performance year as an individual, group, or virtual group—or participating in a MIPS Alternative Payment Model (APM)—you can submit a Quality Payment Program Hardship Exception Application for the PI performance category, citing one of the following specified reasons for review and approval.

* MIPS-eligible clinicians in small practices (new for 2018)
* MIPS-eligible clinicians using decertified EHR technology (new for 2018)
* Insufficient Internet connectivity
* Extreme and uncontrollable circumstances
* Lack of control over the availability of certified electronic health record technology (CEHRT)

An approved Quality Payment Program Hardship Exception will:

* Reweight your PI performance category score to 0 percent of the final score.
* Reallocate the 25 percent weighting of the PI performance category to the Quality performance category.

Please note that simply not using CEHRT does not qualify you for reweighting of your PI performance category.

You must submit a hardship exception application by December 31, 2018 for CMS to reweight the PI performance category to 0 percent. The PI Hardship Application can be completed at: https://cmsqualitysupport.service-now.com/exception_application.do

Some clinicians who participate in MIPS are granted Special Status and will be automatically reweighted if they choose not to report on PI measures. Special Status clinicians do NOT need to submit a Quality Payment Program hardship exception application.

Special Status clinicians are identified as: Hospital-based clinicians, Non-patient Facing clinicians, NP, PA, Clinical Nurse Specialist, Certified Registered Nurse Anesthetists and Ambulatory Surgical Center (ASC) based clinicians.

View the objectives/measures specification facts, including how to achieve within ChartMaker Medical Suite, below:

Security Risk Analysis

Objective: Protect Patient Health Information

Measure: Security Risk Analysis

Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by CEHRT in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician’s risk management process.

Reporting Requirements

To meet this measure, eligible clinicians must attest YES to conducting or reviewing a security risk analysis and implementing security updates as necessary and correcting identified security deficiencies.

Scoring Information

Required for Base Score (50%): Yes

Percentage of Performance Score (up to 90%): 0

Eligible for Bonus Score: No

How do I achieve this measure?

In order to qualify for this measure, the provider must have a security management process in place to “implement policies and procedures to prevent, detect, contain and correct security violations.” The specifications require the practice to conduct an analysis of potential risks and vulnerabilities to the confidentiality, integrity, and availability of electronic health information.

Some examples of this may include, but are not limited to:

Perform Security Risk Analysis/ Assessment

Implement Security Policies, such as providing passwords to computers and installing anti-virus software, screensaver for auto-log off, changing options in Preferences > User Security in ChartMaker Clinical

Appoint a Security Official – Prepare and Implement Job Responsibilities

Implement Audit Control Policies& Procedures

Implement Automatic Log-off Processes

Install Virus Protection Software

Implement Firewall Technology

Review and Implement Computer Backup Policies and Procedures

Implement Facility Maintenance Log

Develop Facility Security and Contingency Plans

Create Computer Workstation Use Policies and Procedures

Obtain Signed Workforce Confidentiality Agreements form all Physicians and Staff

Create Workforce Termination Procedures

Implement Sanction Policy

As part of the process in creating such a manual, STI Managed Services can perform a basic Security Risk Analysis on network and hardware vulnerability for your office by request. The practice is responsible for maintaining HIPAA compliance; however STI will work with you to assure the Information Technology portion of the Security Risk Analysis is complete. Upon completion of your analysis, you will be informed of STI findings whether positive or negative. The analysis will include some, but not all, of the examples listed above.

This service is provided free of charge for Platinum level maintenance clients and for a fee for all other clients. Contact STI Managed Services (800-487-9135; option 2) for more information.

Please keep in mind that the analysis completed by STI or another IT vendor is only a subset of this measure. There are other requirements that must be completed by the practice itself. If your practice would like a more thorough analysis, we can recommend a vendor to do so.

Tools to complete the assessment:

HIT Security Risk Assessment Tool (Downloadable Tool to Complete Assessment -** MUST BE COMPLETED DURING YOUR REPORTING PERIOD DATE RANGE**)

E-Prescribing & Formulary Comparison

Objective: Electronic Prescribing

Measure: E-Prescribing & Formulary Comparison

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.

Reporting Requirements:

NUMERATOR: The number of prescriptions in the denominator generated, queried for a drug formulary, and transmitted electronically using CEHRT.
DENOMINATOR: Number of prescriptions written for drugs requiring a prescription in order to be dispensed other than controlled substances during the performance period; or number of prescriptions written for drugs requiring a prescription in order to be dispensed during the performance period.
Exclusion: Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the 2017 performance period.

Scoring Information:

Required for Base Score (50%): Yes
Percentage of Performance Score (up to 90%): 0%
No bonus points available

How do I achieve this measure?

The clinician needs to enter a new or renewed prescription in the patient’s EMR and send it electronically during their performance period. The denominator is achieved when the prescription is entered in a patient’s chart. The numerator is achieved when the prescription is sent electronically. ChartMaker’s Drug Formulary function is automatically turn on. You only need ONE in the numerator to receive credit for this base score measure.

NOTE: If a clinician does not write ANY prescriptions during their performance period they can report that they meet the exclusion. As long as the other 3 base score measures are completed, the clinician will receive 50 points with the eRx exclusion.

Enter a new prescription in the patient’s EMR and send it electronically:

Open a chart note for the patient, then click the Medication button, and then click Add Medication to prescribe a new medication.
Enter the medication in the search window, then click the Search button.
Highlight the medication in the results window, and then click the Select button.

In the Prescribe Medication dialog, enter or select information for all appropriate fields. If the clinician’s preference is set to E-Prescribe, then the Transmission method will default to E-Prescribe. If not, click the Transmission drop-down, and select E-Prescribe.
When all the information has been configured, click the Next button.

Select the patient’s Pharmacy, if they have more than one on file, and then click the Confirm button.

Enter a renewed prescription in the patient’s EMR and send it electronically:

Open a chart note for the patient, then click the Medication button, then click Renew Medication, and then select the applicable Medication from the list.

In the Prescribe Medication dialog, all the appropriate fields will populate as it was previously prescribed. If the clinician’s preference is set to E-Prescribe, then the Transmission method will default to E-Prescribe. If not, click the Transmission drop-down, and select E-Prescribe.
When all the information has been configured, click the Next button.
Select the patient’s Pharmacy, if they have more than one on file, and then click the Confirm button.

Set Clinician’s preference to “E-Prescribe” (Optional)

The clinician will have to log into Clinical.
Click Edit > Preferences.
In the Preferences dialog, click the Prescription tab.
In the Default Destination field, select E-Prescribe.
Click the Set button, and then click the OK button.

Health Information Exchange (Summary of Care)

Objective: Health Information Exchang

Measure: Send a Summary of Care

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.

Reporting Requirements

NUMERATOR: The number of transitions of care and referrals in the denominator where a summary of care record was created using CEHRT and exchanged electronically.
DENOMINATOR: Number of transitions of care and referrals during the performance period for which the EP was the transferring or referring health care clinician.

Scoring Information

Required for Base Score (50%): Yes
Percentage of Performance Score (up to 90%): Up to 20%
No bonus points available.

How do I achieve this measure?

The clinician must electronically send a Transition of Care (or CDA) document to the provider they have referred their patient to. The denominator count is captured when a TOC is generated or the clinician documents who they are referring their patient to through the use of the Referral button. You receive credit towards the numerator once the TOC is sent electronically to that provider. The two requirements, create a TOC and send it electronically, can both be achieved through Direct Messaging.

To generate and send a Transition of Care Summary through Direct Messaging

Open the patient’s clinical chart.
Click To-Do > Direct Messaging > Send New Message.

Click the To button.

Enter the last name of the provider you are sending the document to. Enter city, state and addition fields to narrow the search results.
Click the Search button.
Click the provider in the search result window to highlight, and then click the To button.
Click the OK button.

8. Click the From drop-down arrow, and select the Provider who is sending the document.

9. You must enter a Subject in the corresponding field.

10. Click the Generate and Attach CDA button.

In the Provider Selection field, select the Provider, and then click the Save button.

In the Patient Information Document Exclusions dialog, check items you want to exclude, and then click the OK button.

When the export is complete, click the OK button.

Click the Send button.

The direct message must be successfully delivered for credit to be given. To check the status of direct messages, click the To-Do > Direct Messaging > View Sent Messages.
In the User field in the Direct Messages Sent dialog, change the User to the person who sent the message. A status of Delivered in the Status column is required to get credit for this measure.

To document the transition of care through the Referral Button (Optional):

NOTE: You may use the Referral button in an office visit note to document who you are referring your patient but this will only get you in the denominator. You must generate and send the Transition of Care Summary through Direct Messaging to receive credit in the numerator.

In an office visit note, click the Referral button.
In the Referrals dialog, click the New button.

Click the Choose Provider button, then search and highlight the applicable provider name, and then click the OK button.
Select at least one Diagnosis in the corresponding fields.
Enter any Comments, if applicable.
Click the OK button.
In the Referrals dialog, click the OK button.

Patient Online Access to Health Information within 4 business days

Objective: Patient Electronic Access

Measure: Patient Online Access to Health Information within 4 business days

At least one patient seen by the MIPS eligible clinician during the performance period where the patient (or patient-authorized representative) is provided timely access to view online, download, and transmit their health information subject to the MIPS eligible clinician’s discretion to withhold certain information.

Reporting Requirements

• NUMERATOR: The number of patients (or patient authorized representative) in the denominator who are provided timely access to their health information to view online, download, or transmit to a third party. Do note, that for a patient to be counted in the numerator, they must be provided timely access (within 4 days) to their health information each time they are seen (where a note is created or a lab/result is imported) within the performance period. If there is one instance where a patient did not receive online access to their health information, then they can never get numerator credit for that reporting period.

• DENOMINATOR: The number of unique patients seen by the MIPS eligible clinician during the performance period.

Scoring Information

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

How do I achieve this measure

You must be enrolled with ChartMaker® PatientPortal service.

The EC must have completed and signed an office note with a valid CPT code. Authorization must be sent, within 4 business days of the visit, to either the patient or patient’s authorized representative, for them to register for the PatientPortal.

Likewise, the patient must be provided timely access (within 4 days) to their health information every time they are seen (where a note is created or a lab/result is imported) within the performance period. If there is one instance where a patient did not receive online access to their health information, then they can never get numerator credit for that reporting period.

To enroll to receive ChartMaker® PatientPortal service:

Go to: https://sticomputer.com/register-patientportal/ and complete the Register PatientPortal enrollment form to register your practice for the ChartMaker PatientPortal service.

To enroll/authorize the patient for the Patient Portal (with or without an email):

1. In Practice Manager, click the Patient tab, and then access the patient’s account.

2. In the Patient tab, click the Patient Access button.

3. In the Patient Portal account settings section of the Patient Access dialog, click the first Authorize button option if the patient provides you with their email address; or, click the second Authorize option if the patient does not have an email address.

NOTE: If the patient does not have an email address - Give printed instructions to the patient and encourage them to complete registration later.

4. After you click the Authorize button, an Authorize Patient dialog will appear outlining the option selected. Click the Yes button to confirm you want to authorize the patient to use the Patient Portal.

5. When finished, click the OK button in the Patient Access dialog.

6. The Patient Access button will now show as yellow, indicating a pending registration. The button will turn green once the patient completes the registration process. In the Patient screen, click the Save button to close the patient’s account.

Steps taken by the patient to complete registration and login to the Patient Portal

NOTE: This does not need to be complete by the patient for the EC to receive credit for this measure.

1. The patient will receive an email regarding their Patient Portal registration.

2. Click the link to access the Patient Portal to complete registration.

3. Fill out the required information (Username, Date of Birth, Password, Confirm Password, Security Question and Answer).

NOTE: The Date of Birth must match what is documented in Practice Manager/Clinical.

4. Accept the Terms of Use along with typing the security characters that are displayed in the picture.

5. When finished, click Register.

How do I achieve this measure using the 2018 Measure?

You must be enrolled with ChartMaker® PatientPortal service and provide API Access.

Likewise, the patient must be provided timely access (within 4 days) to their health information every time they are seen (where a note is created or a lab/result is imported) within the performance period. If there is one instance where a patient did not receive online access, then they can never get numerator credit for that reporting period.

To enroll to receive ChartMaker® PatientPortal service:

Go to: https://sticomputer.com/register-patientportal/ and complete the Register PatientPortal enrollment form to register your practice for the ChartMaker PatientPortal service.

To enroll/authorize the patient for the PatientPortal (with or without an email) and provide API access:

1. In Practice Manager, click the Patient tab, and then access the patient’s account.

2. In the Patient tab, click the Patient Access button.

NOTE: If the patient does not have an email address - Give printed instructions to the patient and encourage them to complete registration later.

5. In the API Access section, check the Enable this patient for API access. A new Authentication code will be generated.

6. Check the Print this patient's authentication code option if you want to print the authentication code for the patient after saving; or check the Send an email to this patient with their authentication code option if you want the system to send an email to the email address on the Patient screen after saving. Do note, that when the Send an email option is selected, the email sent will not be encrypted, therefore, we suggest that you only use this option for API access if the patient authorizes you to send it that way.

NOTE: If an email address is not entered for a patient, you will only have the option to print the authentication code. If an email is entered, you can choose whichever manner the patient wishes to receive the code.

7. When finished, click the OK button in the Patient Access dialog.

8. The Patient Access button will now show as yellow, indicating a pending registration. The button will turn green once the patient completes the registration process. In the Patient screen, click the Save button to close the patient’s account.

Steps taken by the patient to complete registration and login to the Patient Portal

NOTE: This does not need to be complete by the patient for the EC to receive credit for this measure.

1. The patient will receive an email regarding their Patient Portal registration.

2. Click the link to access the Patient Portal to complete registration.

3. Fill out the required information (Username, Date of Birth, Password, Confirm Password, Security Question and Answer).

NOTE: The Date of Birth must match what is documented in Practice Manager/Clinical.

4. Accept the Terms of Use along with typing the security characters that are displayed in the picture.

5. When finished, click Register.

Immunization Registry Reporting

Objective: Public Health Reporting

Measure: Immunization Registry Reporting

The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.

Reporting Requirements

To meet this measure, MIPS eligible clinicians must attest YES to being in active engagement with a public health agency to submit immunization data.

Scoring Information

Required for Base Score: No
Percentage of Performance Score: 0 or 10%
Eligible for Bonus Score: No

How to achieve this measure?

Any EC who administers any immunizations must be registered with a Public Health Registry to electronically submit immunization information on their pediatric and/or adult patients. The EC will be in compliance with this measure if they register no later than 60 days from the first day of your reporting period.

To enroll with your state’s Public Health Registry for immunization reporting:

Contact STI at 610-650-9700 to begin the enrollment process
The is no additional cost for this service
STI will configure your system and provide the necessary training

To document immunizations given in ChartMaker Clinical

Open the patient’s chart and create a note.
Select the applicable immunization procedure from a procedure checklist.

Enter the appropriate immunization procedure information, and then click the OK button.

To generate an immunization batch file (manually for non-bi-directional registries):

In Practice Manager, click Add-Ins > Run > Generate Immunization Batch File.

In the Format dropdown, select the applicable Registry.
Select the appropriate Practice.

NOTE: Leave the Provider field blank.

(Optional) Select the applicable Facility.

NOTE: Depending on the registry, Facility may or may not be required. The states of DE and NY as well as the city of Philadelphia’s KIDS registry require the Facility.

Enter the Start and End Dates for the appropriate time range.
Specify the Output Directory.

NOTE: This is typically a folder located on your Desktop called, “Immunization Batch Files.”

Specify the File Name (i.e., 1234567Vaccine121720012.HL7)

NOTE: It is recommended to include the date the file is created for distinction. Use the file extension of .HL7 (instead of .asc).

Click the Save button, or click File > Save As.
Close the Vaccine Registry dialog by clicking the X in the upper-right corner.

NOTE: If this is your first time generating a file, you will be prompted to save your default Office Location and Site ID.

Complete the following steps to set up your Office Locations:

a) Click the OK button when prompted.

b) In the Registry Format field, select the applicable Registry.

c) Click the Lookup button to select the default Office Location. Highlight the appropriate Facility, and then click the OK button.

d) Enter your practice’s Site ID.

e) Click the Add button.

f) Repeat steps C – E, as needed.

g) Check the Default box for the default Facility.

h) Click the Save button.

NOTE: Two files will be created in the location you selected to save the file: The HL7 file and a zipped version of the HL7 file.

To upload an immunization batch file to a state registry:

Follow the steps provided by an STI representative or the immunization registry’s representative to upload the HL7 file.

For Bi-Directional Immunization instructions: See our Quick Reference Card

Medication Reconciliation

Objective: Medication Reconciliation

Measure: Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

Reporting Requirements

NUMERATOR: The number of transitions of care or referrals in the denominator where the following three clinical information reconciliations were performed: medication list, medication allergy list, and current problem list.
DENOMINATOR: Number of transitions of care or referrals during the performance period for which the MIPS eligible clinician was the recipient of the transition or referral or has never before encountered the patient.

Scoring Information

Required for the Base Score: No
Percentage of Performance Score: Up to 10%
Eligible for bonus score: No

How do I achieve this measure?

The EC documents their clinical reconciliation through the Medication Reconciliation button, along with selecting a valid CPT code for that office visit on a new patient or on a patient that was referred to them by another provider. The denominator is calculated by the CPT code and when Yes is selected for the method of referral or new patient within the Medication Reconciliation button. The numerator count is captured when “Yes” is selected that a reconciliation was performed.

To document a medication reconciliation was performed:

In a chart note, click the Medication Reconciliation button.

2. Select Yes to the appropriate method of referral and/or if they are a new patient, and Yes that Medication Reconciliation was performed, and then click the OK button.

3. In the same note, enter an appropriate CPT code for the office visit.

NOTE: An alternative method is through the use of a procedure checklist with valid codes in lieu of the Medication Reconciliation button. STI does recommend that you update your template(s) with the Medication Reconciliation button.

Patient Specific Education

Objective: Patient Electronic Access

Measure: Patient Specific Education

The MIPS eligible clinician must use clinically relevant information from 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.

Reporting 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 Information

Required for the Base Score: No
Percentage of Performance Score: Up to 10%
Eligible for bonus score: No

How do I achieve this measure?

The EC must provide their patient with printed educational material that is clinically relevant. This action is documented in an office visit note through the “Educational Materials” button which will count towards the numerator count. The denominator count is achieved by selecting a valid CPT code for the office visit within the same note.

In a patient note, you will have the option to select from your predefined list, or from information found on MedlinePlus.

To document educational materials using the Education Materials button

In an office visit note, click the Education Materials button.

Check the applicable item(s) from your predefined list, OR, click the MedlinePlus icon.

In the MedlinePlus dialog, search by selecting one of the patient’s Diagnoses, Medications, or Labs that appear in the top section, or type the subject you are looking for into the search box, and then click the Go button.
After selecting the appropriate item, click the Save button, or the Print and Save button.

In the Education Materials dialog, click the OK button.
Enter an appropriate CPT code and sign your note.

To add educational material options to the database

Go to Edit > System Tables > Education Materials.

Click the Add button.
Type the description of the educational resource.

NOTE: Repeat steps 2-3 for any additional educational resource options before clicking the OK button.

When finished, click the OK button.

Patient View/Download/Transmit their Health Information

Objective: Coordination of Care Through Patient Engagement

Measure: Patient View/Download/Transmit their Health Information

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.

Reporting 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 Information

Required for the Base Score: No
Percentage of Performance Score: Up to 10%
Eligible for bonus score: No

How do I achieve this measure?

EC will need to be enrolled to receive ChartMaker® PatientPortal service.

The EC will need to enter a valid CPT code in their office visit note and submit health information for their patient through the ChartMaker® PatientPortal. The EC will need to Provide Patient Access first through Practice Manager, and the patient must verify the registration before an exchange of information can occur.

Once the registration is verified, ChartMaker Clinical will automatically send updates at a preconfigured amount of time. The patient must also log into their PatientPortal account and either view Clinical Summaries or Lab Reports, download or transmit their information to a third party.

To enroll to receive ChartMaker® PatientPortal service:

Go to: https://sticomputer.com/register-patientportal/ and complete the Register PatientPortal enrollment form to register your practice for the ChartMaker PatientPortal service.

To enroll/authorize the patient for the PatientPortal (with or without an email):

In Practice Manager, click the Patient tab, and then access the patient’s account.
In the Patient tab, click the Patient Access button.

In the Patient Portal account settings section of the Patient Access dialog, click the first Authorize button option if the patient provides you with their email address; or, click the second Authorize option if the patient does not have an email address.

NOTE: If the patient does not have an email address - Give printed instructions to the patient and encourage them to complete registration later.

After you click the Authorize button, an Authorize Patient dialog will appear outlining the option selected. Click the Yes button to confirm you want to authorize the patient to use the Patient Portal.

When finished, click the OK button in the Patient Access dialog.
The Patient Access button will now show as yellow, indicating a pending registration. The button will turn green once the patient completes the registration process. In the Patient screen, click the Save button to close the patient’s account.

Steps taken by the patient to complete registration and login to the Patient Portal

1. The patient will receive an email regarding their Patient Portal registration.

2. Click the link to access the Patient Portal to complete registration.

3. Fill out the required information (Username, Date of Birth, Password, Confirm Password, Security Question and Answer).

NOTE: The Date of Birth must match what is documented in Practice Manager/Clinical.

4. Accept the Terms of Use along with typing the security characters that are displayed in the picture.

5. When finished, click Register.

Complete one or all of the following actions: a) view Clinical Summaries by clicking Clinical Summaries, b) view Lab results by clicking Lab Results, c) download information by either going to Clinical Summaries or Lab Reports, and then clicking Download, or d) transmitting a Clinical Summary or Lab Report by going to Messages, and then clicking Send a Direct message.

Secure Messaging to patient

Objective: Coordination of Care Through Patient Engagement

Measure: Secure Messaging to patient

For at least one patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient authorized representative), or in response to a secure message sent by the patient (or the patient authorized representative), during the performance period.

Reporting Requirements

DENOMINATOR: Number of unique patients seen by the MIPS eligible clinician during the performance period.
NUMERATOR: The number of patients in the denominator for whom a secure electronic message is sent to the patient (or patient-authorized representative), or in response to a secure message sent by the patient (or patient-authorized representative), during the performance period.

Scoring Information

Required for Base Score (50%): No
Percentage of Performance Score (up to 90%): Up to 10%
No bonus points available

How do I achieve this measure?

The EC sends a new or replied secure message to a patient through ChartMaker® PatientPortal. The secure message and an office visit must occur within the clinician’s reporting period. All message types will count toward the calculation of this measure.

To send the patient a new secure message: