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MIPS PI Measure – Health Information Exchange (HIE) Bi-Directional Exchange

Contents

The MIPS eligible clinician or group must attest that they engage in bidirectional exchange with an HIE to support transitions of care.

Measure Overview

Objective: Health Information Exchange

Measure: The MIPS eligible clinician or group must attest that they engage in bidirectional exchange with an HIE to support transitions of care.

Measure ID: PI_HIE_5

Exclusion: None

Exclusion ID: Not Applicable

2021-MIPS-PI-Health-Information-Exchange-HIE-Bi-Directional-ExchangeDownload

Definitions of Terms

Transition of Care
The movement of a patient from one setting of care (hospital, ambulatory primary care practice, ambulatory specialty care practice, long-term care, home health, rehabilitation facility) to another. At a minimum, this includes all transitions of care and referrals that are ordered by the MIPS eligible clinician.
Referral
Cases where one provider refers a patient to another, but the referring provider maintains his or her care of the patient as well.
Current Problem List
At a minimum a list of current and active diagnoses.
Active/Current Medication List
A list of medications that a given patient is currently taking.
Active/Current Medication Allergy List
A list of medications to which a given patient has known allergies.
Allergy
An exaggerated immune response or reaction to substances that are generally not harmful.

Measure Reporting

YES/NO

The MIPS eligible clinician must attest YES or TRUE to the following:

  • I participate in an HIE in order to enable secure, bi-directional exchange to occur for every patient encounter, transition or referral, and record stored or maintained in the EHR during the performance period in accordance with applicable law and policy.
  • The HIE that I participate in is capable of exchanging information across a broad network of unaffiliated exchange partners including those using disparate EHRs, and does not engage in exclusionary behavior when determining exchange partners.
  • I use the functions of CEHRT to support bi-directional exchange with an HIE.

Measure Scoring

  • Required for Promoting Interoperability Performance Category Score: Yes, if submitting as an alternative to the Support Electronic Referral Loops by Sending Health Information and the Support Electronic Referral Loops by Receiving and Reconciling measures (HIE_1 and HIE_4)
  • Measure Score: 40 Points
  • Eligible for Bonus Score: No

Note: In order to earn a score greater than zero for the Promoting Interoperability performance category, MIPS eligible clinicians must:

  • Submit a “yes” to the Prevention of Information Blocking Attestations; and
  • Submit a “yes” to the ONC Direct Review Attestation, if applicable; and
  • Submit a “yes” that they have completed the Security Risk Analysis measure during the calendar year in which the MIPS performance period occurs; and
  • Report the required measures from each of the four objectives.

Freedom | EHR Workflow

MIPS Conformance Calculation

The MIPS eligible clinician or group must attest YES that they engage in bidirectional exchange with an HIE to support transitions of care.

How To:

After completing the requirements for this objective, you can manually attest to the objective and its associated measure from the MIPS Conformance > Attestation Tab.

Attention
In order to attest to the Bi-Directional Exchange objective and measure, your database must be configured to have an interface with a 3rd party Health Information Exchange (HIE). Please contact EHR Support at (402) 905-3168 in advance if you are interested in exchanging data with an (HIE). Please note that interface configuration and setup can take up to 120 days depending on the HIE’s interface and data validation requirements. One-time interface setup and configuration fees may apply.

Updated on July 14, 2021
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