Support Electronic Referral Loops by Sending Health Information

PI_HIE_1: Support Electronic Referral Loops by Sending Health Information

MEASURE DESCRIPTION

For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider — (1) creates a summary of care record using certified electronic health record technology (CEHRT); and (2) electronically exchanges the summary of care record.

 Must also participate in the Support Electronic Referral Loops by Receiving and Reconciling Health Information in tandem with this measure to meet the HIE option 1 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 MIPS eligible clinician was the transferring or referring clinician.

 Exclusion/Exceptions

Any MIPS eligible clinician who transfers a patient to another setting or refers a patient fewer than 100 times during the performance period.

 Required Measure

Yes, must have at least 1 in the numerator in order to report the PI category.

 Scoring

Up to 15 points.

 DEFINITION 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 clinician refers a patient to another, but the referring clinician 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.

 *Note: A MIPS eligible clinician must verify that the fields for current problem list, current medication list, and current medication allergy list are not blank and include the most recent information known by the MIPS eligible clinician as of the time of generating the summary of care document or include a notation of no current problem, medication and/or medication allergies.

 RESOURCES