Clinical Information Reconciliation | MIPS ACI Measures for 2018 Reporting

This measure was retired for the 2019 performance year. View all 2019 PI measures here ->

For use with CEHRT certified to the 2015 edition.

Measure Description

For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation. The MIPS eligible clinician must implement clinical information reconciliation for the following three clinical information sets: (1) Medication. Review of the patient’s medication, including the name, dosage, frequency, and route of each medication. (2) Medication allergy. Review of the patient’s known medication allergies. (3) Current Problem list. Review of the patient’s current and active diagnoses.

Measure ID Objective Required for Base Score? Percentage of Performance Score
ACI_HIE_3 Health Information Exchange No up to 10%

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

The 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.

Definition of Terms & Additional Information

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.

Current problem lists – At a minimum a list of current and active diagnoses.

Active/current medication 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.

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