Secure Messaging | 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 unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified electronic health record technology (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).

Measure ID Objective Required for Base Score? Percentage of Performance Score
ACI_CCTPE_2 Coordination of Care through Patient Engagement No Up to 10%

Reporting Requirements


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.


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

Definition of Terms & Additional Information

Secure Message – Any electronic communication between a provider and patient that ensures only those parties can access the communication. This electronic message could be email or the electronic messaging function of a PHR, an online patient portal, or any other electronic means.

Unique Patient – If a patient is seen by a MIPS eligible clinician more than once during the MIPS performance period, then for purposes of measurement, that patient is only counted once in the denominator for the measure. All the measures relying on the term ‘‘unique patient’’ relate to what is contained in the patient’s medical record. Not all of this information will need to be updated or even be needed by the provider at every patient encounter. This is especially true for patients whose encounter frequency is such that they would see the same provider multiple times in the same MIPS performance period.

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