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Health Information Exchange (HIE) Bi-Directional Exchange | MIPS PI Measures for 2022 Reporting


For use with CEHRT certified to the 2015 edition.

Measure Description

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

Objective Measure Maximum Points
Health Information Exchange Health Information Exchange (HIE) Bi-Directional Exchange 40 points*

* This measure is 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).

Reporting Requirements

The MIPS eligible clinician must attest YES to the following:

  • The eligible clinician participates 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 eligible clinician HIE 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.
  • The eligible clinician uses the functions of CEHRT to support bi-directional exchange with an HIE.

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.

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 lists – 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.

Health Information Exchange: “HIE” broadly refers to arrangements that facilitate the exchange of health information, and may include arrangements commonly denoted as exchange “frameworks,” “networks,” or using other terms.