Health Information Exchange (HIE) Bi-Directional Exchange

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.

* This measure is an additional alternative to the Support Electronic Referral Loops by Sending Health Information and the Support Electronic Referral Loops by Receiving and Reconciling Health Information measures, or the Enabling Exchange Under the Trusted Exchange Framework and Common Agreement (TEFCA) measure(HIE_1 and HIE_4, or HIE_6) 

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 and 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.

Scoring information

• 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 (PI_HIE_1 and PI_HIE_4) or an alternative to the Enabling Exchange Under TEFCA measure (PI_HIE_6)
• Measure Score: 30 points
• Eligible for Bonus Score: No