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.

Reporting requirements

The MIPS eligible clinician must attest “YES” to the following statements:

• I participate in an HIE 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 HIE that I participate in is capable of exchanging information across a broad network of unaffiliated exchange partners including those using disparate EHRs and doesn’t engage in exclusionary behavior when determining exchange partners.
• I use 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 MIPS eligible clinician refers a patient to another, but the referring MIPS eligible clinician 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 aren’t generally 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 MIPS Promoting Interoperability Performance Category Score: Yes, unless submitting one of the alternative measures: Support Electronic Referral Loops by Sending Health Information and Support Electronic Referral Loops by Receiving and Reconciling Health Information (PI_HIE_1 and PI_HIE_4), or Enabling Exchange Using the Trusted Exchange Framework and Common Agreement™ (TEFCA™) (PI_HIE_6)
• Measure Score: 30 points
• Eligible for Bonus Score: No