Measure description
For at least one unique patient seen by the MIPS eligible clinician: 1. The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and 2. The MIPS eligible clinician ensures the patient’s health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programming Interface (API) in the MIPS eligible clinician’s certified electronic health record (EHR) technology (CEHRT).
| Objective | Measure | Maximum points | |
|---|---|---|---|
| Provider to Patient Exchange | Provide Patients Electronic Access to Their Health Information | 25 points |
Reporting requirements
Numerator
Number of patients in the denominator (or patient authorized representatives) who are provided timely access to health information to view online, download, and transmit to a third party and to access using an application of their choice that is configured to meet the technical specifications of the API in the MIPS eligible clinician’s CEHRT.
Denominator
Number of unique patients seen by the MIPS eligible clinician during the performance period.
Definition of terms and additional information
API or Application Programming Interface – A set of programming protocols established for multiple purposes. APIs may be enabled by a health care provider or provider organization to provide the patient with access to their health information through a third-party application.
Provide access – When a patient possesses all necessary information needed to view, download, or transmit their information. This could include providing patients with instructions on how to access their health information, the website address they must visit for online access, a unique and registered username or password, instructions on how to create a login, or any other instructions, tools, or materials that patients need to view, download, or transmit their information.
Timely access – Within 4 business days of the information being available to the MIPS eligible clinician.
Unique patient – If a patient is seen by a MIPS eligible clinician more than once during the 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 information will need to be updated or even be needed by the MIPS eligible clinician at every patient encounter.
This is especially true for patients whose encounter frequency is such that they would see the same MIPS eligible clinician multiple times in the same performance period.
Scoring Information
• Required for MIPS Promoting Interoperability Performance Category Score: Yes
• Measure Score: 25 points
• Eligible for Bonus Score: No