Support Electronic Referral Loops by Receiving and Incorporating Health Information

For use with CEHRT certified to the 2015 cures update.

Measure Description

For at least one electronic summary of care record received for patient encounters during the performance period for which a MIPS eligible clinician was the receiving party of a transition of care or referral, or for patient encounters during the performance period in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician conducts clinical information reconciliation for medication, medication allergy, and current problem list.

* Reporting this measure, along with the Support Electronic Referral Loops by Sending Health Information measure, are an alternative to the HIE Bi-Directional Exchange measure, or the Enabling Exchange Under the Trusted Exchange Framework and Common Agreement (TEFCA) measure (HIE_5, or HIE_6)

  Objective Measure Maximum Points
  Health Information Exchange Support Electronic Referral Loops by Receiving & Incorporating Health Information 15 points

Reporting Requirements

Numerator

The number of electronic summary of care records in the denominator for which clinical information reconciliation is completed using CEHRT for the following three clinical information sets: (1) Medication – Review of the patient’s medication, including the name, dosage, frequency, and route of each medication; (2) Medication allergy – Review of the patient’s known medication allergies; and (3) Current Problem List – Review of the patient’s current and active diagnoses.

Denominator

Number of electronic summary of care records received using CEHRT for patient encounters during the performance period for which a MIPS eligible clinician was the receiving party of a transition of care or referral, and for patient encounters during the performance period in which the MIPS eligible clinician has never before encountered the patient.

Exclusions

Any MIPS eligible clinician who receives transitions of care or referrals or has patient encounters in which the MIPS eligible clinician has never before encountered the patient fewer than 100 times during the performance period.

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.

Scoring Information

• Required for Promoting Interoperability Performance Category Score: Yes, unless submitting one of the alternatives, HIE Bi-Directional Exchange measure (PI_HIE_5) or the Enabling Exchange Under TEFCA measure (PI_HIE_6) • Measure Score: 15 points • Eligible for Bonus Score: No


Tags

pi-2023