Objective Name
Electronic Prescribing
Participate in MIPS
Advancing Care Information Performance Category
As with Meaningful Use before it, successful participation in the MIPS ACI Performance Category requires use of Certified EHR Technology (CEHRT). In the first two boxes below, you can find the Advancing Care Information Measures you will need to report if you already have CEHRT in place.
Search Your EHRs Certification Status
If you are not already using CEHRT, you will need to get it in order satisfy the ACI Category. As you know, finding, evaluating, purchasing and implementing an EHR system is incredibly complex and even more expensive. ASPS has produced and identified resources that will help you navigate that process.
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Objective Name
Protect Patient Health Information
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2) electronically exchanges the summary of care record.
Objective Name
Health Information Exchange
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an electronic summary of care document.
Objective Name
Health Information Exchange
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 Programing Interface (API) in the MIPS eligible clinician's certified EHR technology.
Objective Name
Patient Electronic Access
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation. The MIPS eligible clinician must implement clinical information reconciliation 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. (3) Current Problem list. Review of the patient's current and active diagnoses.
Objective Name
Health Information Exchange
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data and receive immunization forecasts and histories from the public health immunization registry/immunization information system (IIS).
Objective Name
Public Health and Clinical Data Registry Reporting
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
Objective Name
Coordination of Care Through Patient Engagement
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Objective Name
Patient Electronic Access
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative).
Objective Name
Coordination of Care Through Patient Engagement
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician. An MIPS eligible clinician may meet the measure by either-(1) view, download or transmit to a third party their health information; or (2) access their health information through the use of an API that can be used by applications chosen by the patient and configured to the API in the MIPS eligible clinician's certified EHR technology; or (3) a combination of (1) and (2).
Objective Name
Coordination of Care Through Patient Engagement
The MIPS eligible clinician is in active engagement to submit data to a clinical data registry. Earn a 5 % bonus in the advancing care information performance category score for submitting to one or more public health or clinical data registries.
Objective Name
Public Health and Clinical Data Registry Reporting
The MIPS eligible clinician is in active engagement with a public health agency to electronically submit case reporting of reportable conditions. Earn a 5 % bonus in the advancing care information performance category score for submitting to one or more public health or clinical data registries.
Objective Name
Public Health and Clinical Data Registry Reporting
The MIPS eligible clinician is in active engagement with a public health agency to submit data to public health registries. Earn a 5 % bonus in the advancing care information performance category score for submitting to one or more public health or clinical data registries.
Objective Name
Public Health and Clinical Data Registry Reporting
The MIPS eligible clinician is in active engagement with a public health agency to submit syndromic surveillance data from a urgent care ambulatory setting where the jurisdiction accepts syndromic data from such settings and the standards are clearly defined. Earn a 5 % bonus in the advancing care information performance category score for submitting to one or more public health or clinical data registries.
Objective Name
Public Health and Clinical Data Registry Reporting
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Objective Name
Electronic Prescribing
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Objective Name
Health Information Exchange
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Objective Name
Protect Patient Health Information
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Objective Name
Patient Electronic Access
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.
Objective Name
Public Health Reporting
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Objective Name
Medication Reconciliation
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Objective Name
Patient Specific Education
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Objective Name
Secure Messaging
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
Objective Name
Patient Electronic Access
The MIPS eligible clinician is in active engagement to submit data to specialized registry. Earn a 5% bonus in the advancing care information performance category score for submitting to one or more public health or clinical data registries.
Objective Name
Public Health Reporting
The MIPS eligible clinician is in active engagement with a public health agency to submit syndromic surveillance data. Earn a 5 % bonus in the advancing care information performance category score for submitting to one or more public health or clinical data registries.
Objective Name
Public Health Reporting
Technical Assistance for CEHRT Implementation
In year one of MIPS, you can avoid a payment penalty even if you don’t have Certified EHR Technology (CEHRT) or report on ACI measures. In subsequent years, though, your MIPS final score will be compared to providers who are reporting on all MIPS performance categories, and successfully utilizing CEHRT will be critical to ensuring you earn a payment bonus.
An EHR certified under the 2015 edition of CEHRT will be necessary to participate in the Advancing Care Information Performance Category. Included below are a series of resources that will be of use as you identify, evaluate and implement new CEHRT into your practice. They walk you through the steps of planning and implementation, which include assessing your practice’s readiness and approach to selecting an EHR, selecting the appropriate EHR for your practice environment, as well as the logistics of bringing your EHR into your practice, from training through quality improvement.
- Find Certified Health IT Products (HealthIT.gov)
- Step-by-Step EHR Planning and Implementation Guide (HealthIT.gov)
- EHR System Implementation Guide (Health Resources & Services Administration)
- EHR ”Go-Live” Planning Checklist (National Learning Consortium)
- Searchable Database of EHR Implementation Resources (HealthIT.gov)
Financial Assistance for CEHRT Implementation
Purchasing and implementing CEHRT is an expensive proposition. There are resources available to assist with budgeting for CEHRT and a several avenues to explore for funding.