Promoting Interoperability is one of the four MIPS performance categories.
Reminder: Enroll in Quality measures in NextGen Office Administration: EHR Reporting and Quality Measures or within the NextGen Office MIPS Dashboard – Quality page.
Quality Payment Program Resource
Promoting Interoperability Requirements
2021 Performance Year Requirements
- Performance period: 90 continuous days or more
- Submit data for certain measures from each of the four objectives (unless exclusion is claimed).
- In addition to submitting measures, clinicians must attest Yes to all of the following:
- Prevention of Information Blocking Attestation
- ONC Direct Review Attestation
- Security Risk Analysis measure
Scoring
- Weight of final score: 25%
- Each measure is scored based on clinician performance by multiplying the performance rate (calculated from the submitted numerator and denominator) by the available points for the measure.
- Public Health and Clinical Data Exchange measures are awarded full points if Yes is submitted for two registries or one Yes and one exclusion.
- Must report on all required measures (submit a Yes/report at least 1 patient in the numerator, as applicable, or claim an exclusion) or earn a 0 for the PI performance category.
- If exclusions are claimed, the points for those measures are reallocated to other measures.
- Can earn 10 bonus points for attesting Yes to the optional Query of Prescription Drug Monitoring (PDMP) measure.
Hardship Exceptions
- May submit a Promoting Interoperability Hardship Exception Application for reasons such as small practice status or extreme and uncontrollable circumstances.
- An approved hardship exception means that the PI performance category receives 0 weight in calculating your final score and the 25% is redistributed to another performance category (or categories) unless you submit PI data.
MIPS Promoting Interoperability Objectives and Measures
For the objective's measure paper, click the Objective name below.
| Objective | Measure | Measure Description |
|---|---|---|
| e-Prescribing | Measure 1: e-Prescribing Measure 2: Query of Prescription Drug Monitoring Program (PDMP) |
e-Prescribing: At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT. Query of Prescription Drug Monitoring Program (PDMP) (optional): For at least one Schedule II opioid electronically prescribed using CEHRT during the performance period, the MIPS eligible clinician uses data from CEHRT to conduct a query of a Prescription Drug Monitoring Program (PDMP) for prescription drug history, except where prohibited and in accordance with applicable law. |
| Health Information Exchange | Measure 1: Support Electronic Referral Loops by Sending Health Information Measure 2: Support Electronic Referral Loops by Receiving and Reconciling Health Information Alternative Reporting Option: Health Information Exchange (HIE) Bidirectional Exchange |
Support Electronic Referral Loops by Sending 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:
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. Health Information Exchange (HIE) Bidirectional Exchange: The MIPS eligible clinician or group must attest that they engage in bidirectional exchange with an HIE to support transitions of care. |
| Provider to Patient Exchange | Provide Patients Electronic Access to Their Health Information | For at least one unique patient seen by the MIPS eligible clinician:
and
|
| Protect Patient Health Information | Security Risk Analysis | 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 CEHRT 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. |
| Public Health and Clinical Data Exchange | Measure 1: Immunization Registry Reporting Measure 2: Syndromic Surveillance Reporting Measure 3: Electronic Case Reporting Measure 4: Public Health Registry Reporting Measure 5: Clinical Data Registry Reporting |
The MIPS eligible clinician (EC) is in active engagement with a public health agency (PHA) or clinical data registry to submit electronic public health data in a meaningful way using certified EHR technology except where prohibited, and in accordance with applicable law and practice. |
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