Promoting Interoperability

MIPS Performance Category

The Promoting Interoperability (PI) performance category replaced Meaningful Use. It is achieved through the sharing of information with other clinicians or the patient in a comprehensive manner. This may include the sharing of test results, visit summaries, and therapeutic plans with the patient and other facilities to coordinate care.

Scroll down to view a summary of the Promoting Interoperability performance category, as well as the full list of 39 available measures for 2019.

Or click a tab below to learn more about MIPS or any of the other three Performance Categories.


Promoting Interoperability: 2019 Key Facts


25%


For 2019, the Promoting Interoperability category makes up 25% of a provider’s final score, which is the same as 2018.

Meeting the Requirements


The Promoting Interoperability performance category is all about sharing data, with both providers and patients. More than that, it’s about sharing data in a modern way, i.e. through Electronic Health Record (EHR) platforms. Providers must utilize a platform certified as a 2015 Edition CEHRT. Providers are also required to perform a Security Risk Assessment.

Scoring


Scoring for this category has been simplified for 2019. Providers are scored by multiplying their calculated performance rate by the number of available points for the category. Clinicians can earn up to 5 bonus points each for submitting data on the following optional measures: “Query of Prescription Drug Monitoring (PDMP)” and
“Verify Opioid Treatment Agreement”

Browse the Full List of 2019 Promoting Interoperability Measures

For the 2019 MIPS Performance Year, there are 39 Promoting Interoperability Measures, broken up into four separate objectives. Providers must submit data for measures from each of the 4 objectives over a timespan of 90 or more continuous days.

Clinical Data Registry Reporting

The MIPS eligible clinician is in active engagement to submit data to a clinical data registry.

Measure ID

PI_PHCDRR_5

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

Yes

Performance Score Weight

None

Clinical Data Registry Reporting Exclusion

Any MIPS eligible clinician who operates in a jurisdiction where no clinical data registry for which the MIPS eligible clinician is eligible has declared readiness to receive electronic registry transactions as of 6 months prior to the start of the performance period.

Measure ID

PI_PHCDRR_5_EX_3

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

0

Clinical Data Registry Reporting Exclusion

Any MIPS eligible clinician who does not diagnose or directly treat any disease or condition associated with a clinical data registry in their jurisdiction during the performance period.

Measure ID

PI_PHCDRR_5_EX_1

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

0

Clinical Data Registry Reporting Exclusion

Any MIPS eligible clinician who operates in a jurisdiction for which no clinical data registry is capable of accepting electronic registry transactions in the specific standards required to meet the CEHRT definition at the start of the performance period.

Measure ID

PI_PHCDRR_5_EX_2

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

0

Clinical Data Registry Reporting for Multiple Registry Engagement

Report as true if, active engagement with more than one Clinical Data Registry in accordance with PI_PHCDRR_5.

Measure ID

PI_PHCDRR_5_MULTI

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

Up to 10%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.

Measure ID

PI_EP_1

Objective Name

Electronic Prescribing

Required for Base Score?

Yes

Performance Score Weight

Up to 10%

e-Prescribing exclusion

Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period.

Measure ID

PI_LVPP_1

Objective Name

Electronic Prescribing

Required for Base Score?

No

Performance Score Weight

0

Electronic Case Reporting

The MIPS eligible clinician is in active engagement with a public health agency to electronically submit case reporting of reportable conditions.

Measure ID

PI_PHCDRR_3

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

Yes

Performance Score Weight

None

Electronic Case Reporting Exclusion

Any MIPS eligible clinician who operates in a jurisdiction where no public health agency has declared readiness to receive electronic case reporting data as of 6 months prior to the start of the performance period.

Measure ID

PI_PHCDRR_3_EX_3

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

0

Electronic Case Reporting Exclusion

Any MIPS eligible clinician who operates in a jurisdiction for which no public health agency is capable of receiving electronic case reporting data in the specific standards required to meet the CEHRT definition at the start of the performance period.

Measure ID

PI_PHCDRR_3_EX_2

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

0

Electronic Case Reporting Exclusion

Any MIPS eligible clinician who does not treat or diagnose any reportable diseases for which data is collected by their jurisdiction’s reportable disease system during the performance period.

Measure ID

PI_PHCDRR_3_EX_1

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

0

Electronic Case Reporting for Multiple Registry Engagement

Report as true if, active engagement with more than one Electronic Case Reporting registry in accordance with PI_PHCDRR_3.

Measure ID

PI_PHCDRR_3_MULTI

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

Up to 10%

Immunization Registry Reporting

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).

Measure ID

PI_PHCDRR_1

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

Yes

Performance Score Weight

None

Immunization Registry Reporting Exclusion

Any MIPS eligible clinician who does not administer any immunizations to any of the populations for which data is collected by its jurisdiction’s immunization registry or immunization information system during the performance period.

Measure ID

PI_PHCDRR_1_EX_1

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

0

Immunization Registry Reporting Exclusion

Any MIPS eligible clinician who operates in a jurisdiction where no immunization registry or immunization information system has declared readiness to receive immunization data as of 6 months prior to the start of the performance period.

Measure ID

PI_PHCDRR_1_EX_3

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

0

Immunization Registry Reporting Exclusion

Any MIPS eligible clinician who operates in a jurisdiction for which no immunization registry or immunization information system is capable of accepting the specific standards required to meet the CEHRT definition at the start of the performance period.

Measure ID

PI_PHCDRR_1_EX_2

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

0

Immunization Registry Reporting for Multiple Registry Engagement

Report as true if active engagement with more than one immunization registry in accordance with PI_PHCDRR_1.

Measure ID

PI_PHCDRR_1_MULTI

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

Up to 10%

ONC Direct Review Attestation

I attest that I – (1) Acknowledge the requirement to cooperate in good faith with ONC direct review of his or her health information technology certified under the ONC Health IT Certification Program if a request to assist in ONC direct review is received; and (2) If requested, cooperated in good faith with ONC direct review of his or her health information technology certified under the ONC Health IT Certification Program as authorized by 45 CFR part 170, subpart E, to the extent that such technology meets (or can be used to meet) the definition of CEHRT, including by permitting timely access to such technology and demonstrating its capabilities as implemented and used by the MIPS eligible clinician in the field.

Measure ID

PI_ONCDIR_1

Objective Name

None

Required for Base Score?

Yes

Performance Score Weight

0

ONC-ACB Surveillance Attestation

I have (1) Acknowledged the option to cooperate in good faith with ONCÔøΩACB surveillance of his or her health information technology certified under the ONC Health IT Certification Program if a request to assist in ONCÔøΩACB surveillance is received; and (2) If requested, cooperated in good faith with ONCÔøΩACB surveillance of his or her health information technology certified under the ONC Health IT Certification Program as authorized by 45 CFR part 170, subpart E, to the extent that such technology meets (or can be used to meet) the definition of CEHRT, including by permitting timely access to such technology and demonstrating its capabilities as implemented and used by the MIPS eligible clinician in the field.

Measure ID

PI_ONCACB_1

Objective Name

None

Required for Base Score?

No

Performance Score Weight

0

Prevention of Information Blocking Attestation

I attest to CMS that I – (A) did not knowingly and willfully take action (such as to disable functionality) to limit or restrict the compatibility or interoperability of certified EHR technology. (B) Implemented technologies, standards, policies, practices, and agreements reasonably calculated to ensure, to the greatest extent practicable and permitted by law, that the certified EHR technology was, at all relevant times: (1) Connected in accordance with applicable law; (2) Compliant with all standards applicable to the exchange of information, including the standards, implementation specifications, and certification criteria adopted at 45 CFR part 170; (3) Implemented in a manner that allowed for timely access by patients to their electronic health information; and (4) Implemented in a manner that allowed for the timely, secure, and trusted bi-directional exchange of structured electronic health information with other health care providers (as defined by 42 U.S.C. 300jj(3)), including unaffiliated health care providers, and with disparate certified EHR technology and vendors. (C) Responded in good faith and in a timely manner to requests to retrieve or exchange electronic health information, including from patients, health care providers (as defined by 42 U.S.C. 300jj(3)), and other persons, regardless of the requestor’s affiliation or technology vendor.

Measure ID

PI_INFBLO_1

Objective Name

None

Required for Base Score?

Yes

Performance Score Weight

0

Provide Patients Electronic Access to Their Health Information

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 electronic health record technology (CEHRT).

Measure ID

PI_PEA_1

Objective Name

Provider To Patient Exchange

Required for Base Score?

Yes

Performance Score Weight

Up to 40%

Public Health Registry Reporting

The MIPS eligible clinician is in active engagement with a public health agency to submit data to public health registries.

Measure ID

PI_PHCDRR_4

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

Yes

Performance Score Weight

None

Public Health Registry Reporting Exclusion

Any MIPS eligible clinician who operates in a jurisdiction where no public health registry for which the MIPS eligible clinician is eligible has declared readiness to receive electronic registry transactions as of 6 months prior to the start of the performance period.

Measure ID

PI_PHCDRR_4_EX_3

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

0

Public Health Registry Reporting Exclusion

Any MIPS eligible clinician who operates in a jurisdiction for which no public health agency is capable of accepting electronic registry transactions in the specific standards required to meet the CEHRT definition at the start of the performance period.

Measure ID

PI_PHCDRR_4_EX_2

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

0

Public Health Registry Reporting Exclusion

Any MIPS eligible clinician who does not diagnose or directly treat any disease or condition associated with a public health registry in the MIPS eligible clinician’s jurisdiction during the performance period.

Measure ID

PI_PHCDRR_4_EX_1

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

0

Public Health Registry Reporting for Multiple Registry Engagement

Report as true if, active engagement with more than one Public Health Registry in accordance with PI_PHCDRR_4.

Measure ID

PI_PHCDRR_4_MULTI

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

Up to 10%

Query of the Prescription Drug Monitoring Program (PDMP)

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.

Measure ID

PI_EP_2

Objective Name

Electronic Prescribing

Required for Base Score?

No

Performance Score Weight

Up to 5%

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 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician’s risk management process.

Measure ID

PI_PPHI_1

Objective Name

Protect Patient Health Information

Required for Base Score?

Yes

Performance Score Weight

0

Support Electronic Referral Loops By Receiving and Incorporating Health Information

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.

Measure ID

PI_HIE_4

Objective Name

Health Information Exchange

Required for Base Score?

Yes

Performance Score Weight

Up to 20%

Support Electronic Referral Loops By Receiving and Incorporating Health Information Exclusion

Any MIPS eligible clinician who is unable to implement the measure for a MIPS performance period in 2019 would be excluded from having to report this measure.

Measure ID

PI_CUITC_1

Objective Name

Health Information Exchange

Required for Base Score?

No

Performance Score Weight

0

Support Electronic Referral Loops By Receiving and Incorporating Health Information Exclusion

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

Measure ID

PI_LVITC_2

Objective Name

Health Information Exchange

Required for Base Score?

No

Performance Score Weight

0

Support Electronic Referral Loops By Sending Health Information

For at least one transition of care or referral to a provider of care other than a MIPS eligible clinician, the MIPS eligible clinician creates a summary of care record using CEHRT; and electronically exchanges the summary of care record.

Measure ID

PI_HIE_1

Objective Name

Health Information Exchange

Required for Base Score?

Yes

Performance Score Weight

Up to 20%

Support Electronic Referral Loops By Sending Health Information Exclusion

Any MIPS eligible clinician who transfers a patient to another setting or refers a patient fewer than 100 times during the performance period.

Measure ID

PI_LVOTC_1

Objective Name

Health Information Exchange

Required for Base Score?

No

Performance Score Weight

0

Syndromic Surveillance Reporting

The MIPS eligible clinician is in active engagement with a public health agency to submit syndromic surveillance data from an urgent care setting.

Measure ID

PI_PHCDRR_2

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

Yes

Performance Score Weight

None

Syndromic Surveillance Reporting Exclusion

Any MIPS eligible clinician who operates in a jurisdiction for which no public health agency is capable of receiving electronic syndromic surveillance data in the specific standards required to meet the CEHRT definition at the start of the performance period.

Measure ID

PI_PHCDRR_2_EX_2

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

0

Syndromic Surveillance Reporting Exclusion

Any MIPS eligible clinician who is not in a category of health care providers from which ambulatory syndromic surveillance data is collected by their jurisdiction’s syndromic surveillance system.

Measure ID

PI_PHCDRR_2_EX_1

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

0

Syndromic Surveillance Reporting Exclusion

Any MIPS eligible clinician who operates in a jurisdiction where no public health agency has declared readiness to receive syndromic surveillance data from MIPS eligible clinicians as of 6 months prior to the start of the performance period.

Measure ID

PI_PHCDRR_2_EX_3

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

0

Syndromic Surveillance Reporting for Multiple Registry Engagement

Report as true if, active engagement with more than one Syndromic Surveillance registry in accordance with PI_PHCDRR_2.

Measure ID

PI_PHCDRR_2_MULTI

Objective Name

Public Health And Clinical Data Exchange

Required for Base Score?

No

Performance Score Weight

Up to 10%

Verify Opioid Treatment Agreement

For at least one unique patient for whom a Schedule II opioid was electronically prescribed by the MIPS eligible clinician using CEHRT during the performance period, if the total duration of the patient’s Schedule II opioid prescriptions is at least 30 cumulative days within a 6-month look-back period, the MIPS eligible clinician seeks to identify the existence of a signed opioid treatment agreement and incorporates it into the patient’s electronic health record using CEHRT.

Measure ID

PI_EP_3

Objective Name

Electronic Prescribing

Required for Base Score?

No

Performance Score Weight

Up to 5%

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