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Calculate MIPS promoting interoperability score.

Our MIPS Promoting Interoperability report allows you to calculate scores for all objectives and measures.

Select a topic below or scroll through the page for all content.

Generate the report

Download data

Understand measures
 

Generate the Report


From the Electronic Health Records (EHR), click Reports in the header, then choose MIPS Promoting Interoperability Report.

 


Choose the report options, then click Run Report.

  • Date Range: The time frame that scores will be calculated for. Use the radio button options to quickly set common ranges.

  • Provider: The provider the data will be calculated for. If none is selected, the provider associated with the logged in user will be used.

  • Location: The practice location that data should pull from. This only needs to be set for practices with multiple locations enrolled on their software subscription.

  • EPCS Exclusion: Whether the report should include prescriptions for controlled substances in the calculation. If the provider is sending prescriptions for controlled substances electronically through the software, it's recommended to set this to include EPCS. Controlled substances will be excluded by default if no selection is made.

 


The report will calculate scores for the four measures based on the EHR use. For attestation-only measures, the Reported value will initially be set to No. Use the dropdown for each measure to attest to any of these measures that your practice meets.

 


Based on your attestations and calculated measures, the software will calculate your total score towards the MIPS Promoting Interoperability category.

Download Data


Click the CSV or PDF icon above the table to download the report in one of those file types.

Understand the Objectives and Measures

Protect patient health information

If your practice has not completed the security risk analysis during the required period, you will not be eligible to receive any points for the MIPS Promoting Interoperability category.

  • Measure Type: Attestation

    Requirements: Attest "Yes" to this measure if your practice has conducted or reviewed a security risk analysis following the guidelines in 45 CFR 164.308(a)(1) in order to ensure appropriate security for electronic protected health information (ePHI). This must be performed during the same calendar year as the MIPS performance period for which you're reporting.


E-prescribing

  • Measure Type: Performance rate.

    Denominator: The number of prescriptions that were generated by the provider during the selected date range. This is based on the number of completed prescriptions that were either transmitted electronically, faxed, or printed. Prescriptions for controlled substances will not be counted if "EPCS Exclusion" is set to exclude controlled substances.

    Numerator: The number of prescriptions out of the denominator that were transmitted electronically.


    Bonus Measure

    Measure Type: Attestation

    Requirements: Attest "Yes" to this measure if you performed a PDMP check for at least one schedule II opioid that was prescribed electronically during the selected date range. Controlled medications can only be prescribed electronically through the EHR if you are enrolled with EPCS.


Health information exchange (HIE)

If a provider is not enrolled in Direct Email, they will not be eligible to meet either of the HIE measures. Direct email is required in order to send and receive patient's electronic health information (EHI) securely.

  • Measure Type: Performance rate.

    Denominator: The number of unique patients that had a transition of care or referral sent by the provider during the selected date range. This is based on the number of different patients who had a referral generated from the patient dashboard within the range.

    Numerator: The number of unique patients out of the denominator who have also had a CCD chart summary successfully sent from the provider via direct email.


Provider to patient exchange

  • Measure Type: Performance rate.

    Denominator: The number of unique patients that were seen by the provider during the selected date range. This is based on the number of different patients who have a signed encounter from the provider with an encounter date within the range.

    Numerator: The number of unique patients out of the denominator who have also logged into the Patient Health Records (PHR) portal during the selected date range. A patient representative logging into the PHR on behalf of the patient will also count toward this requirement. Patients and/or their representative(s) must be provided PHR access in order for your practice to meet this measure.


Public health and clinical data exchange

To meet the requirements for the public health and clinical data exchange objective, you must attest "Yes" to at least two of the measures outlined below. For each measure, the Center for Medicare and Medicaid Services (CMS) defines "active engagement" as follows:

The MIPS eligible clinician is in the process of moving towards sending "production data" to a public health agency or clinical data registry or is sending production data to a public health agency (PHA) or clinical data registry (CDR).

Active engagement may be demonstrated in one of the following ways:

Option 1 - Completed Registration to Submit Data

The MIPS eligible clinician registered to submit data with the PHA or, where applicable, the CDR to which the informaiton is being submitted; registration was completed within 60 days after the start of the MIPS performance period; and the MIPS eligible clinician is awaiting an invitation from the PHA or CDR to begin testing and validation. This option allows MIPS eligible clinicians to meet the measure when the PHA or the CDR has limited resources to initiate the testing and validation process. MIPS eligible clinicians that have registered in previous years do not need to submit an additional registration to meet this requirement for each MIPS performance period.

Option 2 - Testing and Validation

The MIPS eligible clinician is in the process of testing and validation from the PHA or, where applicable, the CDR within 30 days; failure to respond twice within a MIPS performance period would result in that MIPS eligible clinician not meeting the measure.

Option 3 - Production

The MIPS eligible clinician has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR. Production data refers to data generated through clinical processes involving patient care, and it is used to distinguish between data and "test data" which may be submitted for the purposes of enrolling in and testing electronic data transfers.

  • Measure Type: Attestation.

    Requirements: Attest "Yes" to this measure if your practice is in active engagement to submit Urgent Care syndromic surveillance data to a public health registry.

  • Measure Type: Attestation.

    Requirements: Attest "Yes" to this measure if your practice is in active engagement to submit data to a clinical data registry.

  • Measure Type: Attestation.

    Requirements: Attest "Yes" to this measure if your practice is in active engagement to submit data for reportable conditions to a case registry.

  • Measure Type: Attestation.

    Requirements: Attest "Yes" to this measure if your practice is in active engagement to submit and receive immunization data from an immunization registry or immunization information system (IIS).

  • Measure Type: Attestation.

    Requirements: Attest "Yes" to this measure if your practice is in active engagement to submit data to a public health registry.