| 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 transmitted electronically using CEHRT.
Query of Prescription Drug Monitoring Program (PDMP) (optional for 2022):
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) Bi-Directional 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:
- Creates a summary of care record using certified electronic health record technology (CEHRT); AND
- Electronically exchanges the summary of care record
Support Electronic Referral Loops by Receiving and Reconciling 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.
Health Information Exchange (HIE) Bidirectional Exchange: The The MIPS eligible clinician or group must attest that they engage in bi-directional 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:
- The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; AND
- 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 Programming Interface (API) in the MIPS eligible clinician’s CEHRT.
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| 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 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. |
