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HIE: Receive & Incorporate Health Information

Updated: 11/21/2019
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Health Information Exchange: 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.

Denominator: 

Number of electronic Summary of Care records received using CEHRT for patient encounters during the performance period for which a MIPS eligible clinician was the receiving party of a transition of care or referral, and for patient encounters during the performance period in which the MIPS eligible clinician has never before encountered the patient.

  • Create a note detailing the patient’s office visit. 
    • Click to select "Receiving" at the bottom of a note to indicate this is a new patient or recipient of a transition or referral.
    • Click Yes or No when prompted with the message Have you requested a summary of care from the patient’s previous provider?.

CMS_Note_Receiving.png

Numerator:  The number of electronic summary of care records in the denominator for which clinical information reconciliation is completed using CEHRT 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; and (3) Current Problem List – Review of the patient’s current and active diagnoses.
  • From the Provider’s Direct Inbox (Updox) find a Summary of Care (SOC) or Continuity of Care Document (CCD) that was received via Direct Messaging.  Click the Import to EHR button to save the XML file into the Documents section of the patient’s chart (must search patient by name)
    • If a SOC or CCDA was provided in a different electronic method such as a CD or other memory device, go to the Documents section of the patient’s chart and click +Upload . Select the Summary of Care that should be uploaded. The file should be an XML file format.
    • Click Save. Then follow the steps below:
      • In Documents, find the newly imported XML file labeled Summary of Care Received or Continuity of Care Received and/or Referral Received.
      • Click Merge from the Actions area. 
      • Select patient data (Medications, Problems and Allergies) that is relevant to the receiving provider or merge all.  A message will display to indicate the selected data was successfully imported.
      • Click Merge to merge the selected patient data.
      • Click Edit on the newly merged document and select the name of the receiving provider.
      • Click Save.
  • From within a note, access the Medications, Allergies and Problems sections and reconcile each:
    • Click to select "Medication reconciliation performed".
    • Click to select "Allergies reconciliation performed".
    • Click to select "Problem reconciliation performed".
  • Complete and sign the note.  
Exclusions: 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. All Kareo customers can take this exclusion in 2019.

OR

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.

If an exclusion is claimed for this measure the 20 points will be redistributed to the other measure within this objective, the Support Electronic Referral Loops by Sending Health Information measure.

Performance Score Weight: 20 points
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