Required Test 15

Program Name: Medicare Eligible Hospital/Critical Access Hospital (EH/CAH)

Measure Objective: Health Information Exchange

2026 Promoting Interoperability Measure: 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 electronic health record (EHR) reporting period for which an eligible hospital or CAH was the receiving party of a transition of care or referral, or for patient encounters during the EHR reporting period in which the eligible hospital or CAH has never before encountered the patient, the eligible hospital or CAH conducts clinical information reconciliation for medication, medication allergy, and current problem list.

Notes:

1: The Promoting Interoperability measure requires reconciliation of medications, medication allergies, and the current problem list in order to populate and record the numerator.

2: The scenarios require the provider to receive an electronic a summary of care document and perform reconcillation during the reporting period and submit data for any continuous 180-day period within the calendar year

3: Test data supply: ONC and Vendor-supplied. ONC provides the Test Data Scenarios and parameters; the Vendor supplies the summary of care records, within the parameters.

4: The Promoting Interoperability measure only requires the reconciliation of current information, not historic.

5: If the health IT module supports the reconciling of all current information from multiple electronic summary of care records in a single instance this combined information may be considered a single instance in the denominator. If the health IT module supports the reconciliation of each individual electronic summary of care record received separately, then each current record received may be considered a separate instance in the denominator. For either workflow, the completion of the reconciliation in either workflow would increment the numerator. ATLs may use different test data for health IT modules that supports the reconciling of all current information from multiple electronic summary of care records in a single instance.

Scenarios:

	Denominator Criteria		Numerator Criteria			Results
Patient	Patient Admitted Within Reporting Period	Number of Electronic Summary of Care Records Received	Number of Electronic Summary of Care Records Where Medication Reconciliation Occurred During the Performance Period	Number of Electronic Summary of Care Records Where Medication Allergy Reconciliation Occurred During the Performance Period	Number of Electronic Summary of Care Records Where Current Problem List Reconciliation Occurred During the Performance Period	Records Total
Joanne Gonzalez 12/5/1994 Sex: F	Admitted (EH/CAH)	3	3	3	3	3
Charlene Mills 3/21/1989 Sex: F	Admitted (EH/CAH)	2	1	2	2	1
Rachel Mckenzie 10/20/1990 Sex: F	Admitted (EH/CAH)	5	2	2	2	2
Howard Christensen 1/13/1992 Sex: M	Admitted (EH/CAH)	1	1	1	1	1
Rhonda Hall 12/1/1986 Sex: F	Admitted (EH/CAH)	2	0	0	0	0
					Cumulative Total	7

No actions are required for this scenario

	Denominator Criteria		Numerator Criteria			Results
Patient	Patient Admitted Within Reporting Period	Number of Electronic Summary of Care Records Received	Number of Electronic Summary of Care Records Where Medication Reconciliation Occurred During the Performance Period	Number of Electronic Summary of Care Records Where Medication Allergy Reconciliation Occurred During the Performance Period	Number of Electronic Summary of Care Records Where Current Problem List Reconciliation Occurred During the Performance Period	Records Total
Gary Clark 9/13/1969 Sex: M	Admitted (EH/CAH)	1	1	1	1	1
Jerry Salazar 4/5/1980 Sex: M	Admitted (EH/CAH)	2	2	2	2	2
Felicia Hubbard 6/15/1979 Sex: F	Admitted (EH/CAH)	4	3	3	3	3
Howard Christensen 1/13/1992 Sex: M	Admitted (EH/CAH)	3	3	3	3	3
					Cumulative Total	16