Required Test 2a - Health IT Modules Certified to (e)(1) and, (g)(9) or (g)(10)

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

Measure Objective: Provider to Patient Exchange

2026 Promoting Interoperability Measure: Provide Patients Electronic Access to Their Health Information:For at least one unique patient discharged from the eligible hospital or CAH inpatient or emergency department (POS 21 or 23) the patient (or patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and the eligible hospital or CAH 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 interfaces (API) in the eligible hospital or CAH's certified electronic health record technology (CEHRT).

Notes:

1: A patient seen during the reporting period with the numerator already populated and recorded will not increment and re-record the numerator.

2: A patient seen during the reporting period who receives access at the first encounter and does not receive access at the second, or subsequent, encounters will populate and record the numerator at the first encounter and will decrement the numerator for the first subsequent visit, in which the required data is not provided within the required time period.

3: A patient seen during the reporting period who does not receive access at the first encounter and does receive access at the second, or subsequent, encounters will not populate and record the numerator for the first or any subsequent visits.

4: If a Health IT Module automatically and simultaneously makes patient data available to both View, Download, and Transmit health information and available to an API, it is at the discretion of the ATL not to test the scenarios where it is assumed that this is not automatic for each method.

5: Scenario 2 tests appropriate increments and decrements to the numerator. The numerator may not increment or record for the provided test cases, however, each case tests proper numerator behavior.

6: Test data supply: ONC and Vendor-supplied. ONC provides the Test Data Scenarios and parameters; the Vendor supplies the patient visit, clinical information, and Ambulatory and Inpatient summaries (or Inpatient Summary of Care).

7: The Promoting Interoperability Measure requires that a patient have access to both view online, download, and transmit to a third party AND have the data available via an API in an EH's CEHRT. Please see the Certification Companion Guide for more information on the requirement for testing and attestation requirements. Required Test 2a tests both methods for Promoting Interoperability only.

8: The name of this measure changed from Patient Electronic Access to Health Information to Provide Patients Electronic Access to Their Health Information. No other changes were made to the test data.

Scenarios:

	Denominator Criteria	Numerator Criteria		Numerator Criteria
Patient	Patient Discharged During Reporting / Performance Period	Patient Provided Access to View, Download, and Transmit Their Health Information within 36 hours	Patient Health Information is Available to Access via API within 36 hours	Records Total
Judy Bailey 7/22/1988 Sex: F	First discharge	Yes	Yes	1	1
Crystal Hansen 6/10/1989 Sex: F	First discharge	Yes	Yes	1	1
Ruth Cunningham 2/4/1968 Sex: F	First discharge	Yes	Yes	1	1
Jim Mann 9/21/1965 Sex: M	First discharge	No	No	0	1
Janice Foster 12/19/1989 Sex: F	First discharge	Yes	No	0	1
			Cumulative Total	3	5

	Denominator Criteria	Numerator Criteria		Numerator Criteria
Patient	Patient Discharged During Reporting / Performance Period	Patient Provided Access to View, Download, and Transmit Their Health Information within 36 hours	Patient Health Information is Available to Access via API within 36 hours	Records Total
Judy Bailey 7/22/1988 Sex: F	Second discharge	No	No	-1	0
Crystal Hansen 6/10/1989 Sex: F	Second discharge	No	No	-1	0
Ruth Cunningham 2/4/1968 Sex: F	Second discharge	No	Yes	-1	0
			Cumulative Total	0	5

	Denominator Criteria	Numerator Criteria		Numerator Criteria
Patient	Patient Discharged During Reporting / Performance Period	Patient Provided Access to View, Download, and Transmit Their Health Information within 36 hours	Patient Health Information is Available to Access via API within 36 hours	Records Total
Ivan Alexander 11/23/1990 Sex: M	First discharge	Yes	Yes	1	1
Peter Evans 4/20/1983 Sex: M	First discharge	Yes	Yes	1	1
Debbie Beck 4/23/1972 Sex: F	First discharge	Yes	Yes	1	1
			Cumulative Total	3	8

	Denominator Criteria	Numerator Criteria		Numerator Criteria
Patient	Patient Discharged During Reporting / Performance Period	Patient Provided Access to View, Download, and Transmit Their Health Information within 36 hours	Patient Health Information is Available to Access via API within 36 hours	Records Total
Janice Foster 12/19/1989 Sex: F	Second discharge	Yes	Yes	0	0
			Cumulative Total	3	8