Last Test (RT 2b Provider Patient Exchange) Next Test (RT 7 Electronic Referral Loops)

Required Test 2c - Health IT Modules Certified to (g)(9) or (g)(10)


Program Name: Merit-based Incentive Payment System (MIPS) Promoting Interoperability Performance Category Measure
Measure Objective: Provider To Patient Exchange
2023/2024 Promoting Interoperability Measure: Provide Patients Electronic Access to Their Health Information:For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) 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 Programing Interface (API) in the MIPS eligible clinician'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 ONC-ATL not to test the scenarios where it is assumed that this is not automatic for each method.
5: 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).
6: 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 EP/EC's CEHRT. Please see the Certification Companion Guide for more information on the requirement for testing and attestation requirements.
7: 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 measure.

Scenarios:

Show/Hide Discretionary Steps

More information can be found in Note 4
Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Patient Seen During EHR Reporting Period Patient Health Information is Available to Access via API within 4 business days (MIPS) Records Total
Toni Lewis
4/25/1990
Sex: F
First encounter Yes 1 1
Mary Stone
9/13/1979
Sex: F
First encounter Yes 1 1
Virginia Henderson
9/14/1993
Sex: F
First encounter No 0 1
Carl Carr
7/16/2000
Sex: M
First encounter Yes 1 1
Cathy Mcbride
10/9/1963
Sex: F
First encounter Yes 1 1
Cumulative Total 4 5

No actions are required for this scenario

Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Patient Seen During EHR Reporting Period Patient Health Information is Available to Access via API within 4 business days (MIPS) Records Total
Erik Fernandez
9/1/1998
Sex: M
First encounter Yes 1 1
Jackie Foster
9/5/1989
Sex: F
First encounter Yes 1 1
Albert Park
6/11/1979
Sex: M
First encounter Yes 1 1
Cumulative Total 7 8
Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Patient Seen During EHR Reporting Period Patient Health Information is Available to Access via API within 4 business days (MIPS) Records Total
Cathy Mcbride
10/9/1963
Sex: F
Second encounter Yes 0 0
Cumulative Total 7 8