Required Test 7

Program Name: Merit-based Incentive Payment System (MIPS) Promoting Interoperability Performance Category Measure

Measure Objective: Health Information Exchange

2023/2024 Promoting Interoperability Measure: 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 - (1) creates a summary of care record using certified electronic health record technology (CEHRT); and (2) electronically exchanges the summary of care record.

Notes:

1: For 2023, the scenarios for the Promoting Interoperability measure require the provider to create and transmit/exchange a summary of care record and to confirm receipt of the transmitted/exchanged summary of care record and submit data for a minimum of 90 consecutive days within the calendar year.

2: For 2024, the scenarios for the Promoting Interoperability measure require the provider to create and transmit/exchange a summary of care record and to confirm receipt of the transmitted/exchanged summary of care record and submit data for a minimum of 180 consecutive days 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 name of this measure changed from Transitions of Care to Support Electronic Referral Loops by Sending Health Information. No other changes were made to the measure.

5: Starting in 2019, for the Promoting Interoperability measure an EP may use any document template within the C-CDA standard for the purposes of the measure.

Scenarios:

	Denominator Criteria	Numerator Criteria		Results
Patient	Transition of Care or Referral Within Reporting/Performance Period	Summary of Care Record (including all CMS required information or indication of none) Created and Transmitted / Exchanged Electronically During Calendar Year	Receipt of Summary of Care Record Confirmed During Calendar Year	Records Total
Juanita Fletcher 2/2/1986 Sex: F	Yes	Yes	Yes	1
Kathleen Mullins 9/19/1964 Sex: F	No	No	No	0
Theresa Barnett 12/8/1988 Sex: F	Yes	Yes	No	0
Victor Richardson 4/12/1980 Sex: M	Yes	Yes	Yes	1
Darlene Lynch 5/2/1963 Sex: F	Yes	No	No	0
			Cumulative Total	2

No actions are required for this scenario

	Denominator Criteria	Numerator Criteria		Results
Patient	Transition of Care or Referral Within Reporting/Performance Period	Summary of Care Record (including all CMS required information or indication of none) Created and Transmitted / Exchanged Electronically During Calendar Year	Receipt of Summary of Care Record Confirmed During Calendar Year	Records Total
Christopher Simpson 9/14/1976 Sex: M	Yes	Yes	Yes	1
Marsha Owen 4/1/1980 Sex: F	Yes	Yes	Yes	1
Eugene Ruiz 3/6/1991 Sex: M	Yes	Yes	Yes	1
Victor Richardson 4/12/1980 Sex: M	Yes	Yes	Yes	1
			Cumulative Total	6