Last Test (RT 7 Electronic Referral Loops) Next Test (RT 1 ePrescribing)

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
Ruth Lane
6/23/1999
Sex: F
 Admitted (EH/CAH) 3 3 3 3 3 / 3
Julie Holt
5/4/1986
Sex: F
 Admitted (EH/CAH) 2 1 2 2 1 / 2
Betty Perkins
12/14/2000
Sex: F
 Admitted (EH/CAH) 5 2 2 2 2 / 5
Kelly Todd
12/12/1995
Sex: M
 Admitted (EH/CAH) 1 1 1 1 1 / 1
Gwendolyn Gill
3/15/1974
Sex: F
 Admitted (EH/CAH) 2 0 0 0 0 / 2
Cumulative Total 7 / 13

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
Johnny Mcgee
7/22/1997
Sex: M
 Admitted (EH/CAH) 1 1 1 1 1 / 1
Edwin Silva
10/2/1977
Sex: M
 Admitted (EH/CAH) 2 2 2 2 2 / 2
Katrina Malone
7/6/1979
Sex: F
 Admitted (EH/CAH) 4 3 3 3 3 / 4
Kelly Todd
12/12/1995
Sex: M
 Admitted (EH/CAH) 3 3 3 3 3 / 3
Cumulative Total 16 / 23
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
Ida Robbins
5/12/1986
Sex: F
 Admitted (EH/CAH) 4 2 4 0 0 / 4
Allen Lopez
9/28/1968
Sex: M
 Admitted (EH/CAH) 1 0 0 0 0 / 1
Jesse Dixon
2/9/1990
Sex: M
 Admitted (EH/CAH) 2 0 1 0 0 / 2
Ted Gilbert
2/24/1992
Sex: M
 Admitted (EH/CAH) 3 2 0 1 0 / 3
Cumulative Total 16 / 33

No actions are required for this scenario