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

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

Measure Objective: Provider to Patient Exchange

2024/2025 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 the denominator and 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: Patients seen multiple times during the reporting period will not increment the denominator after the initial visit.

6: 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.

7: 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).

8: 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.

9: 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	Results
Patient	Patient Discharged During Reporting / Performance Period	Patient Health Information is Available to Access via API within 36 hours	Records Total
Sylvia Vega 8/7/1969 Sex: F	First discharge	Yes	1 / 1	1 / 1
Heather Vargas 10/27/1978 Sex: F	First discharge	Yes	1 / 1	1 / 1
Kathryn Cruz 6/25/1989 Sex: F	First discharge	Yes	1 / 1	1 / 1
Nicholas Massey 3/6/1991 Sex: M	First discharge	No	0 / 1	1 / 1
Marjorie Jennings 9/27/1984 Sex: F	First discharge	Yes	1 / 1	1 / 1
		Cumulative Total	4 / 5	5 / 5

	Denominator Criteria	Numerator Criteria	Numerator Criteria	Results
Patient	Patient Discharged During Reporting / Performance Period	Patient Health Information is Available to Access via API within 36 hours	Records Total
Sylvia Vega 8/7/1969 Sex: F	Second discharge	No	-1 / 0	0 / 0
Heather Vargas 10/27/1978 Sex: F	Second discharge	No	-1 / 0	0 / 0
Kathryn Cruz 6/25/1989 Sex: F	Second discharge	No	-1 / 0	0 / 0
		Cumulative Total	1 / 5	5 / 5

	Denominator Criteria	Numerator Criteria	Numerator Criteria	Results
Patient	Patient Discharged During Reporting / Performance Period	Patient Health Information is Available to Access via API within 36 hours	Records Total
Shane Haynes 2/17/1994 Sex: M	First discharge	Yes	1 / 1	1 / 1
Vernon Goodman 12/13/1964 Sex: M	First discharge	Yes	1 / 1	1 / 1
Emma Hunt 6/16/1977 Sex: F	First discharge	Yes	1 / 1	1 / 1
		Cumulative Total	4 / 8	8 / 8

	Denominator Criteria	Numerator Criteria	Numerator Criteria	Results
Patient	Patient Discharged During Reporting / Performance Period	Patient Health Information is Available to Access via API within 36 hours	Records Total
Melinda Williams 4/27/1988 Sex: F	First discharge	No	0 / 1	1 / 1
Shawn Fox 5/24/1984 Sex: M	First discharge	No	0 / 1	1 / 1
Jon Blake 6/25/1968 Sex: M	First discharge	No	0 / 1	1 / 1
Byron Tucker 1/8/1980 Sex: M	First discharge	No	0 / 1	1 / 1
		Cumulative Total	4 / 12	12 / 12

	Denominator Criteria	Numerator Criteria	Numerator Criteria	Results
Patient	Patient Discharged During Reporting / Performance Period	Patient Health Information is Available to Access via API within 36 hours	Records Total
Marjorie Jennings 9/27/1984 Sex: F	Second discharge	Yes	0 / 0	0 / 0
		Cumulative Total	4 / 12	12 / 12