Skip to main content
  • MIPS 2019—Table 10: Promoting Interoperability at a Glance

    This content was excerpted from EyeNet’s MIPS 2019; also see the Academy’s MIPS hub page.

    Table 10: An At-a-Glance Guide to PI

    To get a PI score of more than 0%, you must perform all nine of these steps:

    (1) have 2015-edition CEHRT,

    (2) submit a “Yes” for the Security Risk Analysis attestation,

    (3) submit a “Yes” for the Prevention of Information Blocking attestation,

    (4) submit a “Yes” for the ONC Direct Review attestation, and

    satisfy the reporting requirements (5) through (9), as shown below. (The measures listed below must be performed during the same performance period, which should be at least 90 consecutive days.)

    Reporting Requirements 2019 PI Measure Points

    Objective: e-Prescribing

    (5) Report a numerator of at least 1 or claim an exclusion for this measure: e-Prescribing Up to 10 points
    These two opioid-related measures are optional. Query of Prescription Drug Monitoring Program (PDMP) Up to 5 points
    Verify Opioid Treatment Agreement Up to 5 points

    Objective: Health Information Exchange (HIE)

    (6) Report a numerator of at least 1 or claim an exclusion for this measure: Support Electronic Referral Loops by Sending Health Information Up to 20 points
    (7) Report a numerator of at least 1 or claim an exclusion for this measure: Support Electronic Referral Loops by Receiving and Incorporating Health Information Up to 20 points

    Objective: Provider to Patient Exchange

    (8) Report a numerator of at least 1 for this measure (no exclusion is available): Provide Patients Electronic Access to Their Health Information Up to 40 points

    Objective: Public Health and Clinical Data Exchange


    (a) Report two measures, or

    (b) report one measure for two registries,

    (c) report one measure and claim one exclusion, or

    (d) claim two exclusions.

    Immunization Registry Reporting 0 or 10 points
    Electronic Case Reporting
    Public Health Registry Reporting
    Clinical Data Registry Reporting
    Syndromic Surveillance Reporting
    2019 PI score is sum of your measure scores (capped at 100 points, and reported as a percentage) 0-100%
    Contribution to MIPS final score. If PI is weighted at 25% of your MIPS final score (which is the default weight), it can contribute up to 25 points to your MIPS final score (0-100 points).

    Note: Scoring for PI measures is based on performance rate for steps (5) through (8), but not for step (9). For an example that demonstrates PI's scoring methodology, see Table 12.

    Previous: PI: Some Clinicians May Be Excused From Promoting Interoperability

    Next: Table 11: Promoting Interoperability Exclusions at a Glance

    DISCLAIMER AND LIMITATION OF LIABILITY: Meeting regulatory requirements is a complicated process involving continually changing rules and the application of judgment to factual situations. The Academy does not guarantee or warrant that regulators and public or private payers will agree with the Academy’s information or recommendations. The Academy shall not be liable to you or any other party to any extent whatsoever for errors in, or omissions from, any such information provided by the Academy, its employees, agents, or representatives.

    COPYRIGHT© 2019, American Academy of Ophthalmology, Inc.® All rights reserved. No part of this publication may be reproduced without written permission from the publisher. American Academy of Ophthalmic Executives® and IRIS® Registry, among other marks, are trademarks of the American Academy of Ophthalmology®.

    All of the American Academy of Ophthalmology (AAO)–developed quality measures are copyrighted by the AAO’s H. Dunbar Hoskins Jr., MD, Center for Quality Eye Care (see terms of use).