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  • MIPS 2023—Table: Promoting Interoperability at a Glance

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    This content is excerpted from EyeNet’s MIPS 2023: A Primer and Reference; also see the Academy’s MIPS hub page.

    Table: An At-a-Glance Guide to PI

    To get a PI score of more than 0%, you must perform the following steps:

    (1) have 2015-edition Cures Update CEHRT,
    (2) submit a “Yes” for the Security Risk Analysis attestation,
    (3) submit a “Yes” for the SAFER Guide attestation,
    (4) submit a “Yes” for the Prevention of Information Blocking attestation,
    (5) submit a “Yes” for the ONC Direct Review attestation,

    and meet the requirements for (6); (7); (8) or (9) or (10); (11); and (12), as shown below. (The measures listed below must be performed for a performance period of at least 90 consecutive days.)
    Reporting Requirements 2023 PI Measure Points

    Objective: e-Prescribing
    (6) Either (i) report the performance rate (numerator/denominator) with a numerator of at least 1 or (ii) claim an exclusion. e-Prescribing Up to 10 points
    (7) Either (i) attest "yes" or  (ii) claim an exclusion. Query of Prescription Drug Monitoring Program (PDMP) 0 or 10 bonus points

    Objective: Health Information Exchange (HIE)
    [either (8) or (9) or (10)]
    (8a) Either (i) report the performance rate (numerator/denominator) with a numerator of at least 1 or (ii) claim an exclusion. Support Electronic Referral Loops by Sending Health Information Up to 15 points
    (8b) Either (i) report the performance rate (numerator/denominator) with a numerator of at least 1 or (ii) claim an exclusion. Support Electronic Referral Loops by Receiving and Reconciling Health Information Up to 15 points
    (9) Make three “Yes” or “No” attestations relating to your EHR system's support of bi-directional exchange of health information. HIE Bi-Directional Exchange
    (Unlikely to apply to private ophthalmology practices)    		 0 or 30 points
    (10) Make two “Yes” or “No” attestations relating to your participation in a TEFCA. Enabling Exchange Under the Trusted Exchange Framework and Common Agreement (TEFCA) 0 or 30 points

    Objective: Provider to Patient Exchange
    (11) Report the performance rate (numerator/denominator) with a numerator of at least 1 (no exclusion is available): Provide Patients Electronic Access to Their Health Information Up to 25 points

    Objective: Public Health and Clinical Data Exchange

    (12) Either (i) attest “yes” to both measures or (ii) attest “yes” to one and claim an exclusion for the other to earn 10 points. Or (iii) claim exclusions for both measures.

    		 Immunization Registry Reporting
    and/or
    Electronic Case Reporting    		 0 or 25 points

    Attest “yes” to at least one measure to earn 5 bonus points. If you integrate your EHR with the IRIS Registry, you can report the Clinical Data Registry Reporting measure. (No extra bonus points for reporting more than one measure.)

    		 Public Health Registry Reporting
    or
    Clinical Data Registry Reporting
    or
    Syndromic Surveillance Reporting    		 0 or 5 bonus points
    2023 PI score is the 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).

    Previous: PI: Some Clinicians May Be Excused From Promoting Interoperability
    Next: Table: Promoting Interoperability Exclusions at a Glance 

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