How To Calculate Eligible Clinician Promoting Interoperability Performance Category Score

In order to score points within the MIPS Promoting Interoperability performance category, eligible clinicians and practices will have to complete a required SAFER assessment, and Security Risk Assessment as well as participate with the other calculated and attested-to measures within the Promoting Interoperability category. We have broken down these requirements and how they impact your Promoting Interoperability score below.

Required Attestation Measures

There are a few required attestation measures in order for eligible clinicians and groups to earn greater than 0 pts for the MIPS Promoting Interoperability performance category. These measures must be completed during the clinician's reporting period and are as follows:

• Safety Assurance Factors for EHR Resilience (SAFER) Assessment*
  • Must Attest Yes / No for Promoting Interoperability Performance Category Score
  • CMS Measure Specification
• Security Risk Analysis*
  • Must Attest Yes for Promoting Interoperability Performance Category Score
  • CMS Measure Specification

Required Scored Measures

Next, eligible clinicians must promote interoperability using CEHRT for a minimum of a 90-day contiguous reporting period to score points towards the Promoting Interoperability. Those measures, their default maximum score, and where their points are moved if an exclusion is used are as follows:

Calculated Measures

• e-Prescribing - Choose One (Calculated Measure)* - 10 points
  • e-Prescribing
  • e-Prescribing Including Controlled Prescriptions
  • CMS Measure Specification
  • If an Exclusion is Claimed for the e-Prescribing measure, 5 points are redistributed to the Support Electronic Referral Loops by Sending Health Information and 5 points are redistributed to the Referral Loops - Receive & Incorporate Health Info. Measure.

• Query of the PDMP (Attestation Measure w/Available Exclusions)* - 10 points
  • CMS Measure Specification
  • If an exclusion is claimed, 10 points are redistributed to the e-Prescribing measure.

• Provide Patients Electronic Access to their Health Information (Calculated Measure)* - 25 points
  • CMS Measure Specification
  • No exclusions available

• Health Information Exchange - Pick One Option
  • Option 1
    • Referral Loops - Send Health Info (Calculated Measure) - 15 points
      • CMS Measure Specification
      • If an exclusion is claimed, 15 points are redistributed to the Provide Patients Electronic Access measure
    • Referral Loops - Receive & Incorporate Health Info. (Calculated Measure) - 15 points
      • CMS Measure Specification
      • If an exclusion is claimed, 15 points are redistributed to the Referral Loops - Send Health Information measure.
  • Option 2
    • HIE Bi-directional exchange (Attestation) - 30 points
      • CMS Measure Specification
      • No exclusion available
  • Option 3
    • Enabling Exchange Under TEFCA (Attestation) - 30 points
      • CMS Measure Specification
      • No exclusion available

• Public Health and Clinical Data Exchange - 25 points
  • Electronic Case Reporting* (Attestation w/Available Exclusions)
    • CMS Measure Specification
    • If an exclusion is claimed for this measure and the Immunization Registry reporting measure is attested to as "Yes", the clinician will earn 25 points. If an exclusion is claimed for this measure and the Immunization Registry Reporting measure, 25 points are redistributed to the Provide Patients Electronic Access to Their Health Information measure.
  • Immunization Registry Reporting* (Attestation w/Available Exclusions)
    • CMS Measure Specification
    • If an exclusion is claimed for this measure and the Electronic Case Reporting measure is attested to as "Yes", the clinician will earn 25 points. If an exclusion is claimed for this measure and the Electronic Case Reporting measure, 25 points are redistributed to the Provide Patients Electronic Access to Their Health Information measure.
  • Attest to one of the following for 5 bonus points:
    • Clinical Data Registry Reporting
      • CMS Measure Specification
    • Public Health Registry Reporting
      • CMS Measure Specification
    • Syndromic Surveillance Reporting
      • CMS Measure Specification

*Denotes a required measure to score points in the Promoting Interoperability performance category.

For more information on the Promoting Interoperability performance category, please reference the qpp.cms.gov site https://qpp.cms.gov/mips/promoting-interoperability.