2019 MIPS Promoting Interoperability Reporting Guide for CRNAs

MIPS Reporting Categories • • Quality Improvement Activities (IA) Promoting Interoperability (PI)* Cost *CRNAs are subject to automatic re-weighting for the PI category. Reporting this category is voluntary. 08 FEB 2019 2

Promoting Interoperability Category 45% final Score (for CRNAs reporting PI* with applicable Cost Measures) 70% final Score (for CRNAs NOT reporting PI*, but with applicable Cost Measures) 85% of final score (for CRNAs NOT reporting PI* with NO applicable Cost Measures) *PI – Promoting Interoperability 08 FEB 2019 3

Promoting Interoperability Performance Category • Promotes patient engagement and the electronic exchange of health information using Certified Electronic Health Record Technology (CEHRT) • Participation requires use of 2015 edition CEHRT • Clinicians including CRNAs can participate as individuals or in groups • Data is collected for a minimum of any 90 -day continuous period within a calendar year (January 1 st through December 31 st) 08 FEB 2019 4

Participation Requirements for PI • Eligible clinicians must complete the Security Risk Analysis measure • Submit a “yes” to the following attestations: – Prevention of Information Blocking – ONC Direct Review Attestation – Completion of • Measure data must be collected from CEHRT for all patients 5

Participation Requirements for PI (cont. ) • Eligible clinicians report applicable measures from 4 objectives in the PI Performance Category: 6

Hardship Exceptions to PI Category • Insufficient internet connectivity • Extreme or Uncontrollable Circumstances: disaster, practice closure, severe financial distress, vendor issues • Use of decertified electronic health information technology • Small practice 7

Public Health and Clinical Data Exchange • ECs must participate in two different registries to receive a score for this objective • Providers can select: – – – Immunization Registry Reporting Electronic Case Reporting Public Health Registry Reporting Clinical Data Registry Reporting Syndromic Surveillance Reporting 8

Reporting PI Data – Submission Types 9

Promoting Interoperability Category Scoring • Measure achievable points are between 1 and 10 per measure • ECs can earn up to 100 points for the PI measure set • The total measure achievable points are divided by the total possible points for the performance category score • Clinicians can receive 5 bonus points for each optional PI measure reported: – Query of Prescription Drug Monitoring Program (PDMP) – Verify Opioid Treatment Agreement 10

Example of Promoting Interoperability Category Score 11

Additional Resources • Quality Payment Program website: https: //qpp. cms. gov • QPP Resource Library: https: //qpp. cms. gov/about/resource-libary • Promoting Interoperability Fact Sheet • Technical Assistance: https: //qpp. cms. gov/about/helpand-support • E-mail: QPP@cms. hhs. gov • Phone: 1 -866 -288 -8292 (Monday through Friday) 12