Advancing Care Information New (Promoting Interoperability)

This page will explain the Advancing Care Information measures for MIPS, and how to perform those measures in the TRAKnet application.

What is Advancing Care Information?

Advancing Care Information, or ACI, is one of four categories which contribute to your overall MIPS composite score. ACI replaces Meaningful use, using many of the same measures but dividing them up into required base measures, performance measures, and optional extra credit measures.

To receive credit for the base measures providers must submit for all five base measures available in the TRAKnet application. To improve on the base score the provider can complete the performance measures, these will improve the overall score based on their completion. Lastly the provider can complete the bonus measure to improve their overall score.

Base Measures

  1. E-prescribing
  2. Patient Access
  3. Request Summary of Care
  4. Security Risk Analysis
  5. Send Summary of Care

Performance Measures

  1. Clinical Information Reconciliation
  2. Immunization Registry Reporting
  3. Patient Generated Health Data
  4. Patient-Specific Education
  5. Secure Messaging
  6. View, Download or Transmit (VDT)

Bonus Measure

  1. Public Health Registry Reporting

The Advancing Care Information Report

The ACI report can be found in TRAKnet under reports, in the quality payment program section. The report can be filtered by provider, location or date range and can be viewed in a summary version or detailed version. The summary version provides a summary of all measures including the numerator, denominator, percentage of completion and the required percentage for the measure. The detailed version shows a breakdown for each individual measure which includes the number, denominator, percentage completed and a list of patients who qualify for this measure.

(Screenshot of report filters and measures included here.)

TRAKnet and MIPS/MACRA – Advancing Care Information

TRAKnet Version 3.1 is 2015 certified and is eligible for use for the completion of MIPS/MACRA 2018.

The TRAKnet 3.1 certification number is: 0015E286MK0W5B7.

(For previous TRAKnet certification please click here(Will be a link to the current ACI page))

Attestation

After completing the required steps for the reporting period, you must attest your completion of the Advancing Care Information measures. The CMS Registration and Attestation site CMS Registration and Attestion Site can provide relevant links and attestation information to aid in the attestation process.

TRAKnet also offers a consulting service that will walk you through the attestation process, known as Attestation Made Easy. For more information please contact our sales team at moc.snoitulostenkart|selas#moc.snoitulostenkart|selas.

Measure Requirements

Base Measures


Electronic Prescribing

CMS Documentation

Measure:At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.
Required for Base Score (50%): Yes
Percentage of Performance Score: 0
Eligible for Bonus Score: No

For instructions on how to send an electronic prescription please click here


Provide Patient Access

CMS Documentation

Measure:: At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician’s discretion to withhold certain information.
Required for Base Score (50%): Yes
Percentage of Performance Score: Up to 10%
Eligible for Bonus Score: No

For instructions on Providing Patient Access please click here


Request/Accept Summary of Care

CMS Documentation

Measure:For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible Clinician receives or retrieves and incorporates into the patients record an electronic summary of care document. For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible Clinician receives or retrieves and incorporates into the patients record an electronic summary of care document. At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.
Required for Base Score (50%): Yes
Percentage of Performance Score: Up to 10%
Eligible for Bonus Score: No

For instructions on how to Receive a summary of care in the TRAKnet application please click here


Security Risk Analysis

Measure:Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Required for Base Score (50%): Yes
Percentage of Performance Score: 0
Eligible for Bonus Score: No

For more information regarding Security Risk Analysis please click here


Send Summary of Care

CMS Documentation

Measure:The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Required for Base Score (50%): Yes
Percentage of Performance Score: Up to 10%
Eligible for Bonus Score: No

For instructions on how to send a Summary of Care please click here


Performance Score Measures


Clinical Information Reconciliation

CMS Documentation

Measure:For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs a clinical information reconciliation. The MIPS eligible clinician must implement clinical information reconciliation for the following three clinical information sets: (1) Medication. Review of the patient’s medication, including the name, dosage, frequency, and route of each medication. (2) Medication allergy. Review of the patient’s known medication allergies. (3) Current Problem list. Review of the patient’s current and active diagnoses.
Required for Base Score (50%): No
Percentage of Performance Score: 10%
Eligible for Bonus Score: No

For instructions on how to perform a Clinical Information Reconciliation please click here


Immunization Registry Reporting

CMS Documentation

Measure:The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.
Required for Base Score (50%): No
Percentage of Performance Score: 0 or 10%
Eligible for Bonus Score: No


Patient Generated Health Data

CMS Documentation

Measure:Patient-generated health data or data from a non-clinical setting is incorporated into the certified electronic health record technology (CEHRT) for at least one unique patient seen by the MIPS eligible clinician during the performance period.
Required for Base Score (50%): No
Percentage of Performance Score: Up to 10%
Eligible for Bonus Score: No

For instructions on how to import Patient Generated Health Data please click here. (Please read Document Properties section thoroughly)


Patient Specific Education

CMS Documentation

Measure:The MIPS eligible clinician must use clinically relevant information from certified electronic health record technology (CEHRT) to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Required for Base Score (50%): No
Percentage of Performance Score: Up to 10%
Eligible for Bonus Score: No

For instructions on how to send a Patient Specific Education please click here


Secure Messaging

CMS Documentation

Measure:For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified electronic health record technology (CEHRT) to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative).
Required for Base Score (50%): No
Percentage of Performance Score: Up to 10%
Eligible for Bonus Score: No

This Measure requires the patient to send a secure message to the practice through the patient portal. Please see the Patient Portal - Patient Site page for patient assistance.


View, Download and Transmit

CMS Documentation

Measure:During the performance period, at least one unique patient (or patientauthorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician by either—(1) viewing, downloading or transmitting to a third party their health information; or (2) accessing their health information through the use of an Application Programming Interface (API) that can be used by applications chosen by the patient and configured to the API in the MIPS eligible clinician’s certified electronic health record technology ( CEHRT); or (3) a combination of (1) and (2)
Required for Base Score (50%): No
Percentage of Performance Score: Up to 10%
Eligible for Bonus Score: No

This Measure requires that the patient view the CCDA sent to the patient through their patient portal website. Please see the Patient Portal - Patient Site page for patient assistance.


Bonus Score Measures


Public Health Registry Reporting

CMS Documentation

Measure:The MIPS eligible clinician is in active engagement with a public health agency (PHA) to submit data to public health registries.
Required for Base Score (50%): No
Percentage of Performance Score: 0
Eligible for Bonus Score: Yes

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