This page will explain the Promoting Interoperability measures for MIPS, and how to perform those measures in the TRAKnet application.

What is Promoting Interoperability?

Promoting Interoperability, or PI is one of four categories that contribute to your overall MIPS composite score.

To receive credit for the Promoting Interoperability performance category you must complete the required measure Security Risk Analysis as well as submitting at least one Numerator for each performance measure. Performance measures are scored based on the Numerator divided by the Denominator.

Protect Patient Health

1. Security Risk Analysis
2. High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides

E-prescribing

1. E-prescribing
2. Query of Prescription Drug Monitoring Program

Provider To Patient Exchange

1. Provide Patient Access

Health Information Exchange

1. Support Electronic Referral Loops by Sending Health Information
2. Support Electronic Referral loops by Receiving and Incorporating Health Information

Public Health and Clinical Data Exchange

1. Immunization Registry Reporting
2. Syndromic Surveillance Reporting
3. Electronic Case Reporting
4. Public Health Registry Reporting
5. Clinical Data Registry Reporting

The Promoting Interoperability Report

The PI 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, and percentage of completion. 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.

TRAKnet and MIPS/MACRA – Promoting Interoperability

TRAKnet Version 3.1 is 2015 certified and is eligible for use for the completion of MIPS/MACRA 2019, 2020, and 2021.

The TRAKnet 3.1 certification number is: 0015EJE62AY3FL2.

(For previous TRAKnet certification please click here)

Attestation

After completing the required steps for the reporting period, you must attest your completion of the Promoting Interoperability measures. The CMS Registration and Attestation site CMS Registration and Attestation 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.htlaehomen|selaS#moc.htlaehomen|selaS .

Measure Requirements

Protect Patient Health

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.
Performance Score: N/A
Eligible for Bonus Score: No

For more information regarding Security Risk Analysis please click here

High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides

Measure: Conduct an annual assessment of the High Priority Practices Guide SAFER Guides beginning with the 2022 performance period.
Performance Score: N/A
Elibible for Bonus Score: No

For more information regarding the High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides please click here

E-prescribing

Electronic Prescribing

Measure: At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.
Performance Score: Up to 10 points
Eligible for Bonus Score: No

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

Query of Prescription Drug Monitoring Program

Measure: For at least one Schedule II opioid electronically prescribed using CEHRT during the performance period, the MIPS eligible clinician uses data from CEHRT to conduct a query of a PDMP for prescription drug history, except where prohibited and in accordance with applicable law.
Performance Score: 10 Points
Eligible for Bonus Score: Yes

For more information click here

Provider to Patient Exchange

Provide Patient Access

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.
Performance Score: Up to 40 points
Eligible for Bonus Score: No

For instructions on Providing Patient Access please click here

Health Information Exchange

Support Electronic Referral Loops by Sending Health Information

Measure: For at least one transition of care of referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider - 1) creates a summary of care record using certified electronic health record technology (CEHRT) and 2) electronically exchanges the summary of care record.
Performance Score: Up to 20 points
Eligible for Bonus Score: No

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

Support Electronic Referral Loops by Receiving and Incorporating Health Information

Measure: For at least one electronic summary of care record received for patient encounters during the performance period for which a MIPS eligible clinician was the receiving part of the transition of care or referral, or for patient encounters during the performance period in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician conducts clinical information reconciliation for medication, medication allergy, and current problem list.
Performance Score: Up to 20 points
Eligible for Bonus Score: No

For instructions on how to Receive a summary of care in the TRAKnet application please click here. For instructions on how to record an incomming referral please click here.

Public Health and Clinical Data Exchange

For this group only two measures will be counted when reporting.

Immunization Registry Reporting

Measure: The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data and receive immunization forcasts and histories from the public health immunization registry/immunization information system (IIS)
Required for the Promoting Interoperability Performance Category Score: Yes must report on Immunization Registry Reporting
Performance Score: Up to 10 points
Eligible for Bonus Score: No

For instructions on how to attest to reporting to an Immunization registry please click here

Syndromic Surveillance Reporting

Measure: The MIPS eligible clinician is in active engagement with a public health agency to submit syndromic surveillance data from a non-urgent care setting.
Performance Score: Up to 5 points
Eligible for Bonus Score: Yes

For instructions on how to attest to reporting to a Syndromic Surveillance registry please click here

Electronic Case Reporting

Measure: The MIPS eligible clinician is in active engagement with a public health agency to to electronically submit case reporting of reportable conditions.
Required for the Promoting Interoperability Performance Category Score: Yes must report on Electronic Case Reporting
Performance Score: Up to 10 points
Eligible for Bonus Score: No

For instructions on how to attest to reporting to an Electronic Case Reporting registry please click here

Public Health Registry Reporting

Measure: The MIPS eligible clinician is in active engagement with a public health agency to submit data to public health registries.
Performance Score: Up to 5 points
Eligible for Bonus Score: Yes

For instructions on how to attest to reporting to a Public Health registry please click here

Clinical Data Registry Reporting

Measure: The MIPS eligible clinician is in active engagement with a public health agency to submit data to a clinical data registry.
Performance Score: Up to 5 points
Eligible for Bonus Score: Yes

For instructions on how to attest to reporting to a Clinical Data registry please click here

Training Video

See below for video instructions on how to perform Promoting Interoperability in TRAKnet 3.1:

Run Report and Complete Measures in TRAKnet from NEMO Health on Vimeo