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Promoting Interoperability (PI) Requirements

Formerly Advancing Care Information (ACI)

This performance category promotes patient engagement and electronic exchange of information using certified electronic health record technology (CEHRT). CMS is re-naming the advancing care information (ACI) performance category to promoting interoperability (PI) to focus on interoperability, improving flexibility, relieving burden.

Requirements may change each Performance Year (PY) due to shifting rules.

2017 Advancing Care Information Requirements

25% of Final Score

This percentage can change due to Special Statuses, Exception Applications, or APM participation.

What Advancing Care Information Data Should I Submit?

There are 2 measure sets for submitting data:

  • Advancing Care Information Objectives and Measures
  • Advancing Care Information Transition Objectives and Measures

The measure set you choose is based on your CEHRT edition.

If your CEHRT is certified to the 2014 Edition, you must use the Advancing Care Information Transition Objectives and Measures set. Otherwise, you may use either set, or any combination of the two sets.

When choosing the combination of technologies path, however, you may not submit a measure from the Advancing Care Information Objectives and Measures set that correlates to a measure from the Advancing Care Information Transition Objectives and Measures set. For example, if you submit the "Immunization Registry Reporting" measure from the Advancing Care Information Transition Objectives and Measures set, you may not submit the correlating "Immunization Registry Reporting" measure from the Advancing Care Information Objectives and Measures set.

Requirements

For Performance Year 2017, Certified EHR Technology (CEHRT) is required for participation in this performance category. If participants do not have CEHRT they may be eligible for a exception applications.

Participants must submit collected data for 4 or 5 Base Score measures (depending on the CEHRT Edition) during 2017.

In addition to submitting the Base Score measures, participants must attest to two statements when submitting: “Prevention of Information Blocking Attestation,” and “ONC Direct Review Attestation.”

To improve results, participants may:

  • Collect and submit data for up to 9 Performance Score measures (or 7 Performance Score measures if you choose the transition set)
  • Collect and submit data for any Bonus Score measures
    • To receive CEHRT bonus points, participants must first submit 1 or more “CEHRT-Eligible” improvement activities

Hardship Exceptions

A clinician or group participating in MIPS may submit a Quality Payment Program hardship exception application, citing one of the following specified reasons for review and approval:

  • Insufficient Internet connectivity
  • Extreme and uncontrollable circumstances
  • Lack of control over the availability of CEHRT

For clinicians participating in MIPS, getting an exception means that the advancing care information performance category receives 0 weight in calculating your final score and the 25% is reallocated to the quality category.

Some clinicians who participate in MIPS are granted Special Status (for example hospital-based clinicians) will be automatically reweighted and will not need to submit a Quality Payment Program hardship exception application.

Learn more about exception applications.

View Advancing Care Information Measures

Explore which advancing care information measures are best for you and your practice.

Explore Measures

How Should I Submit Data?

There are 4 ways participants can submit data:

2018 Promoting Interoperability Requirements

25% of Final Score

This percentage can change due to Special Statuses, Exception Applications, or APM participation.

What Promoting Interoperability Data Should I Submit?

There are 2 measure sets for submitting data:

  • Promoting Interoperability Objectives and Measures
  • Promoting Interoperability Transition Objectives and Measures.

The measure set you choose is based on your CEHRT edition.

If your CEHRT is certified to the 2014 Edition, you must use the Promoting Interoperability Transition Objectives and Measures set. Otherwise, you may use either set, or any combination of the two sets.

When choosing the combination of technologies path, however, you may not submit a measure from the Promoting Interoperability Objectives and Measures set that correlates to a measure from the Promoting Interoperability Transition Objectives and Measures set. For example, if you submit the "Immunization Registry Reporting" measure from the Promoting Interoperability Transition Objectives and Measures set, you may not submit the correlating "Immunization Registry Reporting" measure from the Promoting Interoperability Objectives and Measures set.

Requirements

For Performance Year 2018, Certified EHR Technology (CEHRT) is required for participation in this performance category.

Participants must submit collected data for 4 or 5 Base Score measures (depending on the CEHRT Edition) for 90 days or more during 2018.

In addition to submitting the Base Score measures, participants must attest to two statements when submitting: “Prevention of Information Blocking Attestation,” and “ONC Direct Review Attestation.”

To improve results, participants may:

  • Collect and submit data for up to 9 Performance Score measures (or 7 Performance Score measures if you choose the PI Transition Objectives and Measures set)
  • Earn bonus percentage points by
    • Submitting “yes” for 1 or more additional public health agencies or clinical data registries beyond the one identified for the performance score measure
    • Submitting 1 or more “CEHRT-Eligible” improvement activities and submit “yes” to the completion of at least 1 of the specified improvement activities
    • Submitting only from the PI Objectives and Measures set (and only using 2015 edition CEHRT)

Hardship Exceptions

A clinician or group participating in MIPS may submit a Quality Payment Program hardship exception application, citing one of the following specified reasons for review and approval:

  • MIPS eligible clinician in a small practice
  • MIPS eligible clinician using decertified EHR technology
  • Insufficient Internet connectivity
  • Extreme and uncontrollable circumstances
  • Lack of control over the availability of CEHRT

For clinicians participating in MIPS, getting a hardship exception means that the Promoting Interoperability performance category receives 0 weight in calculating your final score and the 25% is reallocated to the quality performance category.

Some clinicians who participate in MIPS are granted Special Status (for example hospital-based clinicians) will be automatically reweighted and will not need to submit a Quality Payment Program hardship exception application.

Learn more about exception applications.

View Promoting Interoperability Measures

Explore which promoting interoperability measures are best for you and your practice.

Explore Measures

How Should I Submit Data?

There are 4 ways participants can submit data:


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