In this demo, we're going to look at reporting
the Promoting Interoperability category
and the requirements associated.
From here, on the Overview page, we have the ability to go down
and look at all of our practices that were associated
as well as any type of special statuses or criteria
that might be associated with the different groups.
For this specific group, you can see
that they're listed as "non-patient-facing."
For groups that are listed as "non-patient-facing,"
they're automatically exempt from reporting
the Promoting Interoperability category.
Once I go into "Report as Group," we can see
that the Promoting Interoperability category
is listed as "N/A" in the overall score,
and within the category card, you can see
that there's "N/A" listed at the top,
as well as the fact that this category counts
for zero percent of your score.
For groups that wish to report PI
that have an exemption there is the ability to do that.
The first item that you can do is "Create a Manual Entry."
You will be presented with a prompt letting you know
that your current category weights will be shifted
by proceeding forward.
This would only be in the instance that you do wish
to offset your current weighting category
and be scored for the Promoting Interoperability category.
Clicking on, "Yes, I agree," then "Continue."
I'm now able to report for this category.
For those that wish to create a manual entry
you have the ability to click on "Create Manual Entry."
This will take you through a step-wise submission
where each piece is required to be reported
prior to proceeding to the next step.
The first item that must be entered
is the performance period.
When entering the performance period, it's very important
to know that you are required to report on
at least 90 days for the category.
If you report on a time period that is less than 90 days,
you will receive a notification that says 90 days is required
and the result of this submission
will be a score of zero for the category
and you will not receive any credit.
Going to modify our date range
to accommodate the 90-day period,
and you can see that that modal has now gone away,
and the next step will be to enter your CEHRT ID.
If you have questions around your CEHRT ID,
or which CEHRT you are using,
you can go to the qpp.cms.gov Resource Library,
or you can go to the CMS Chapel website
to look up your EHR product
and which ID is correlating to the product you're using.
Once I have entered in my CEHRT ID, you can see
that I'm now able to enter my attestation statements.
For a quick review,
if we go back to the reporting overview page,
where we were initially listed as "N/A"
for Promoting Interoperability,
you can see this category does now have a weight.
You can see that on the card itself,
it's showing that it's out of 25
and that the percentage is 25 percent of your score.
So, we're going to go back in and complete our manual entry.
The first two attestation statements are required
underneath the PI category,
and if you do not either complete them or attest yes,
then you will receive a score of zero for the category.
The first item that we have is "ONC Direct Review"
that you will participate in good faith with ONC
underneath a direct review request from ONC.
The second item that we have
is the "Prevention of Information Blocking,"
saying that you are not intentionally
limiting information to be shared,
in which case we're going to click
that we are not knowingly doing so,
and the last item is the "ONC Surveillance Attestation"
that if there is any type of request from ONC
that you will cooperate in good faith.
This is optional and not required.
We're going to click yes.
The first measure associated with PI,
is the e-prescribing measure.
This is for practitioners that write enough prescriptions
and utilize the EHR to transmit the prescription,
as opposed to a paper prescription
being given to the patient.
There is an exclusion with this that any MIPS-eligible clinician
who writes fewer than 100 permissible prescriptions
can be excluded from this category.
We are going to actually go through and enter
in our information here.
For any of the measures where a numerator,
denominator is required, you'll see a note that pops up
once you enter in the information for the numerator,
letting you know that the portion value
is not yet valid, so it will not be saved.
In this instance, you must report a denominator
that it is either greater
than or equal to the numerator to proceed.
You can see once I've entered in this information,
the prompt has gone away and is showing me
that the measure has been completed.
The secondary item underneath of the e-prescribing
is the bonus for the query
of the Prescription Drug Monitoring Program.
If you participated within this program,
you have the ability to attest
that you have done so by clicking on "Yes."
This will give you a 10-point bonus for the PI category.
Health information exchange is required to either go down
two different options,
either one, performing both HIE1 and HIE4,
which would be the referral --
"Support Electronic Referral Loops
by Sending Health Information,"
and then "Support Electronic Health Referral Loops
by Receiving and Reconciling Health Information."
The second option
is the "Health Information Bi-Directional Exchange,"
which means that you are both sending
and receiving information within your EHR
for the patients that you are seeing.
Again, with the numerator, denominator,
it goes with the same type of standard
as above that you must enter in a denominator that is greater
than or equal to the numerator information being entered.
If you were doing option one, then both HIE1 and HIE4
are both required.
The next item we have is "Providing Patients
Electronic Access to their Health Information."
This would be a portal available for any of their patients
to view,
their charts that are associated within the EHR,
and then this is looking to see how many of the patients
actually access the information.
"Security Risk Analysis" is making sure
that your patient portal has been secured
to meet all of the security standards
associated with housing any type of PII or PHI information.
The last category that we have within PI is the "Public Health
and Clinical Data Exchange."
Underneath of here you can see that we have multiple categories
for which the registry is associated.
If you are reporting to a specific registry
and have reported to multiple registries
underneath of the type,
you have the ability to report on the measure more than once.
Let's say for this practice they have reported
two separate immunization registries.
So, the first item that they're going to do is click on "yes"
to indicate that they have reported to the first one,
and from here you can see that we have the ability
to click on "report measure again."
Once we have done that,
you can see that there's a drop-down
that is now available for us to say
that we are "reporting to more than one immunization registry
in accordance with the measure specifications."
Once we've clicked on this, you can see that we have now
completed our PI category submission,
and we can view our preliminary score.
Once completed with this,
we can go back to the Group Reporting Overview Page.
We can see that our PI score has now registered,
and it is available,
and from here you can go on to complete your QPP
reporting for the other categories,
either quality or IA, either one,
going in and creating a manual entry or IA,
or two, going into quality and reporting via an upload
utilizing either MIPS CQMs
for eCQMs that are supported within the program.