-In this demo, we will review the reporting
and submitting of the Promoting Interoperability category.
-To start, we want to go to qpp.cms.gov
and log in to the system using our HARP credentials.
If you do not have HARP credentials,
you can always register for an account
by clicking on the log-in tab
and going to the register information.
And so, I enter in my account information.
The next thing I want to do is click on
"I certify that the information that I am submitting
is true, accurate, and complete."
If I do not click on this, it will not let me log in.
So, once I click on here, click on "sign in,"
generally you'll go through your multi-factor authentication,
where you'll have a code being either texted, called,
or e-mailed to you, and you'll enter that information in.
Once you successfully enter into the website,
you will land on the overview page.
You can see now that
the performance year submission window is now open.
So the first thing we're going to do
is click on "start reporting."
From here, we'll be able to access all of the groups
and other accounts that I am associated with
based on my HARP credentials.
The first item we're going to review
is if you have a third-party intermediary
reporting on your behalf.
Once you log in to the system and click on "report as group,"
you'll be taken to an overview page.
You'll see here that I already have a score
for Promoting Interoperability
based off of the submission that was made by a third party.
Also, you can see that there is some information letting me know
about the last update, as well as my submission I.D.
The submission I.D. is helpful for
requesting information from the help desk
and being able to provide this detail.
It's not considered PII,
so it can be distributed without being encrypted.
So, I go to "view and edit."
You can see the information that's associated
is in a read-only mode.
All the data that has been reported
will give me my score data,
as well as the measures that I have reported on.
I can also see at the top of the screen
that my preliminary score is available.
The next item we're going to review is if you are reporting.
and you do not have a third-party intermediary
reporting on your behalf.
If I go to the individual that I'm going to report for,
click on "report as individual,"
you'll then see that no information
is associated with this individual.
The first item we're going to look at
is an upload that will not pass the validation.
As part of the new reporting requirements
for the Promoting Interoperability category,
you must have 2015 certified EHR technology.
The CEHRT I.D. from CMS
must also be a part of your submission
in order for it to pass the validation.
We can see here that an error has occurred within my upload,
and if I download my report,
I can see specifically that the CEHRT I.D.
within my submission is not meeting
the criteria that's expected.
I'm going to get rid of this one, go through
and find my file with my correct CEHRT I.D.,
and upload the information.
I can see that my data has been uploaded successfully,
and I can view my submission data at this point.
I have my preliminary score, and if I scroll down,
I can go into "view and edit."
The information again -- Anything uploaded
will be in a read-only format.
Any type of changes that would need to be performed
would have to then be eliminated from the system
and then either a new upload, or you can create a manual entry.
So, what I'm going to do is remove out this submission
and create a manual entry submission for the category.
By clicking on the "manage data," you can then see
I can remove out the submission that I have just uploaded.
Once I click on "delete,"
I am then taken back to the screen
that allows me to begin a manual entry.
I can either click on the button here,
or I can click on this link down here.
That will both take me to the same location.
Similar to in previous years,
the manual entry portion of the Promoting Interoperability
is populated in a stagewise manner.
The first thing that you must do
is complete the "Performance Period."
90 days must be captured within 2015 CEHRT in order
for you to pass the P.I. category.
I'm going to choose my start date.
if I do try and choose a date of less than 90 days,
the system will not let me proceed further any farther,
and I'll get a notification letting me know
that I must have 90 days
and anything less than that will result in a score of zero.
Update my performance period.
The next item that I'm prompted with
is the entry of my CEHRT I.D.
Again, if you do not have a valid CEHRT I.D.,
you will not be able to proceed forward.
Once I enter in my CEHRT I.D.,
you can see that attestation statements
are then available for attestation.
The first one that we have is ONC Direct Review Attestation.
And then we also have
the Prevention of Information Blocking.
Both of these are required.
The third item that's available
is the ONC Surveillance Attestation.
This is optional.
And you can attest "yes" if you have completed this.
Once I have completed the attestation statements,
I am then available to complete the remainder of my submission.
You can see at the top that we have
the required amount of measures
that must be completed in order for us to receive a score.
At this point, no score has been awarded for my submission.
If I go through and populate out my submission data,
you can see that the changes are saved automatically.
And once I have completed the reporting,
I'm getting a checkmark, as well as it's letting me know
that I've completed the data.
New this year, we have two bonus measures that are available.
If you have completed either
the Query of the Prescription Drug Monitoring Program
or Verify Opioid Treatment Agreement,
you can then attest
or enter in numerator/ denominator information
to receive bonus measures associated with e-prescribing.
The bonus for these two measures will not exceed 5 points.
Health Information Exchange.
We have the option to either report,
or we can choose our measure exclusion.
We're going to report our information for this item.
And then, for the Support Electronic Referral Loops
by Receiving and Incorporating Health Information,
there are two exclusions that are available for this measure.
If you have less than 100
or if you were unable to implement
the measure for 2019, you can claim an exclusion order,
complete the category for Promoting Interoperability.
Once I select the item, I would then click on "submit,"
and you can see that I have claimed my exclusion, as well
as the reason for my exclusion.
Providing Patient Access.
We can go through, entering our information.
As you can see, when I enter in the data,
if I do not have a valid value
in my numerator/denominator, it will not be saved.
It will not let me proceed forward.
But once I've completed the information
where the numerator cannot be greater
than the denominator, I can proceed forward.
Completing Security Risk Analysis.
And then we have
our Public Health and Clinical Data Exchange.
Within this category,
you can either choose from five different reporting options,
as well as you can report one of the measures twice.
If I click on "yes," you can see that I've completed this,
and then if I want to report the measure again,
it will then populate out this data here.
Additionally, there are multiple exclusions
that are associated with this category.
If you have a reason for exclusion,
similar to the Health Information Exchange,
we can choose one of our items and then click on "submit."
I've completed the preliminary score,
and based off of this information, I can see
that I have a score of 25 out of 25.
If I go back to the individual reporting page,
we can see again all of my changes have been saved
and my collection type was manually entered.
If you change any details
associated with your manual entry
that then would change your score,
it will then go back and revert the score back to a score
of zero.
All requirements must be fulfilled and completed
prior to the close of the submission period,
which is March 31st.