2019 MIPS performance information for Promoting Interoperability and Improvement Activities Performance categories

Promoting Interoperability (PI) Performance category

Of the four categories under MIPS, the PI Performance category will see the most change in 2019.

  • The PI category carries a weight of 25% of your total MIPS score which is the same as the 2018 reporting period.
  • In the 2019 reporting period eligible clinicians are required to a 2015 Edition CEHRT. There is no longer an option of using an earlier edition of CEHRT.
  • CMS has eliminated the “base, performance and bonus scoring structure that had been in place for reporting periods 2017 and 2018.
    • Finalizing a new scoring methodology:
      • Performance-based scoring at the individual measure-level. Each measure will be scored based on the MIPS eligible clinician’s performance for that measure based on the submission of a numerator or denominator, or a “yes or no” submission, where applicable.
      • Finalizing Security Risk Analysis measure as a required measure without points.
      • The scores for each of the individual measures will be added together to calculate the score of up to 100 possible points. If exclusions are claimed, the points for measures will be reallocated to other measures.
    • Reweighting of the PI performance category remains the same as 2018 reporting period but extends to additional MIPS eligible clinician types added for reporting period 2019 as outlined previously (see article: high overview of the changes for 2019 MIPS program).
  • Physical Therapists
  • Occupational Therapists
  • Speech-language Pathologists
  • Audiologists
  • Clinical psychologists
  • Registered dietitians or nutrition professionals
  • Objectives and Measures
    • There will be one set of Objectives and Measures for the 2019 reporting period. In the past, 2017 and 2018 reporting periods had two sets of measures as both 2014 and 2015 CEHRT were allowed.
    • There are four objectives:
      • E-Prescribing
      • Health Information Exchange
      • Provider to Provider Exchange
      • Public Health and Clinical Data Exchange
    • Eligible clinicians are required to report certain measures from each of the four objectives, unless an exclusion is claimed. CMS is finalizing adding two new measures for the e-prescribing objective, both are optional with bonus points available:
      • Query of prescription Drug Monitoring Program (PDMP)
      • Verify Opioid Treatment Agreement

    2019 PI Measures

    CATEGORY MEASURES Reporting Option  Maximum Points
    e-Prescribing ·       e-prescribing

    ·       PDMP

    ·       Verify Opioid Treatment Agreement

    Required

    Optional

    Optional

    10

    Bonus (5)

    Bonus (5)

    Health Information Exchange ·       Support Electronic Referral loops by sending health info

    ·       Support Electronic Referral loops by receiving and incorporated health info

    Required

     

    Required

    20

     

    20

    Provider to Patient Exchange ·       Provide Patients Electronic access to their health information Required 40
    Public Health and Clinical Data Exchange Select 2 of the following:

    ·       Immunization Registry Reporting

    ·       Clinical Data Registry Reporting

    ·       Public Health Registry Reporting

    ·       Electronic Case Reporting

    ·       Syndromic Surveillance Reporting

     

    Two are required

     

    10

     

    Improvement Activities (IA) Performance category

    • The IA Performance category carries a weight of 15% of your total MIPS score which is the same as the 2018 reporting period.
    • For the CY 2019 performance period modifications include the addition of one new criterion in this category
      • Include a public health emergency as determined by the Secretary and
      • Also changes for this category include the removal of Activities that may be considered for a Promoting Interoperability bonus.
    • This category will see 6 new activities
    1. Comprehensive Eye Exams
    2. Financial Navigation Program
    3. Completion of Collaborative Care Management Training Program
    4. Relationship-Centered Communication
    5. Patient Medication Risk Education
    6. Use of CDC Guideline for Clinical Decision Support to Prescribe Opioids

    for Chronic Pain via Clinical Decision Support

    • Modifications to 5 existing activities:
      1. Care transition documentation practice improvements
      2. Chronic Care and Preventative Care Management for Empaneled Patients
      3. Participation in MOC Part IV
      4. Use of Patient Safety Tools
      5. Implementation of analytic capabilities to manage total cost of care for practice population
    • Removal of 1 existing activity:
      1. Participation in Population Health Research
    • Scoring: PI Bonus (previously given in 2018 reporting period)
    • In 2018 a bonus was given to eligible clinicians who completed certain IAs using a CEHRT. CMS is discontinuing this bonus for the 2019 reporting period.