Coordination of Care through Patient Engagement (Medicaid)

The objective of this measure is to use a certified EHR to engage with patients or their authorized representatives about the patient’s care.

This page provides information related to the Medicaid Promoting Interoperability program. There is no comparable measure in the Medicare MIPS program..

This measure requires a new patient and provider portal in 2019. To learn more about this upgrade, go to eyefinity.com.

Once your practice is migrated to the new patient and provider portal and each clinician is assigned an account, ExamWRITER will automatically send exam information to the patient portal when you finalize the exam. Patients will be notified when a new heath record is available.

Encourage patients to log into the patient portal, view their health records, and update their family health history. Download an instructional flier to help your patients.

For more information on setting up the patient and provider portal for your practice, refer to Sharing Information with the Patient and Provider Portal (2019 and Beyond).

An EP must meet the threshold for two measures for this objective. If the EP meets the criteria for exclusion from two measures, they must meet the threshold for the one remaining measure. If they meet the criteria for exclusion from all three measures, they may be excluded from meeting this objective.

  • Measure 1. More than 5 percent of all unique patients (or their authorized representatives) seen by the eligible professional (EP) actively engage with the EHR made accessible by the EP and take one of the following actions:
    • View, download, or transmit to a third party their health information; or
    • Access their health information through the use of an Application Programming Interface (API) that can be used by applications chosen by the patient and configured to the API in the EP’s certified EHR; or
    • A combination of the two.

      At the time of this publication, there are no applications that connect to ExamWRITER through an API. This is an emerging requirement from ONC and CMS, and we expect applications will become available in the future. For now, continue to provide access to patient health information through the patient portal.

      Encourage patients to log into the patient portal and view their health records. Download an instructional flier to help your patients.

  • Measure 2. For more than 5 percent of all unique patients seen by the EP during the EHR reporting period, a secure message was sent using the electronic messaging function of the certified EHR to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient or their authorized representative.

    Encourage patients to log into the patient portal and send you a secure message if they have questions about their exam. Download an instructional flier to help your patients.

    You must send and respond to secure messages from your own provider portal account to receive credit for this measure.

  • Measure 3. Patient-generated health data or data from a nonclinical setting is incorporated into the certified EHRfor more than 5 percent of all unique patients seen by the EP during the EHR reporting period.

Denominator

For both of the measures, the denominator is the number of unique patients seen by the EP during the EHR reporting period.

Numerator

  • Measure 1. The number of unique patients (or their authorized representatives) in the denominator who have viewed online, downloaded, or transmitted to a third party the patient’s health information during the EHR reporting period and the number of unique patients (or their authorized representatives) in the denominator who have accessed their health information through the use of an API during the EHR reporting period.
  • Measure 2. The number of patients in the denominator for whom a secure electronic message is sent to the patient (or patient-authorized representative) or in response to a secure message sent by the patient (or patient-authorized representative), during the EHR reporting period.
  • Measure 3. The number of patients in the denominator for whom data from nonclinical settings, which may include patient-generated health data, is captured through the certified EHR into the patient record during the EHR reporting period.

Threshold

For all three measures the resulting percentage must be more than 5 percent for an EP to meet this measure.

An EP may take an exclusion for any or all measures, if either of the following apply:

  • He or she has no office visits during the EHR reporting period.

  • He or she conducts 50 percent or more of his or her patient encounters in a county that does not have 50 percent or more of its housing units with 4 Mbps broadband availability according to the latest information available from the FCC on the first day of the EHR reporting period may exclude the measure.

This measure is required to achieve a promoting interoperability score.

The following are suggested roles for completing this measure:

  • Doctor
  • Front Desk