Objective 7: Health Information Exchange (HIE)

The HIE objective states that the EP provides a summary of care record when transitioning or referring their patient to another setting of care, receives or retrieves a summary of care record upon the receipt of a transition or referral or upon the first patient encounter with a new patient, and incorporates summary of care information from other providers into their EHR using the functions of CEHRT.

To meet this objective, providers must attest to all 3 of the below measures and meet the threshold for at least 2 measures.

  • (1) For more than 50% of transitions of care and referrals, the EP that transitions or refers their patients to another setting of care or provider of care:
    • Creates a summary of care record using CEHRT; and
    • Electronically exchanges the summary of care record.
  • (2) For more than 40% of transitions or referrals received and patient encounters in which the provider has never before encountered the patient, the EP incorporates into the patient’s EHR an electronic summary of care document.
  • (3) For more than 80% of transitions or referrals received and patient encounters in which the provider has never before encountered the patient, the EP performs a clinical information reconciliation. The provider must implement clinical information reconciliation for the following 3 clinical information sets:
    • Review of the patient’s medication, including the name, dosage, frequency, and route of each medication.
    • Medication allergy. Review of the patient’s known medication allergies.
    • Current Problem list. Review of the patient’s current and active diagnoses.

Below are the exclusions for each of the 3 measures.

  • (1) A provider may exclude from the measure if any of the following apply:
    • Any EP who transfers a patient to another setting or refers a patient to another provider < 100 times during the PI reporting period.
    • Any EP that conducts 50% or more of their patient encounters in a county that does not have 50% or more of its housing units with 4 Mbps broadband availability.
  • (2) A provider may exclude from the measure if any of the following apply:
    • Any EP for whom the total of transitions or referrals received and patient encounters in which the provider has never before encountered the patient, is < 100 during the PI reporting period.
    • Any EP that conducts 50% or more of their patient encounters in a county that does not have 50% or more of its housing units with 4 Mbps broadband availability.
  • (3) Any EP for whom the total of transitions of referrals received and patient encounters in which the provider has never before encountered the patient, if < 100 during the PI reporting period.

Objective Measures 2018 Medicaid PI Modified Stage 2 2019 Medicaid PI Stage 3
Objective 7: Health Information Exchange 10% < 100 referrals per reporting period exclusion 50% send summary of care/40% receive summary of care for new patients/Clinical info reconciliation for new patients 80%

Resources

Health Information Exchange (Objective 7 of 8)