Promoting Interoperability: New Year. New Name.

Promoting Interoperability (PI) may sound like a new performance category under the Merit-Based Incentive Payment System (MIPS), but it is simply what was known previously as Advancing Care Information (ACI).

CMS believes renaming Advancing Care Information to Promoting Interoperability better reflects their vision by prioritizing patient health data access and improving interoperability between clinicians. Although the performance category has been renamed, the previously established requirements for 2018 remain the same.

As one of four MIPS performance categories, Promoting Interoperability encourages:

  • Patient engagement
  • The electronic exchange of health information using certified electronic health record technology (CEHRT)

In 2018, the PI category is worth 25 percent of the MIPS Final Score. As a score-based approach, it allows more flexibility when selecting objectives and measures to report for the best possible score. Comprised of three areas, the PI category has the potential for 165 percent as the total score, but is capped at 100 percent.

The Promoting Interoperability score is the sum of these three scores:

  • Required Base Score (worth 50 percent of the category score)
  • Optional Performance Score (worth up to 90 percent of the category score)
  • Optional Bonus Score (worth up to 25 percent of the category score)

Depending on CEHRT, one of the two measure sets available with specific objectives and measures, will be used to accumulate percentage points in each of these three areas. In each measure set, high priority has been given to patient engagement and exchange of health information, as both are included as a Base Measure and Performance Measure.

As more clinicians are deemed eligible for MIPS, Health Information Exchange will play a critical role to improve continuity of care and bridge the gap between care settings. Using CEHRT, via secure direct email, to electronically send and/or receive a Summary of Care document is the key component. Once an individualized direct email has been established through one’s CEHRT, begin to obtain direct addresses of referring clinicians through directories provided by the CEHRT, as well as, reaching out to large organizations within the geographic region.

  • For more information on the 2018 MIPS Promoting Interoperability Performance Category, including helpful FAQs from CMS, click here.
  • Or visit the Quality Payment Program website here.