Details

MIPS - Advancing Care Information - Send a Summary of Care

Advancing Care Information Measures
Measure ID ACI_HIE_1
Category ACI
Description For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2) electronically exchanges the summary of care record.
Definition of Terms
  • Transition of Care – The movement of a patient from one setting of care (hospital, ambulatory primary care practice, ambulatory, specialty care practice, long-term care, home health, rehabilitation facility) to another. At a minimum, this includes all transitions of care and referrals that are ordered by the MIPS eligible clinician.
  • Summary of Care Record – All summary of care documents used to meet this measure must include the following information if the MIPS eligible clinician knows it:
    • Patient name
    • Referring or transitioning healthcare provider's name and office contact information (MIPS eligible clinician only)
    • Procedures
    • Encounter diagnosis
    • Immunizations
    • Laboratory test results
    • Vital signs (height, weight, blood pressure, BMI)
    • Smoking status
    • Functional status, including activities of daily living, cognitive and disability status
    • Demographic information (preferred language, sex, race, ethnicity, date of birth)
    • Care plan field, including goals and instructions
    • Care team including the primary care provider of record and any additional known care team members beyond the referring or transitioning provider and the receiving provider
    • Reason for referral (MIPS eligible clinician only)
    • Current problem list (Providers may also include historical problems at their discretion)*
    • Current medication list*
    • Current medication allergy list*

    *Note: A MIPS eligible clinician must verify that the fields for current problem list, current medication list, and current medication allergy list are not blank and include the most recent information known by the MIPS eligible clinician as of the time of generating the summary of care document or include a notation of no current problem, medication and/or medication allergies.

  • Current problem lists – At a minimum, a list of current and active diagnoses.
  • Active/current medication list – A list of medications that a given patient is currently taking.
  • Active/current medication allergy list – A list of medications to which a given patient has known allergies.
  • Allergy – An exaggerated immune response or reaction to substances that are generally not harmful.
  • Care Plan – The structure used to define the management actions for the various conditions, problems, or issues. A care plan must include at a minimum the following components: problem (the focus of the care plan), goal (the target outcome) and any instructions that the MIPS eligible clinician has given to the patient. A goal is a defined target or measure to be achieved in the process of patient care (an expected outcome).
eMeasure ID
First Performance Year 2017
Last Performance Year
Metric Type proportion
Reporting Category Base
Weight ten
Objective Health Information Exchange
Is Required?
Is Bonus?
Substitutes ACI_LVOTC_1 ACI_TRANS_HIE_1 ACI_TRANS_LVOTC_1
Registry Measure Spec
Web Interface Measure Spec
Claims Measure Spec

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