Support Electronic Referral Loops by Sending Health Information

Definition:

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 electronic health record technology (CEHRT); and (2) electronically exchanges the summary of care record.

Exclusion:
Any MIPS eligible clinician who transfers a patient to another setting or refers a patient fewer than 100 times during the performance period.

NUMERATOR: The number of transitions of care and referrals in the denominator where a summary of care record was created using CEHRT and exchanged electronically.
DENOMINATOR: Number of transitions of care and referrals during the performance period for which the MIPS eligible clinician was the transferring or referring clinician.

FAQ:

What if the patient doesn't have any Allergies, Medications, Problem List?

Apart from the three fields noted as required for the summary of care record (i.e., current problem list, current medication list, and current medication allergy list), in circumstances where there is no information available to populate one or more of the fields listed (because the MIPS eligible clinician does not record such information or because there is no information to record), the MIPS eligible clinician may leave the field(s) blank and still meet the measure.

Can I refer to a provider in my own practice?

In cases where the MIPS eligible clinicians share access to an EHR, a transition or referral may still count toward the measure if the referring provider creates the summary of care document using CEHRT and sends the summary of care document electronically. If a MIPS eligible clinician chooses to include such transitions to clinicians where access to the EHR is shared, they must do so universally for all patients and all transitions or referrals.