EHR technology should enable a provider to deliver patients with timely access to their health information as it is logged in the EHR. The data may be accessible in an online patient portal or a personal health record (PHR).
PI Objective and Calculation
The objective is to provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the eligible clinician (EC). Additionally, the patient's health information is available for the patient using any application of their choice configured to meet the technical specifications of the Application Programming Interface (API) in CEHRT.
- For at least one unique patient seen by the MIPS eligible clinician:
- The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and
- The MIPS eligible clinician ensures the patient’s health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programming Interface (API) in the MIPS eligible clinician’s certified electronic health record technology (CEHRT).
Denominator for calculation: The number of unique patients seen by the MIPS eligible clinician during the performance period.
Numerator for calculation: The number of patients in the denominator, including children, who are provided timely access (within four business days) to health information to view online, download, and transmit to a third party and to access using an application of their choice that is configured meet the technical specifications of the API in the MIPS eligible clinician’s CEHRT.
Promoting Interoperability Discussion
Providing patients electronic access to their health information helps them and their caregivers be more engaged in their care. In addition, when patients move or transfer providers they have the ability to provide their health information to their new provider(s), improving care coordination and management.
RevolutionEHR allows users to deliver patients their health information via the RevolutionPHR online portal. To grant access to the portal, the user should access the Login Information tab in Demographics. See Example
Clicking the Allow Login checkbox creates access as long as the patient has a documented email address. In the event that an email address is not available, any unique string of characters across the entire RevolutionEHR database will work as a username. A temporary password can be generated by clicking the Random button to assure HIPAA qualification of protecting health information. The patient must have logged access credentials to RevolutionPHR and the provider must have signed the record within four business days of the encounter start to meet this requirement. *Children must be granted PHR access in order for their authorized representative to view their information.
Access to this site can be attained via https://revolutionphr.com/. RevolutionEHR customers may deliver this address to patients or they can post this URL as a link on their practice website.
As part of 2015 Edition certification, RevolutionEHR has made an API available to external developers who might build applications to help patients access their clinical data. No actions on the part of the provider are required to satisfy this requirement. Additionally, no patient data is shared via API without a series of events involving the practice, patient, and 3rd party vendor. Additional details can be found here: Patient Data Access by 3rd party API
Meeting this measure of the objective is expected to be of moderate challenge as the user needs to establish procedures to provide a set of RevolutionPHR login credentials for patients.
Of additional importance is that each and every encounter the patient has during the performance period must be successful in these regards. As an example, if the first visit fails to satisfy the numerator but all subsequent visits during the period are successful, the patient will still count against the provider as a result of at least one visit being unsuccessful.