Public Health and Clinical Data Exchange
The MIPS eligible clinician is in active engagement with public health agencies for the electronic transmission of immunization data and/or reportable conditions.
To get started: |
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Definition of Active Engagement: | The MIPS eligible clinician is in the process of moving towards sending "production data" to a public health agency or clinical data registry, or is sending production data to a public health agency (PHA) or clinical data registry (CDR).
In addition to submitting a response, MIPS eligible clinicians must submit their level of active engagement for each measure they report beginning with the performance period in CY 2023. |
Definition of Production Data: | Refers to data generated through clinical processes involving patient care and it is used to distinguish between data and “test data” which may be submitted for the purposes of enrolling in and testing electronic data transfers. |
Immunization Registry Reporting Measure
The MIPS eligible clinician is in active engagement with a public health agency (PHA) to submit immunization data and receive immunization forecasts and histories from the public health immunization registry/immunization information system (IIS).
All vaccines must be reported to the registry. Registries are not only for reporting pediatric vaccines, but adult vaccines as well.
MIPS eligible clinician must create a Customer Care case with Tebra to initiate the registration process.
Review Immunization Registry FAQs to learn more.
Exclusions: | Any MIPS eligible clinician meeting one or more of the following criteria may be excluded from the Immunization Registry Reporting measure if the MIPS eligible clinician:
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Attestation: | Yes / No |
Performance Score Weight: | 25 points if “yes” to both Immunization Registry Reporting and Electronic Case Reporting measures, OR if one “yes” and one exclusion is claimed. Then, if no “yes” responses and two exclusions are claimed the points are redistributed to “Provide Patient Electronic Access to their Health Information”. If two “no” responses, then zero (0) for both Provide Patient Electronic Access to Health Information and Promoting Interoperability Performance Category. |
Electronic Case Reporting Measure
The MIPS eligible clinician is in active engagement with a public health agency (PHA) to electronically submit case reporting of reportable conditions.
Exclusions: | Any MIPS eligible clinician meeting one or more of the following criteria may be excluded from the Electronic Case Reporting measure if the MIPS eligible clinician:
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Attestation: | Yes / No |
Performance Score Weight: | 25 points if “yes” to both Immunization Registry Reporting and Electronic Case Reporting measures, OR if one “yes” and one exclusion is claimed. Then, if no “yes” responses and two exclusions are claimed the points are redistributed to “Provide Patient Electronic Access to their Health Information”. If two “no” responses, then zero (0) for Provide Patient Electronic Access to Health Information and Promoting Interoperability Performance Category. |