Promoting Interoperability The 2023 Health Information Exchange (HIE) Bi-Directional Exchange Measure: Breaking Down the Essentials

The MIPS Promoting Interoperability category for 2023 introduced a significant measure known as the Health Information Exchange (HIE) Bi-Directional Exchange, also referred to as PI_HIE_5. This mandate implies that a MIPS eligible clinician or group must engage in bidirectional exchanges with an HIE to support transitions of care - a task easier said than done, which often forms a problematic area for many participants.

As we approach the 90-day (or more) Promoting Interoperability performance period, it's crucial to comprehend and apply the three ways to meet this measure for 2023. But first, let's shed light on the scoring details for this measure.

  1. Required for Promoting Interoperability Performance Category Score: Yes, if submitting as an alternative to the Support Electronic Referral Loops by Sending Health Information and the Support Electronic Referral Loops by Receiving and Reconciling measures (PI_HIE_1 and PI_HIE_4), or as an alternative to the Enabling Exchange Under TEFCA measure (PI_HIE_6).

  2. Measure Score: 30 points

  3. Eligible for Bonus Score: No

So, how can an individual or group meet this measure? There are three ways to earn these points.

Option 1: Enabling Exchange Under the Trusted Exchange Framework and Common Agreement (TEFCA)

Pros:

  • Ease of measure points

  • Enhances the ability to exchange data on the latest national standards at scale. 

Cons:

  • Your EMR vendor or you may choose not to participate

  • Privacy and security concerns need careful management.

  • There may be a cost involved in participating.

Option 2: Engaging with a Broad Network HIE

The clinician or group must attest YES to participating in an HIE capable of exchanging information across a broad network of unaffiliated exchange partners, including those using disparate EHRs, and abstain from exclusionary behavior when determining exchange partners.

Pros:

  • Increases accessibility and reach to different EHR systems.

  • Fosters a cooperative healthcare environment.

Cons:

  • Maintaining standardization can be challenging.

  • The complexity may lead to increased costs and time.

Option 3: Leveraging Certified EHR Technology (CEHRT)

The clinician or group must attest YES to utilizing the functions of CEHRT to support bi-directional exchange with an HIE.

Pros:

  • Promotes efficient, secure data sharing.

  • Aligns with the digitization drive in healthcare.

Cons:

  • Technical glitches could disrupt operations.

  • Requires workflow steps with a certified EHR being utilized to earn credit.

As we traverse the path towards seamless interoperability, navigating the terrain of measures like Health Information Exchange can be tricky. That's where Chirpy Bird steps in. Offering expertise on this measure and all MIPS measures and categories, Chirpy Bird provides an affordable pay-as-you-go monthly subscription service to help clinicians and groups ace the MIPS landscape. Join us today to uncomplicate the complexities while we protect your revenue and work to earn an optimal incentive. Contact us today at 888-647-7247 for a free quote.

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CMS 2022 MIPS Preview Scores: How to Ensure Accuracy and What to Do If Discrepancies Arise

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2023 MIPS SAFER Guide Requirements: A Deep Dive into this Promoting Interoperability Requirement that you need to complete outside of the EHR