Topics QPP/PI (MU) Settings Search:  
Introduction: A PrognoCIS User can set Clinic-level definitions relevant to PI(MU) data capture and CCD reporting from this QPP/PI (MU) Settings popup. The User can also set Provider-level program participation such as Quality Payment Program MIPS or AAPM, PI(MU) Stage 2 or Stage 3, and functional exemptions such as EPCS and Public Health reporting. A User can also select the applicable measures for data capture and reporting from this popup.

Clinic Setup Section

Office Visit Encounters: Displays a list of Office Visit encounter types for which the Office Visit checkbox (under QPP/PI(MU) Details section) is selected on the Encounter Type Master screen.

Seen By EP Encounters: Displays a list of encounter types which are marked as Seen by Eligible Provider (under QPP/PI(MU) Details section) on the Encounter Type Master screen.

Exempted Encounters: Displays a list of exempted encounter types for which the Exempt from MU Reporting checkbox (under QPP/PI(MU) Details section) is selected on the Encounter Type Master screen.

Additional Setup icon: Click on this icon to change Dashboard and Interface Settings.
  • Dashboard section:
    • QPP/PI(MU) Feature ON checkbox: Select this checkbox to turn on the QPP/PI(MU) feature.
    • Enable QPP/PI(MU) Global Dashboard checkbox: Select this checkbox to enable the Promoting Interoperability (PI) Dashboard (formerly ARRA Dashboard for ACI/MU) icon: displayed on the PrognoCIS Homepage menu bar.
    • Show Encounter Level Dashboard checkbox: Select this checkbox to enable the Encounter level PI Dashboard icon: available on the Encounter Close screen.

  • Interface Details section: This section displays the list of modules that a User can request to be setup by selecting the respective checkboxes and clicking on send email button after entering a valid email address in Contact Email field. If the set up for interface has already been done then the date when it was requested, any remarks, and the final status of the interface is displayed.
Immunization Information: Select the level of participation with Immunization registry from the dropdown list.

Syndromic Information: Select the level of participation with Syndromic Surveillance registry from the dropdown list.

PHR: Select the level of participation with Public Health Registry - National Ambulatory Medical Care Survey from the dropdown list.

Height: Select the Vitals testcode for Height from the search icon to capture its respective details in CCD. BMI/BSA is calculated based on this testcode.

Weight: Select the Vitals testcode for Weight from the search icon to capture its respective details in CCD. BMI/BSA is calculated based on this testcode.

BP: Select the testcode for Blood Pressure from the search icon to capture its respective details in CCD.

Smoking: Select the testcode for Smoking status from the search icon to capture its respective details in CCD.

Provider Setup Section

*Select Provider: Click on the search icon to select an applicable Provider. The setup would be already configured for a Provider who has completed the survey.

*Year: Select the year for which the Provider is reporting.

Quality Payment Program: Select the radio button for the Quality Payment Program for which Provider wants to report. There are three options: None, MIPS, and AAPM.

EHR Incentive Program/Medicaid PI (Promoting Interoperability) Program: Select the radio button for the Medicaid PI (Promoting Interoperability) Program stage for which Provider wants to report. There are three options: None, Modified Stage 2, and Stage 3.

Exclusions: Select the checkbox for the required exclusions. There are five options: No EPCS, No Immunization, No Syndromic Data, No Specialized Data, and No PHR-NAMCS. The tooltip of each checkbox option displays details about the respective exclusion.

Accordion Sections

  • Based upon the programs selected above, a User can select required measures from the 4 accordions below.
  • The Quality Measures, MIPS-PI Measures and Improvement Activities accordions are applicable for MIPS and AAPM Quality Payment Programs, whereas the PI(MU) accordion is for Modified Stage 2 and 3.
  • The Reporting Period and Submission Date can be set for the respective measure from each accordion.
  • User can Search and Filter the measures in the respective accordion according to the given criteria.
Quality Measures
  • From this accordion, a User can select the required Claim Based and EHR Based measures for reporting from the respective tabs.
  • The Claim Based tab displays a list of Quality measures (earlier PQRS) and their details such as Quality ID, Measure name, Type, Priority, and Specialty. A click on Info icon: displays the Denominator and Numerator criteria for the respective Quality measure.
    Note: To report for Quality measure it is mandatory for a Provider to select 6 Quality measures including one measure with outcome type or of High priority.
  • The eCQM /MIPS CQM tab displays the list of eCQM measures (earlier NQF) and its details such as eMeasure ID, NQF, Measure name, Type, Priority, and Specialty. A click on Info icon: displays the description of the respective measure.
    • Note: eCQM measures are not displayed in this eCQM tab for the year 2022 and onwards. On selecting 2022 from the Year dropdown, the measures displayed in the eCQM tab get grayed out and cannot be selected. To select eCQM measures, a Provider must first register with Population Health and then click on the Population Health icon on their PrognoCIS homepage to invoke the acPopulationHealth popup. eCQM measures can then be selected by navigating to Quality Measures tab on the Preferences screen of the acPopulationHealth popup.
MIPS-PI Measures
  • From this accordion, a User can select required MIPS-PI measures for reporting. If the Provider has chosen partial or full participation for 2017, then the Provider must report minimum 5 base ACI measures along with any additional ACI performance or bonus measures.
  • For each ACI measure, details such as Measure ID, Measure name, Required for Base Score, and Performance Score Weight is displayed. Certain measure names are suffixed with asterisk (*) and hash mark (#) which means,
    * Performance Score: Additional achievement on measures above the base score requirements
    # Exclusion condition for e-Prescribing measure
    ## Exclusion condition for Send a Summary of Care measure
    ### Exclusion condition for Request/Accept Summary of Care
  • As the Base Score measures are mandatory, those respective measures are selected by default and displayed as disabled.
    Note: To report for ACI measures, it is mandatory to select up to 9 Performance Score measures.
Improvement Activities
  • From this accordion, a User can select the required activities for reporting.
  • For each Improvement Activity, details such as Activity ID, Activity name, Sub Category, Weightage, and Related ACI Measures is displayed. A click on the Info icon: displays the description of the respective activity.
PI(MU)
  • From this accordion, a User can select required Modified Stage 2 or Stage 3 measures for reporting.
  • For each PI(MU) measure, details such as Measure ID, Measure name, and Submission Criteria are displayed.
    Note: Measures which are mandatory for PI reporting are displayed as selected and disabled by default.