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Medicaid EHR Incentive

Program

Health Information Exchange

Objective Stage 3

Updated: February 2017

The Health Information Exchange (HIE) objective (formerly known as “Summary of Care”) is required for all

Eligible Professionals (EPs) and eligible hospitals participating in the Medicaid Electronic Health Record (EHR)

Incentive Program. For Stage 3, the objective includes three measures for all participants. Providers must attest

to all three measures and must meet the thresholds for at least two measures to meet the objective.

Overview of Health Information Exchange

Objective: The EP, eligible hospital, or critical access hospital (CAH) provides a summary of care record when

transitioning or referring their patient to another setting of care, receives or retrieves a summary of care record

upon the receipt of a transition or referral or upon the first patient encounter with a new patient, and

incorporates summary of care information from other providers into their EHR using the functions of Certified

EHR Technology (CEHRT).

Measures:

Measure 1: For more than 50 percent of transitions of care and referrals, the EP, eligible hospital or CAH that

transitions or refers their patient to another setting of care or provider of care: (1) creates a summary of care

record using CEHRT; and (2) electronically exchanges the summary of care record.

Measure 2: For more than 40 percent of transitions or referrals received and patient encounters in which the

provider has never before encountered the patient, the EP, eligible hospital or CAH incorporates into the

patient’s EHR an electronic summary of care document.

Measure 3: For more than 80 percent of transitions or referrals received and patient encounters in which the

provider has never before encountered the patient, the EP, eligible hospital, or CAH performs a clinical

information reconciliation. The provider must implement clinical information reconciliation for the following

three clinical information sets:

(1) Medication. Review of the patient’s medication, including the name, dosage, frequency, and route of

each medication.

(2) Medication allergy. Review of the patient’s known medication allergies.

(3) Current Problem list. Review of the patient’s current and active diagnoses.

Attestation Requirements:

Measure 1



Denominator: Number of transitions of care and referrals during the EHR reporting period for which the

EP or eligible hospital or CAH inpatient or emergency department (POS 21 or 23) was the transferring or

referring provider.



Numerator: The number of transitions of care and referrals in the denominator where a summary of

care record was created using certified EHR technology and exchanged electronically.



Threshold: The percentage must be more than 50 percent in order for an EP, eligible hospital or CAH to

meet this measure.

Medicaid Ehr Incentive Program Health Information Exchange - Objective Stage 3 - Centers For Medicare And Medicaid Services