Medicaid Ehr Incentive Program Health Information Exchange - Objective Stage 3 - Centers For Medicare And Medicaid Services Page 2

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Exclusion: A provider may exclude from the measure if any of the following apply:
Any EP who transfers a patient to another setting or refers a patient to another provider less than 100 times
during the EHR reporting period.
Any EP that conducts 50 percent or more of his or her patient encounters in a county that does not have 50
percent or more of its housing units with 4Mbps broadband availability according to the latest information
available from the FCC on the first day of the HER reporting period may exclude the measures.
Any eligible hospital or CAH will be excluded from the measure if it is located in a county that does not have
50 percent or more of their housing units with 4Mbps broadband availability according to the latest information
available from the FCC at the start of the EHR reporting period.
Measure 2
Denominator: Number of patient encounters during the EHR reporting period for which an EP, eligible
hospital, or CAH was the receiving party of a transition or referral or has never before encountered the
patient and for which an electronic summary of care record is available.
Numerator: The number of patient encounters in the denominator where an electronic summary of care
record received is incorporated by the provider into the certified EHR technology.
Threshold: The percentage must be more than 40 percent in order for an EP, eligible hospital or CAH to
meet this measure.
Exclusion: A provider may exclude from the measure if any of the following apply:
Any EP, eligible hospital or CAH for whom the total of transitions or referrals received and patient encounters in
which the provider has never before encountered the patient, is fewer than 100 during the EHR reporting period
is excluded from this measure.
Any EP that conducts 50 percent or more of his or her patient encounters in a county that does not have 50
percent or more of its housing units with 4Mbps broadband availability according to the latest information
available from the FCC on the first day of the HER reporting period may exclude the measures.
Any eligible hospital or CAH will be excluded from the measure if it is located in a county that does not have
50 percent or more of their housing units with 4Mbps broadband availability according to the latest information
available from the FCC at the start of the EHR reporting period.
Measure 3
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 recipient of the
transition or referral or has never before encountered the patient.
Numerator: The number of transitions of care or referrals in the denominator where the following three
clinical information reconciliations were performed: Medication list, medication allergy list, and current
problem list.
Threshold: The percentage must be more than 80 percent in order for an EP, eligible hospital or CAH to
meet this measure.
2

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