If attribution of the message is impossible (it absolutely cannot be determined who from the group practice sent it), it may be counted in the numerator for any provider within the group sharing the CEHRT who has contributed information to the patient's record, if that provider also has the patient in their denominator for the EHR reporting period. However, if the message is attributed to a specific provider, then it cannot count. The transitive effect applies to the Secure Electronic Messaging objective, the 2nd measure of the Patient Electronic Acess (View, Download and Transmit) objective , and the Patient Specific Education objective.
For more information on accurately calculating the numerator for measures, please visit FAQ 8231: https://questions.cms.gov/faq.php?8231
Created 10/2/2015 Update 01/10/2017
(FAQ12825)
(FAQ12825)
