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EPs, eligible hospitals, and CAHs can add the numerators and denominators calculated by each certified EHR system in order to arrive at an accurate total for the numerator and denominator of the measure.
For objectives that require an action to be taken on behalf of a percentage of "unique patients," EPs, eligible hospitals, and CAHs may also add the numerators and denominators calculated by each certified EHR system in order to arrive at an accurate total for the numerator and denominator of the measure. Previously CMS had advised providers to reconcile information so that they only reported unique patients. However,
because it is not possible for providers to increase their overall percentage
of actions taken by adding numerators and denominators from multiple systems,
we now permit simple addition for all meaningful use objectives.
Please keep in mind that patients whose records are not maintained in certified EHR technology will need to be added to denominators whenever applicable in order to provide accurate numbers.
To report clinical quality measures, EPs who practice in multiple locations that are equipped with certified EHR technology should generate a report from each of those certified EHR systems and then add the numerators, denominators, and exclusions from each generated report in order to arrive at a number that reflects the total data output for patient encounters at those locations. To report clinical quality measures, eligible
hospitals and CAHs that have multiple systems should generate a report from
each of those certified EHR systems and then add the numerators, denominators,
and exclusions from each generated report in order to arrive at a number that
reflects the total data output for patient encounters in the relevant
departments of the eligible hospital or CAH (e.g., inpatient or emergency
department (POS 21 or 23)
For more information about the Medicare and Medicaid EHR Incentive Program, please visit http://www.cms.gov/EHRIncentivePrograms
Keywords: FAQ10843
Updated 5/12/2016
(FAQ3609)
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