[
  {
    "measureId": "PI_INFBLO_1",
    "category": "pi",
    "title": "Prevention of Information Blocking Attestation",
    "description": "I attest to CMS that I - (A) did not knowingly and willfully take action (such as to disable functionality) to limit or restrict the compatibility or interoperability of certified EHR technology. (B) Implemented technologies, standards, policies, practices, and agreements reasonably calculated to ensure, to the greatest extent practicable and permitted by law, that the certified EHR technology was, at all relevant times: (1) Connected in accordance with applicable law; (2) Compliant with all standards applicable to the exchange of information, including the standards, implementation specifications, and certification criteria adopted at 45 CFR part 170;  (3) Implemented in a manner that allowed for timely access by patients to their electronic health information; and (4) Implemented in a manner that allowed for the timely, secure, and trusted bi-directional exchange of structured electronic health information with other health care providers (as defined by 42 U.S.C. 300jj(3)), including unaffiliated health care providers, and with disparate certified EHR technology and vendors. (C) Responded in good faith and in a timely manner to requests to retrieve or exchange electronic health information, including from patients, health care providers (as defined by 42 U.S.C. 300jj(3)), and other persons, regardless of the requestor’s affiliation or technology vendor.",
    "metricType": "boolean",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "weight": 0,
    "isRequired": true,
    "isBonus": false,
    "measureSets": [],
    "objective": null,
    "reportingCategory": "attestation",
    "substitutes": []
  },
  {
    "measureId": "PI_ONCDIR_1",
    "category": "pi",
    "title": "ONC Direct Review Attestation",
    "description": "I attest that I - (1) Acknowledge the requirement to cooperate in good faith with ONC direct review of his or her health information technology certified under the ONC Health IT Certification Program if a request to assist in ONC direct review is received; and (2) If requested, cooperated in good faith with ONC direct review of his or her health information technology certified under the ONC Health IT Certification Program as authorized by 45 CFR part 170, subpart E, to the extent that such technology meets (or can be used to meet) the definition of CEHRT, including by permitting timely access to such technology and demonstrating its capabilities as implemented and used by the MIPS eligible clinician in the field.",
    "metricType": "boolean",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "weight": 0,
    "isRequired": true,
    "isBonus": false,
    "measureSets": [],
    "objective": null,
    "reportingCategory": "attestation",
    "substitutes": []
  },
  {
    "measureId": "PI_ONCACB_1",
    "category": "pi",
    "title": "ONC-ACB Surveillance Attestation (Optional)",
    "description": "I have (1) Acknowledged the option to cooperate in good faith with ONC–ACB surveillance of his or her health information technology certified under the ONC Health IT Certification Program if a request to assist in ONC–ACB surveillance is received; and (2) If requested, cooperated in good faith with ONC–ACB surveillance of his or her health information technology certified under the ONC Health IT Certification Program as authorized by 45 CFR part 170, subpart E, to the extent that such technology meets (or can be used to meet) the definition of CEHRT, including by permitting timely access to such technology and demonstrating its capabilities as implemented and used by the MIPS eligible clinician in the field.",
    "metricType": "boolean",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "weight": 0,
    "isRequired": false,
    "isBonus": false,
    "measureSets": [],
    "objective": null,
    "reportingCategory": "attestation",
    "substitutes": []
  },
  {
    "measureId": "PI_IACEHRT_1",
    "category": "pi",
    "title": "PI bonus for submission of eligible Improvement Activities using CEHRT",
    "description": "I attest that I have submitted an eligible Improvement Activity using Certified Electronic Health Record Technology (CEHRT).",
    "metricType": "boolean",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "weight": 10,
    "isRequired": false,
    "isBonus": true,
    "measureSets": [],
    "objective": null,
    "reportingCategory": "cehrtBonus",
    "substitutes": []
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_LVPP_1",
    "title": "E-Prescribing Exclusion",
    "description": "A MIPS eligible clinician (EC) who writes fewer than 100 permissible prescriptions during the performance period is eligible for exclusion from the required e-prescribing measure.",
    "isRequired": false,
    "weight": 0,
    "measureSets": [],
    "isBonus": false,
    "objective": "electronicPrescribing",
    "reportingCategory": "base",
    "substitutes": [
      "PI_EP_1",
      "PI_TRANS_EP_1",
      "PI_TRANS_LVPP_1"
    ]
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_TRANS_LVPP_1",
    "title": "E-Prescribing Exclusion",
    "description": "A MIPS eligible clinician (EC) who writes fewer than 100 permissible prescriptions during the performance period is eligible for exclusion from the required e-prescribing measure.",
    "isRequired": false,
    "weight": 0,
    "measureSets": [
      "transition"
    ],
    "isBonus": false,
    "objective": "electronicPrescribing",
    "reportingCategory": "base",
    "substitutes": [
      "PI_TRANS_EP_1",
      "PI_LVPP_1",
      "PI_EP_1"
    ]
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_LVOTC_1",
    "title": "Send a Summary of Care Exclusion",
    "description": "Any MIPS eligible clinician who transfers a patient to another setting or refers a patient less than 100 times during the performance period.",
    "isRequired": false,
    "weight": 0,
    "measureSets": [],
    "isBonus": false,
    "objective": "healthInformationExchange",
    "reportingCategory": "base",
    "substitutes": [
      "PI_HIE_1",
      "PI_TRANS_HIE_1",
      "PI_TRANS_LVOTC_1"
    ]
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_TRANS_LVOTC_1",
    "title": "Health Information Exchange Exclusion",
    "description": "Any MIPS eligible clinician who transfers a patient to another setting or refers a patient less than 100 times during the performance period.",
    "isRequired": false,
    "weight": 0,
    "measureSets": [
      "transition"
    ],
    "isBonus": false,
    "objective": "healthInformationExchange",
    "reportingCategory": "base",
    "substitutes": [
      "PI_TRANS_HIE_1",
      "PI_HIE_1",
      "PI_LVOTC_1",
      "PI_HIE_2",
      "PI_LVITC_1"
    ]
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_LVITC_1",
    "title": "Request/Accept Summary of Care Exclusion",
    "description": "Any MIPS eligible clinician who does not receive any transitions of care or referrals or have patient encounters in which the MIPS eligible clinician has never before encountered the patient during the performance period.",
    "isRequired": false,
    "weight": 0,
    "measureSets": [],
    "isBonus": false,
    "objective": "healthInformationExchange",
    "reportingCategory": "base",
    "substitutes": [
      "PI_HIE_2",
      "PI_TRANS_HIE_1",
      "PI_TRANS_LVOTC_1"
    ]
  },
{
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_PHCDRR_5",
    "title": "Clinical Data Registry Reporting",
    "description": "The MIPS eligible clinician is in active engagement to submit data to a clinical data registry.  To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_PHCDRR_5_MULTI.",
    "isRequired": false,
    "weight": 10,
    "measureSets": [],
    "isBonus": false,
    "objective": "publicHealthAndClinicalDataRegistryReporting",
    "reportingCategory": "registryBonus",
    "substitutes": [
      "PI_TRANS_PHCDRR_3"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Measure Specifications/2018.MIPS ACI Measure_Clinical Data Registry Reporting.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2018,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_PHCDRR_5_MULTI",
    "title": "Clinical Data Registry Reporting for Multiple Registry Engagement",
    "description": "Report as true if,  active engagement with more than one Clinical Data Registry in accordance with PI_PHCDRR_5.",
    "isRequired": false,
    "weight": 5,
    "measureSets": [],
    "isBonus": true,
    "objective": "publicHealthAndClinicalDataRegistryReporting",
    "reportingCategory": "registryBonus",
    "substitutes": [
      "PI_TRANS_PHCDRR_3_MULTI"
    ]
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_HIE_3",
    "title": "Clinical Information Reconciliation",
    "description": "For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation. The MIPS eligible clinician 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.",
    "isRequired": false,
    "weight": 10,
    "measureSets": [],
    "isBonus": false,
    "objective": "healthInformationExchange",
    "reportingCategory": "performanceBonus",
    "substitutes": [
      "PI_TRANS_MR_1"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Measure Specifications/2018.MIPS ACI Measure_Clinical Information Reconciliation.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_PHCDRR_3",
    "title": "Electronic Case Reporting",
    "description": "The MIPS eligible clinician is in active engagement with a public health agency to electronically submit case reporting of reportable conditions.  To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_PHCDRR_3_MULTI.",
    "isRequired": false,
    "weight": 10,
    "measureSets": [],
    "isBonus": false,
    "objective": "publicHealthAndClinicalDataRegistryReporting",
    "reportingCategory": "registryBonus",
    "substitutes": [],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Measure Specifications/2018.MIPS ACI Measure_Electronic Case Reporting.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2018,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_PHCDRR_3_MULTI",
    "title": "Electronic Case Reporting for Multiple Registry Engagement",
    "description": "Report as true if,  active engagement with more than one Electronic Case Reporting registry in accordance with PI_PHCDRR_3.",
    "isRequired": false,
    "weight": 5,
    "measureSets": [],
    "isBonus": true,
    "objective": "publicHealthAndClinicalDataRegistryReporting",
    "reportingCategory": "registryBonus",
    "substitutes": []
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_EP_1",
    "title": "e-Prescribing",
    "description": "At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.",
    "isRequired": true,
    "weight": 0,
    "measureSets": [],
    "isBonus": false,
    "objective": "electronicPrescribing",
    "reportingCategory": "base",
    "substitutes": [
      "PI_LVPP_1",
      "PI_TRANS_EP_1",
      "PI_TRANS_LVPP_1"
    ],
    "exclusion": "PI_LVPP_1",
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Measure Specifications/2018.MIPS ACI Measure_e-Prescribing.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_PHCDRR_1",
    "title": "Immunization Registry Reporting",
    "description": "The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data and receive immunization forecasts and histories from the public health immunization registry/immunization information system (IIS).",
    "isRequired": false,
    "weight": 10,
    "measureSets": [],
    "isBonus": false,
    "objective": "publicHealthAndClinicalDataRegistryReporting",
    "reportingCategory": "performanceBonus",
    "substitutes": [
      "PI_TRANS_PHCDRR_1"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Measure Specifications/2018.MIPS ACI Measure_Immunization Registry Reporting.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2018,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_PHCDRR_1_MULTI",
    "title": "Immunization Registry Reporting for Multiple Registry Engagement",
    "description": "Report as true if active engagement with more than one immunization registry in accordance with PI_PHCDRR_1.",
    "isRequired": false,
    "weight": 5,
    "measureSets": [],
    "isBonus": true,
    "objective": "publicHealthAndClinicalDataRegistryReporting",
    "reportingCategory": "performanceBonus",
    "substitutes": [
      "PI_TRANS_PHCDRR_1_MULTI"
    ]
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_CCTPE_3",
    "title": "Patient-Generated Health Data",
    "description": "Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.",
    "isRequired": false,
    "weight": 10,
    "measureSets": [],
    "isBonus": false,
    "objective": "coordinationOfCareThroughPatientEngagement",
    "reportingCategory": "performanceBonus",
    "substitutes": [],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Measure Specifications/2018.MIPS ACI Measure_Patient-Generated Health Data.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_PEA_2",
    "title": "Patient-Specific Education",
    "description": "The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician.",
    "isRequired": false,
    "weight": 10,
    "measureSets": [],
    "isBonus": false,
    "objective": "patientElectronicAccess",
    "reportingCategory": "performanceBonus",
    "substitutes": [
      "PI_TRANS_PSE_1"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Measure Specifications/2018.MIPS ACI Measure_Patient-Specific Education.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_PEA_1",
    "title": "Provide Patient Access",
    "description": "For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology.",
    "isRequired": true,
    "weight": 10,
    "measureSets": [],
    "isBonus": false,
    "objective": "patientElectronicAccess",
    "reportingCategory": "base",
    "substitutes": [
      "PI_TRANS_PEA_1"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Measure Specifications/2018.MIPS ACI Measure_Provide Patient Access.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_PHCDRR_4",
    "title": "Public Health Registry Reporting",
    "description": "The MIPS eligible clinician is in active engagement with a public health agency to submit data to public health registries.  To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_PHCDRR_4_MULTI.",
    "isRequired": false,
    "weight": 10,
    "measureSets": [],
    "isBonus": false,
    "objective": "publicHealthAndClinicalDataRegistryReporting",
    "reportingCategory": "registryBonus",
    "substitutes": [],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Measure Specifications/2018.MIPS ACI Measure_Public Health Registry Reporting.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2018,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_PHCDRR_4_MULTI",
    "title": "Public Health Registry Reporting for Multiple Registry Engagement",
    "description": "Report as true if,  active engagement with more than one Public Health Registry in accordance with PI_PHCDRR_4.",
    "isRequired": false,
    "weight": 5,
    "measureSets": [],
    "isBonus": true,
    "objective": "publicHealthAndClinicalDataRegistryReporting",
    "reportingCategory": "registryBonus",
    "substitutes": []
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_HIE_2",
    "title": "Request/Accept Summary of Care",
    "description": "For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an electronic summary of care document.",
    "isRequired": true,
    "weight": 10,
    "measureSets": [],
    "isBonus": false,
    "objective": "healthInformationExchange",
    "reportingCategory": "base",
    "substitutes": [
      "PI_LVITC_1",
      "PI_TRANS_HIE_1",
      "PI_TRANS_LVOTC_1"
    ],
    "exclusion": "PI_LVITC_1",
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Measure Specifications/2018.MIPS ACI Measure_Request-Accept Summary of Care.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_CCTPE_2",
    "title": "Secure Messaging",
    "description": "For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative).",
    "isRequired": false,
    "weight": 10,
    "measureSets": [],
    "isBonus": false,
    "objective": "coordinationOfCareThroughPatientEngagement",
    "reportingCategory": "performanceBonus",
    "substitutes": [
      "PI_TRANS_SM_1"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Measure Specifications/2018.MIPS ACI Measure_Secure Messaging.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_PPHI_1",
    "title": "Security Risk Analysis",
    "description": "Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.",
    "isRequired": true,
    "weight": 0,
    "measureSets": [],
    "isBonus": false,
    "objective": "protectPatientHealthInformation",
    "reportingCategory": "base",
    "substitutes": [
      "PI_TRANS_PPHI_1"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Measure Specifications/2018.MIPS ACI Measure_Security Risk Analysis.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_HIE_1",
    "title": "Send a Summary of Care",
    "description": "For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2) electronically exchanges the summary of care record.",
    "isRequired": true,
    "weight": 10,
    "measureSets": [],
    "isBonus": false,
    "objective": "healthInformationExchange",
    "reportingCategory": "base",
    "substitutes": [
      "PI_LVOTC_1",
      "PI_TRANS_HIE_1",
      "PI_TRANS_LVOTC_1"
    ],
    "exclusion": "PI_LVOTC_1",
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Measure Specifications/2018.MIPS ACI Measure_Send a Summary of Care.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_PHCDRR_2",
    "title": "Syndromic Surveillance Reporting",
    "description": "The MIPS eligible clinician is in active engagement with a public health agency to submit syndromic surveillance data from a urgent care ambulatory setting where the jurisdiction accepts syndromic data from such settings and the standards are clearly defined.  To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_PHCDRR_2_MULTI.",
    "isRequired": false,
    "weight": 10,
    "measureSets": [],
    "isBonus": false,
    "objective": "publicHealthAndClinicalDataRegistryReporting",
    "reportingCategory": "registryBonus",
    "substitutes": [
      "PI_TRANS_PHCDRR_2"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Measure Specifications/2018.MIPS ACI Measure_Syndromic Surveillance Reporting.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2018,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_PHCDRR_2_MULTI",
    "title": "Syndromic Surveillance Reporting for Multiple Registry Engagement",
    "description": "Report as true if,  active engagement with more than one Syndromic Surveillance registry in accordance with PI_PHCDRR_2.",
    "isRequired": false,
    "weight": 5,
    "measureSets": [],
    "isBonus": true,
    "objective": "publicHealthAndClinicalDataRegistryReporting",
    "reportingCategory": "registryBonus",
    "substitutes": [
      "PI_TRANS_PHCDRR_2_MULTI"
    ]
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_CCTPE_1",
    "title": "View, Download and Transmit (VDT)",
    "description": "During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician. An MIPS eligible clinician may meet the measure by either-(1) view, download or transmit to a third party their health information; or (2) access their health information through the use of an API that can be used by applications chosen by the patient and configured to the API in the MIPS eligible clinician's certified EHR technology; or (3) a combination of (1) and (2).",
    "isRequired": false,
    "weight": 10,
    "measureSets": [],
    "isBonus": false,
    "objective": "coordinationOfCareThroughPatientEngagement",
    "reportingCategory": "performanceBonus",
    "substitutes": [
      "PI_TRANS_PEA_2"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Measure Specifications/2018.MIPS ACI Measure_View Download or Transmit (VDT).pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_TRANS_EP_1",
    "title": "e-Prescribing",
    "description": "At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.",
    "isRequired": true,
    "weight": 0,
    "measureSets": [
      "transition"
    ],
    "isBonus": false,
    "objective": "electronicPrescribing",
    "reportingCategory": "base",
    "substitutes": [
      "PI_TRANS_LVPP_1",
      "PI_LVPP_1",
      "PI_EP_1"
    ],
    "exclusion": "PI_TRANS_LVPP_1",
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Transition Measure Specifications/2018.MIPS ACI Transition Measure_e-Prescribing.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_TRANS_HIE_1",
    "title": "Health Information Exchange",
    "description": "The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.",
    "isRequired": true,
    "weight": 20,
    "measureSets": [
      "transition"
    ],
    "isBonus": false,
    "objective": "healthInformationExchange",
    "reportingCategory": "base",
    "substitutes": [
      "PI_TRANS_LVOTC_1",
      "PI_HIE_1",
      "PI_LVOTC_1",
      "PI_HIE_2",
      "PI_LVITC_1"
    ],
    "exclusion": "PI_TRANS_LVOTC_1",
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Transition Measure Specifications/2018.MIPS ACI Transition Measure_Health Information Exchange.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_TRANS_PHCDRR_1",
    "title": "Immunization Registry Reporting",
    "description": "The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.",
    "isRequired": false,
    "weight": 10,
    "measureSets": [
      "transition"
    ],
    "isBonus": false,
    "objective": "publicHealthReporting",
    "reportingCategory": "performanceBonus",
    "substitutes": [
      "PI_PHCDRR_1"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Transition Measure Specifications/2018.MIPS ACI Transition Measure_Immunization Registry Reporting.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2018,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_TRANS_PHCDRR_1_MULTI",
    "title": "Immunization Registry Reporting for Multiple Registry Engagement",
    "description": "Report as true if active engagement with more than one Immunization Registry in accordance with PI_TRANS_PHCDRR_1.",
    "isRequired": false,
    "weight": 5,
    "measureSets": [
      "transition"
    ],
    "isBonus": true,
    "objective": "publicHealthReporting",
    "reportingCategory": "performanceBonus",
    "substitutes": [
      "PI_PHCDRR_1_MULTI"
    ]
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_TRANS_MR_1",
    "title": "Medication Reconciliation",
    "description": "The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.",
    "isRequired": false,
    "weight": 10,
    "measureSets": [
      "transition"
    ],
    "isBonus": false,
    "objective": "medicationReconciliation",
    "reportingCategory": "performanceBonus",
    "substitutes": [
      "PI_HIE_3"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Transition Measure Specifications/2018.MIPS ACI Transition Measure_Medication Reconciliation.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_TRANS_PSE_1",
    "title": "Patient-Specific Education",
    "description": "The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.",
    "isRequired": false,
    "weight": 10,
    "measureSets": [
      "transition"
    ],
    "isBonus": false,
    "objective": "patientSpecificEducation",
    "reportingCategory": "performanceBonus",
    "substitutes": [
      "PI_PEA_2"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Transition Measure Specifications/2018.MIPS ACI Transition Measure_Patient Specific Education.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_TRANS_PEA_1",
    "title": "Provide Patient Access",
    "description": "At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.",
    "isRequired": true,
    "weight": 20,
    "measureSets": [
      "transition"
    ],
    "isBonus": false,
    "objective": "patientElectronicAccess",
    "reportingCategory": "base",
    "substitutes": [
      "PI_PEA_1"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Transition Measure Specifications/2018.MIPS ACI Transition Measure_Provide Patient Access.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_TRANS_SM_1",
    "title": "Secure Messaging",
    "description": "For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.",
    "isRequired": false,
    "weight": 10,
    "measureSets": [
      "transition"
    ],
    "isBonus": false,
    "objective": "secureMessaging",
    "reportingCategory": "performanceBonus",
    "substitutes": [
      "PI_CCTPE_2"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Transition Measure Specifications/2018.MIPS ACI Transition Measure_Secure Messaging.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_TRANS_PPHI_1",
    "title": "Security Risk Analysis",
    "description": "Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.",
    "isRequired": true,
    "weight": 0,
    "measureSets": [
      "transition"
    ],
    "isBonus": false,
    "objective": "protectPatientHealthInformation",
    "reportingCategory": "base",
    "substitutes": [
      "PI_PPHI_1"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Transition Measure Specifications/2018.MIPS ACI Transition Measure_Security Risk Analysis.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_TRANS_PHCDRR_3",
    "title": "Specialized Registry Reporting",
    "description": "The MIPS eligible clinician is in active engagement to submit data to specialized registry.  To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.",
    "isRequired": false,
    "weight": 10,
    "measureSets": [
      "transition"
    ],
    "isBonus": false,
    "objective": "publicHealthReporting",
    "reportingCategory": "registryBonus",
    "substitutes": [
      "PI_PHCDRR_5"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Transition Measure Specifications/2018.MIPS ACI Transition Measure_Specialized Registry Reporting.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2018,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_TRANS_PHCDRR_3_MULTI",
    "title": "Specialized Registry Reporting for Multiple Registry Engagement",
    "description": "Report as true if active engagement with more than one Specialized Registry in accordance with PI_TRANS_PHCDRR_3.",
    "isRequired": false,
    "weight": 5,
    "measureSets": [
      "transition"
    ],
    "isBonus": true,
    "objective": "publicHealthReporting",
    "reportingCategory": "registryBonus",
    "substitutes": [
      "PI_PHCDRR_5_MULTI"
    ]
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_TRANS_PHCDRR_2",
    "title": "Syndromic Surveillance Reporting",
    "description": "The MIPS eligible clinician  is in active engagement with a public health agency to submit syndromic surveillance data.  To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_2_MULTI.",
    "isRequired": false,
    "weight": 10,
    "measureSets": [
      "transition"
    ],
    "isBonus": false,
    "objective": "publicHealthReporting",
    "reportingCategory": "registryBonus",
    "substitutes": [
      "PI_PHCDRR_2"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Transition Measure Specifications/2018.MIPS ACI Transition Measure_Syndromic Surveillance Reporting.pdf"
    }
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2018,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "PI_TRANS_PHCDRR_2_MULTI",
    "title": "Syndromic Surveillance Reporting for Multiple Registry Engagement",
    "description": "Report as true if active engagement with more than one Syndromic Surveillance Registry in accordance with PI_TRANS_PHCDRR_2.",
    "isRequired": false,
    "weight": 5,
    "measureSets": [
      "transition"
    ],
    "isBonus": true,
    "objective": "publicHealthReporting",
    "reportingCategory": "registryBonus",
    "substitutes": [
      "PI_PHCDRR_2_MULTI"
    ]
  },
  {
    "category": "pi",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "proportion",
    "measureId": "PI_TRANS_PEA_2",
    "title": "View, Download, or Transmit (VDT)",
    "description": "At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.",
    "isRequired": false,
    "weight": 10,
    "measureSets": [
      "transition"
    ],
    "isBonus": false,
    "objective": "patientElectronicAccess",
    "reportingCategory": "performanceBonus",
    "substitutes": [
      "PI_CCTPE_1"
    ],
    "measureSpecification": {
      "default": "https://qpp.cms.gov/docs/pi_specifications/Transition Measure Specifications/2018.MIPS ACI Transition Measure_View Download or Transmit (VDT).pdf"
    }
  }
]