Appendix G1 Promoting Interoperability Performance Category, 2023 Ca

Call for Promoting Interoperability Performance
Category Measures Submission Form
Submission Period February 1 through July 1, 2023 for 2025 Measures
Stakeholders must use this form to propose new measures under the Promoting Interoperability
performance category for the Merit-based Incentive Payment System (MIPS) in 2025. The
submission deadline is July 1, 2023.
Proposals must be sent to [email protected].
Stakeholders will receive an email confirmation upon receipt of their submission.
The Centers for Medicare & Medicaid Services (CMS) priorities for Promoting Interoperability
performance category measures include those that:
(1) build on the advanced use of certified EHR technology (CEHRT) using 2015 Edition Cures
Update Criteria,
(2) promote interoperability and health information exchange,
(3) improve program efficiency, effectiveness, and flexibility,
(4) provide patients access to their health information,
(5) reduce clinician/administrative burden and
(6) align with the improvement activities and quality performance categories of MIPS and
(7) align with the Promoting Interoperability Program for eligible hospitals and critical access
hospitals (CAHs).

Section 1: Stakeholder Information
Provide the following information for the individual, group or association proposing a new
measure for the Promoting Interoperability performance category under MIPS. All required fields
are indicated with an asterisk (*). This information will be used to contact the stakeholder(s) if
necessary, and apprise them of determinations made for their proposed measure(s).
Submitter First Name

Middle
Initial

Submitter Last Name*

Credentials
(MD, DO,
etc.)

Name of Organization (if applicable)*

Address Line 1 (Street Name and Number – Not a Post Office Box or Practice Name)*
Address Line 2 (Suite, Room, etc.)

1

City/Town*

State (2 character
code)*

Zip Code (5 digits)*

Email Address* (This is how we will communicate with you.)

Business Telephone Number (include Area Code)

Extension

Section 2: Considerations When Proposing Measures
When preparing proposals, please consider whether the new measure:
•
•
•
•
•
•
•
•
•

Highlights better beneficiary health outcomes and provides access to their health information
Promotes interoperability and health information exchange
Facilitates improvement in patient care practices, reduces reporting burden, or includes an
emerging certified health IT functionality or capability
Aligns with Improvement Activities and Quality performance categories of MIPS
Aligns with the Promoting Interoperability Program for eligible hospitals and critical access
hospitals (CAHs)
Builds on the advanced use of CEHRT using 2015 Edition Cures Update Criteria
Does not duplicate existing objectives and measures
Is feasible to implement
Is able to be validated by the CMS

All comments are welcome, but CMS is seeking submissions specifically on:
•
•

Health IT measures that are performance-based rather than attestation-based
Potential new Opioid User Disorder prevention and treatment related measures

Section 3: Required Information For Measure Proposals
Submissions that do not provide information for every field/section will not be evaluated for
consideration. Any information/field not applicable to the measure proposal must state “N/A”
or “not applicable” or the proposal will not be considered, as the application will be judged
incomplete.

2

MEASURE DESCRIPTION (Provide a description of the measure to be considered for Promoting
Interoperability performance category):
Description:

Program Relevance:

How does this measure build on the advanced use of CEHRT?:

How does this measure promote interoperability and health information exchange?:

Does this measure support the efforts of opioid prevention and treatment? If so, how?:

Does this measure align with or complement the MIPS improvement activities and/or quality
performance categories?:

3

What is an indication of high performance for this measure?:

Can this measure be adapted for the hospital/inpatient setting?:

Is this measure applicable for physician or non-physician clinical staff? Or both?

REPORTING REQUIREMENT (Numerator/ Denominator or Yes/No Statement):
Indicate whether the measure should include as a reporting requirement: 1) the numerator and
denominator, threshold (if applicable) and exclusion criteria (if applicable) or 2) a yes/no
statement and exclusion criteria (if applicable)
Denominator Language:

Numerator Language:

4

Measurable Criteria for the Numerator Action (The clinical action must be tied to the
numerator proposed language. For example: e-Prescribing Measure: At least one permissible
prescription written by the MIPS eligible clinician is queried for a drug formulary and
transmitted electronically using CEHRT.):
 At least one (e.g., patient or clinical action)
 Recommended percentage (please state – for example: 5 percent):
Rationale (Include a rationale for recommendation):

OR
Yes/No Statement:

Exclusion Criteria: (If applicable and rationale for exclusion proposal, otherwise use N/A)

CEHRT Functionalities Required For Proposed Measure:
Describe CEHRT functionalities that are needed to attest successfully to this proposed
measure, if applicable. If you do not believe certain functionalities are required (such as an
application programming interface, or API) please use N/A.
Functionality type (e.g., API):

5

Optional:

Additional information, suggestions and/or comments related to the Call for Promoting
Interoperability performance category measures

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information
unless it displays a valid OMB control number. The valid OMB control number for this information collection is 09381314 (Expiration date: 01/31/2025). The time required to complete this information collection is estimated to
average 0.5 hours per response, including the time to review instructions, search existing data resources, gather the
data needed, and complete and review the information collection. If you have comments concerning the accuracy of
the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA
Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850. ****CMS Disclosure**** Please do
not send applications, claims, payments, medical records or any documents containing sensitive information to the
PRA Reports Clearance Office. Please note that any correspondence not pertaining to the information collection
burden approved under the associated OMB control number listed on this form will not be reviewed, forwarded, or
retained. If you have questions or concerns regarding where to submit your documents, please contact QPP at
[email protected] 

6