One of the MIPS Improvement Activities states...
Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management
Several colleagues and I believe that since our providers are on call after hours and have access to our medical records from their home computer that we could potentially use this measure. Others, however, think that it is a bit of stretch to consider using this measure.
I'd love to hear from others what their thoughts are on this subject. Thanks!
I am in agreement with you. I feel that having access to patient records and fielding calls from patients 24/7 to meet their emergent (and sometimes not so emergent) needs, meets the measure. I plan on using it with our providers as we have the same set up.
Thanks for the response. That's exactly how I feel as well. How do you plan to document this. The measure itself will be yes/no attestation from what I understand but we were planning to keep copies of the on call schedules in the event of an audit.
I agree. Our physician's our on-call and are field patient calls when the physician office is closed. We also have availability same-day and next day in the office if needed which is also part of the measure.