Business of Medicine


MACRA – How to Maximize Your 2017 Advancing Care Information Transition Score, EHR 2014

August 8, 2017

For those using EHR technology certified to 2014 edition

Base score + performance score + bonus score

            *Maximum score of 155%, but all scores capped at 100%


Base score - required measures for 50% base score

  • Security risk analysis***
  • E-prescribing – 1 patient
  • Provide patient access – 1 patient
  • Health information exchange – 1 patient


All base score measures must be met to receive the 50% base score.  If these requirements are not met, the base score is 0.


***A security risk analysis workbook can be found on MagMutual’s Cyber Center under best practices/conduct a risk assessment


Performance score - measures for performance score up to 90% (numerator/denominator)


Objective                                            Measure                                                          % Points

Patient Electronic Access                   Provide Patient Access*                                 Up to 20%

Patient Electronic Access                   View, Download and Transmit (VDT)            Up to 10%

Patient Specific Education                 Patient-Specific Education                              Up to 10%

Secure Messaging                              Secure Messaging                                          Up to 10%

Health Information Exchange            Health Information Exchange*                      Up to 20%

Medication Reconciliation                 Medication Reconciliation                             Up to 10%

Public Health Reporting                     Immunization Registry Reporting                  0 or 10%


Performance Rates for Each Measure Worth Up to 10%

Performance Rate 1-10 = 1%                             Performance Rate 51-60 = 6%

Performance Rate 11-20 = 2%                          Performance Rate 61-70 = 7%

Performance Rate 21-30 = 3%                         Performance Rate 71-80 = 8%

Performance Rate 31-40 = 4%                         Performance Rate 81-90 = 9%

Performance Rate 41-50 = 5%                         Performance Rate 91-100 = 10%


Bonus score - two ways to earn a bonus score for 15% of your advancing care information final score:

  • Earn 5% bonus for reporting on one or more of the following Public Health and Clinical Data Registry Reporting measures:
  • Syndromic Surveillance Reporting
  • Specialized Registry Reporting
  • Earn a 10% bonus for using CEHRT to report certain Improvement Activities


The information provided in this resource does not constitute legal, medical or any other professional advice, nor does it establish a standard of care. This resource has been created as an aid to you in your practice. The ultimate decision on how to use the information provided rests solely with you, the PolicyOwner.