PIPE Submissions: What data from outside clinics/facilities should be included?

MNCM advises the following: 

• Exclude encounters that occurred outside the submitting medical group, but include data obtained from these encounters if it resides in the submitting medical group’s patient record  (ex: blood pressures documented in the patient BP flowsheet, diagnoses that are added to the patient's active problem list, medications added to the active medication list, etc.,.).
• Encounters that occurred within the submitting medical group at a location/clinic that doesn’t qualify for mandated reporting (i.e., NOT located in MN or does NOT have an MD or DO providing patient care) can be registered or submitted (optional) for numerator data (i.e., weight, height, tobacco status, etc.).
• If you choose to register the clinic (optional), then you can submit the clinic ID in the encounter data file.
• If you choose to not register the clinic (again optional), then you can submit these encounters with a blank clinic ID.  
• Both options are only acceptable if the data obtained from these encounters can be verified in the patient’s clinical record during audit.
• Most of the time it is easier to register sites that aren’t required to ensure numerator data is maximized.