Guide to Achieving Public Health Registry Requirements - IL

Achieving Meaningful Use: Public Health Registry Requirements Guide
SEPTEMBER 2014 - As participants in the EHR Incentive Programs, providers will need to report at least one meaningful
use menu objective from the public health list in Stage 1, and in Stage 2 will be required to submit several core objectives.
Requirements include submitting data to an immunization registry, submitting data to a syndromic surveillance database,
and submitting reportable lab results to a public health agency (for hospitals only).
To better help providers understand the process IL-HITREC has put together the following Guide to Public Health Registry
Requirements. Questions? Call the Illinois Medicaid EHR Incentive Help Desk with any MU questions, 855-MU-HELP-1.
In order to begin the Stage 2 Meaningful Use testing and submission process with any public health registry or
surveillance system, all EHs, CAHs and EPs, must begin by registering their intent to initiate ongoing submission at the
IDPH Meaningful Use Registration System: https://murs.illinois.gov.
After registration, a provider will receive an electronic confirmation message. This will serve as documentation of their
status for Meaningful Use Stage 2 reporting and will provide additional information to prepare for the on-boarding process.
A provider will then be placed in a queue for on-boarding and will await invitation from the Illinois Department of Public
Health to begin testing and validation.
The following Guide to Public Health Registry Requirements will help providers understand and accomplish the
necessary steps:
OBJECTIVE:
Capacity to submit electronic Immunization Registry and Syndromic Surveillance data to the public health agencies (PHA)
according to applicable law and practice, as it relates to successfully meeting Meaningful Use requirements.
MEASURE:
Menu Objectives 8 - Submit Electronic Data to Immunization Registries (Test Capability)
Menu Objective 9 – Submit Electronic Date to Syndromic Surveillance Data (Test Capability)
Eligible Hospitals (EH), Eligible Providers (EP) and Critical Access Hospitals (CAH) are required to perform at least one
test of certified EHR technology’s capacity to provide electronic Immunization Registry and Syndromic Surveillance data
to the PHA and follow-up submission if the test is successful (unless none of the public health agencies to which an
eligible professional submits such information has the capacity to receive the information electronically). Illinois has a
procedure in place to test the requirements for both measures.
Beginning in 2013, all of Stage 1 public health objectives required the providers perform at least one test of their certified
EHR technology’s capability to send data to the public health department except where prohibited. The intent of the
measure is to encourage all EPs, EHs and CAHs to submit public health data, even when it is not required by either law or
practice.
Changes in 2014:
A. 2014 Certified Software Requirement Delayed:
The Proposed Final Rule was released Aug. 29, 2014, delaying the requirement of utilizing 2014 certified software
technology in order to be able to attest to meaningful use, which originally was to be begin on Jan. 1, 2014.
The Centers for Medicare & Medicaid Services (CMS) published “Modifications to the Medicare and Medicaid Electronic
Health Record (EHR) Incentive Program for 2014” on Sept. 4, 2014. These modifications will require the eMIPP
application to be modified to allow program year 2014 attestations using 2011 CEHRTs or the combined 2011 & 2014
CEHRTs. The revised eMIPP application is expected to be implemented in early November. Providers who plan on
attesting using 2014 Edition CEHRTs can do so currently in the eMIPP application, but those who plan to attest using
2011 Edition CEHRT’s or the combined 2011 & 2014 Edition CEHRTs will need to wait until the modifications are
implemented in early November.
Beginning Jan. 1, 2015 all providers must have the 2014 certified version of software live and in place in order to attest to
meaningful use during the entire reporting period.
REMEMBER: Oct. 1 is the last date to start your meaningful use reporting period for 2014.
B.
C.
Register Intent for Data Submission:
Stage 2 legislation (Page 55 of the PDF or page 54021 of the legislation): Requires that providers must
register their intent with the Illinois Department of Public Health within 60 days of the start of their reporting period
regardless of the Stage of Meaningful Use they are currently in. Registration can be completed for an individual
provider or provider groups by going to https://murs.illinois.gov. Failure to complete this requirement by the
deadline may result in the provider not successfully meeting meaningful use requirements.
Once provider has registered they will receive emails regarding the “onboarding” process, failure to participate
in the onboarding process due to failure to respond to Public Health written requests for action within 30 days on
two separate occasions will consider the requirement not to have been met, resulting in failure to meet the Public
Health requirement. For more detailed information on legislation, please refer to the Stage 2 Legislation
referenced above.
Exclusions for Menu Objectives
Beginning in 2014, EPs, EHs, and CAHs will no longer be permitted to count an exclusion toward the minimum of 5 menu
objectives on which they must report if there are other menu objectives which they can select. In other words, a provider
cannot select a menu objective and claim an exclusion for it if there are other menu objectives they can meet. Refer to the
EHR Meaningful Use Stage 1 Changes Tip sheet for more information.
D.
Public Health Measures
1.
2.
3.
4.
Immunization Registry moves from Menu to Core Sets for Stage 2 for all
Syndromic Surveillance moves from Menu to Core Set for EH and CAHs in Stage 2
Reportable Lab Results moves from Menu to Core Set for EH and CAHs in Stage 2
Two (2) new Menu measures added for EP’s in Stage 2:
a. Cancer Reporting
b. Reporting to Specialized Disease Registry
Additional Educational Resources:
http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/EducationalMaterials.html
http://www.cms.gov/Regulations-andGuidance/Legislation/EHRIncentivePrograms/Downloads/PublicHealthRegistry_Tipsheet-.pdf
Comparison of Stage 1 and Stage 2 Public Health Requirements
Stage 1 Objective
Eligible Professionals (EPs)
Measure
Eligible Hospitals (EHs) and CAHs
Measure
Immunization Registries
Menu Set - Performed
at least one test of the certified
EHR
technology’s capacity to submit
electronic data to
immunization registries and followup submission if the
test is successful (unless none of
the immunization
registries to which the EP, eligible
hospital or CAH
submits such information have the
capacity to receive
such information electronically)
Menu Set - Performed
at least one test of the certified EHR
technology’s capacity to submit
electronic data to
immunization registries and follow-up
submission if the
test is successful (unless none of the
immunization
registries to which the EP, eligible
hospital or CAH
submits such information have the
capacity to receive
such information electronically)
N/A
Menu Set - Performed at least one test
of certified EHR technology’s capacity
to provide submission of reportable lab
results to public health agencies and
follow-up submission if the test is
successful (unless
none of the public health agencies to
which the EP,
eligible hospital or CAH submits such
information have the capacity to
receive such information
(electronically)
Menu Set - Performed at least one
test of certified EHR technology’s
capacity to provide electronic
Syndromic surveillance data to
public health agencies and followup submission if the test is
successful (unless none of
the public health agencies to which
the EP, eligible hospital or CAH
submits such information have the
capacity to receive such
information electronically)
Menu Set - Performed at least one test
of certified EHR technology’s capacity
to provide electronic Syndromic
surveillance data to public health
agencies and follow-up submission if
the test is successful (unless none of
the public health agencies to which the
EP, eligible hospital or CAH submits
such information have the capacity to
receive such information electronically)
Capability to submit electronic data
to immunization
registries or Immunization
Information Systems and
actual submission in accordance with
applicable law and practice
**Moved to Core in Stage 2
Reportable Lab Results
Hospitals Only: Capability to submit
electronic data
on reportable (as required by state or
local law) lab
results to public health agencies and
actual submission in accordance with
applicable law and practice
Syndromic Surveillance
Capability
to submit electronic Syndromic
surveillance data to public health
agencies and
actual submission in accordance with
applicable law
and practice
Stage 2 Objective
Immunization Registries
Reportable Lab Results (ELR)
Syndromic Surveillance
Cancer Reporting
Reporting to Specialized Disease
Registry
Eligible Professionals (EPs)
Measure
Core Set – Successful ongoing
submission of electronic
immunization data from certified
EHR Technology (CEHRT) to an
immunization registry or
immunization information system
for the entire EHR reporting
period (unless no registries are
capable)
** Moved from Menu in Stage 1
N/A
Menu Set – Successful ongoing
submission of electronic
Syndromic surveillance data from
CEHRT to a public health agency
for the entire EHR reporting
period (unless no PH agency is
capable)
Menu Set – Successful ongoing
submission of cancer case
information from CEHRT to a
cancer registry for the entire
reporting period (unless no PH
agency is capable)
Menu Set – Successful submission
of specific case information from
CEHRT to a specialized registry for
the entire EHR reporting period
(unless no PH agency is capable)
Eligible Hospitals (EHs) and CAHs
Measure
Core Set – Successful ongoing
submission of electronic
immunization data from certified EHR
T Technology (CEHRT) to an
immunization registry or
immunization information system for
the entire EHR reporting period
(unless no registries are capable)
Core Set – Successful ongoing
submission of electronic reportable
Lab data results from certified EHR T
Technology (CEHRT) to an
immunization registry or
immunization information system for
the entire EHR reporting period
(unless no PH agency is capable)
Core Set – Successful ongoing
submission of electronic Syndromic
surveillance data from CEHRT to a
public health agency for the entire
EHR reporting period (unless no PH
agency is capable)
N/A
N/A
About IL-HITREC
The Illinois Health Information Technology Regional Extension Center (IL-HITREC), has contracted with the Illinois
Department of Healthcare and Family Services (HFS) to support providers participating in the Illinois Medicaid EHR
Incentive Program (outside Chicago zip 606). This opportunity is made possible by a grant from HFS with funding support
by the Centers for Medicare and Medicaid (CMS).
To determine if you qualify for subsidized assistance from IL-HITREC, please complete the Pre-Qualification
Survey: PRE-QUALIFICATION SURVEY

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