2018 Medicaid Meaningful Use Stage 2 Objective 10: Public Health Reporting

Overview
The eligible professional (EP) is in active engagement with a public health agency to submit electronic public health data from certified EHR technology (CEHRT) except where prohibited and in accordance with applicable law and practice.

This objective is comprised of three measures. Click on the relevant link to review the Practice Fusion Suggested Workflow for each measure:

Practice Fusion Meaningful Use Dashboard Calculation
  • Complete/Incomplete: You must manually indicate that you have completed this requirement in the 2018 Meaningful Use Dashboard. Providers can indicate measure completion in the Practice Fusion Meaningful Use Dashboard by checking the “Complete” box next to the applicable measure. Providers must meet at least 2 of the 3 Public Health Reporting measures in 2018.   

Exclusions

  • Measure 1- Immunization Registry Reporting: Any eligible provider meeting one or more of the following criteria may be excluded from the immunization registry reporting sub-measure if the eligible provider:

    • Does not administer any immunizations to any of the populations for which data is collected by its jurisdiction's immunization registry or immunization information system during the EHR reporting period.

    • Operates in a jurisdiction for which no immunization registry or immunization information system is capable of accepting the specific standards required to meet the CEHRT definition at the start of the EHR reporting period

    • Operates in a jurisdiction where no immunization registry or immunization information system has declared readiness to receive immunization data from the EP at the start of the EHR reporting period.

  • Measure 2- Syndromic Surveillance Reporting: Any eligible provider meeting one or more of the following criteria may be excluded from the syndromic surveillance reporting measure if the provider:

    • Is not in a category of providers from which ambulatory syndromic surveillance data is collected by their jurisdiction's syndromic surveillance system;

    • Operates in a jurisdiction for which no public health agency is capable of receiving electronic syndromic surveillance data in the specific standards required by CEHRT at the start of their EHR reporting period;

    • Operates in a jurisdiction where no public health agency has declared readiness to receive syndromic surveillance data from EPs at the start of the EHR reporting period.

  • Measure 3- Specialized Registry Reporting: Any EP that meets at least 1 of the following criteria may be excluded from this objective:

    • Does not diagnose or treat any disease or condition associated with or collect relevant data that is required by a specialized registry in their jurisdiction during the EHR reporting period.

    • Operates in a jurisdiction for which no specialized registry is capable of accepting electronic registry transactions in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period.

    • Operates in a jurisdiction where no specialized registry for which the EP, eligible hospital, or CAH is eligible has declared readiness to receive electronic registry transactions at the beginning of the EHR reporting period.

Immunization Registry Reporting Measure Requirements: Practice Fusion Suggested Workflow:

Practice Fusion suggests the following workflow to ensure that you meet the requirements of this measure within the Practice Fusion EHR

  1. Visit your local immunization registry website and register your intent to submit immunization data within 60 days after the start of your reporting period. If your registry does not have the capability to receive HL7 2.5.1 data electronically, you may qualify for an exclusion for this measure.

  2. In Practice Fusion, navigate to the Immunization registry section of your practice Settings and set up your account for electronic transmission. Learn how to set up electronic transmission to your registry >>

    1. This process will vary depending on the registry.

  3. Refer to the definition of "active engagement" below to determine if you have met the requirements for this measure based on the status of your integration.

    1. Your registry will be the contact for any confirmation about completion of this measure, so make sure to save documentation of all communication with your registry for your records.

  4. Once you are connected and have activated your integration in the Immunization registry section of your practice Settings, you can start submitting immunization files directly to your state registry on an individual patient basis. In order to do so, visit the Immunizations section of the patient’s chart and select Transmit all. Alternatively, click the Actions button and select Transmit to state registry (see Graphic 1 below).

Graphic 1: Transmit to state registry

For more information about the immunization submission process to certain state registries, view the relevant links below:

Alaska

Florida

Kansas

Minnesota

North Carolina

Tennessee

Arizona

Georgia

Kentucky

Missouri

Oregon

Texas

California

Idaho

Louisiana

Nebraska

Pennsylvania

Utah

Colorado

Illinois

Maryland

New Jersey

Philadelphia

Virginia

Connecticut

Indiana

Massachusetts

New York

Rhode Island

Washington

Delaware

Iowa

Michigan

New York City

South Carolina

West Virginia

Syndromic Surveillance Reporting Measure Requirements: Practice Fusion Suggested Workflow

Practice Fusion suggests the following workflow to ensure that you meet the requirements of this measure within the Practice Fusion EHR.

  1. Locate your local public health agency and initiate contact with them to determine whether they are able to accept syndromic surveillance data in HL7 2.5.1 format. If they are unable to accept the data in this format, you may qualify for an exclusion.

  2. If your public health department can accept syndromic surveillance data in HL7 2.5.1 format, confirm with them their list of reportable diseases and whether they accept ambulatory syndromic surveillance data.

    1. If you don't collect any reportable syndromic surveillance information according to your public health department, you may qualify for an exclusion.

  3. If you do collect reportable syndromic surveillance data and your public health department can accept the file in HL7 2.5.1 format, you may proceed to send them the syndromic surveillance file via a transmission method accepted by the public health agency.

    1. You do not need to transmit the file using Practice Fusion to meet the requirements of this measure.

  4. To access the syndromic surveillance HL7 2.5.1 file in the Practice Fusion EHR, open the Actions menu from within a patient encounter and select Syndromic Surveillance (see Graphic 2 below). Select Save to file to save the file to your computer.

Graphic 2: Selecting Syndromic Surveillance

5. Once saved you can submit the exported file to your local public health agency via their specified reporting method. Continue to follow Steps 4 and 5 for all applicable patients

6. Retain documentation that confirms your submissions to the public health agency for at least 6 years as required by the CMS document retention policy.

Specialized Registry Reporting Measure Requirements: Practice Fusion Suggested Workflow

While Practice Fusion does not support direct integration for this measure, providers may use electronic submission methods beyond the functions of CEHRT to meet the requirements for the Specialized Registry Reporting measure. Please refer to the steps below for assistance in meeting this measure.

  1. Register within 60 days of the start of the reporting period. For all providers meeting Meaningful Use in 2017 (who have attested previously), this registration deadline is March 1, 2017.
  2. Refer to the CMS FAQ regarding what can count as a specialized registry: FAQ #22517.
  3. Discuss the reporting requirements with your particular specialized registry.
  4. If the registry allows you to export CCDAs and submit them to the registry, follow the instructions outlined in our Knowledge Base for exporting a CCDA: What are clinical documents and how to I generate them?
  5. If the registry requires additional reporting requirements, Practice Fusion will be unable to support reporting to that registry.

Frequently Asked Questions

Q: How is active engagement defined?

A: Any of the three criteria below are included under the umbrella of ongoing submission:

  • Completed Registration to Submit Data: The EP registered to submit data with the PHA to which the information is being submitted; registration was completed within 60 days after the start of the EHR reporting period; and the EP is awaiting an invitation from the PHA or CDR to begin testing and validation.

    • This option allows providers to meet the measure when the PHA or the CDR has limited resources to initiate the testing and validation process.

    • Providers that have registered in previous years do not need to submit an additional registration to meet this requirement for each EHR reporting period.

  • Testing and Validation: The EP is in the process of testing and validation of the electronic submission of data.

    • Providers must respond to requests from the PHA or, where applicable, the CDR within 30 days; failure to respond twice within an EHR reporting period would result in that provider not meeting the measure.

  • Production: The EP has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.

More Information

Meaningful Use

  1. What is Meaningful Use?
  2. How do I attest for Meaningful Use?
  3. How does the Meaningful Use Dashboard work?
  4. 2018 Medicaid Meaningful Use Stage 2 Objective 1: Protect Patient Health Information
  5. 2018 Medicaid Meaningful Use Stage 2 Objective 2: Clinical Decision Support
  6. 2018 Medicaid Meaningful Use Stage 2 Objective 3: CPOE for Medication, Lab, and Radiology Orders
  7. 2018 Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)
  8. 2018 Medicaid Meaningful Use Stage 2 Objective 5: Health Information Exchange
  9. 2018 Medicaid Meaningful Use Stage 2 Objective 6: Patient-Specific Education
  10. 2018 Medicaid Meaningful Use Stage 2 Objective 7: Medication Reconciliation
  11. 2018 Medicaid Meaningful Use Stage 2 Objective 8: Patient Electronic Access
  12. 2018 Medicaid Meaningful Use Stage 2 Objective 9: Secure Electronic Messaging
  13. 2018 Medicaid Meaningful Use Stage 2 Objective 10: Public Health Reporting
  14. 2017 Medicaid Meaningful Use Stage 2 Objective 1: Protect Patient Health Information
  15. 2017 Medicaid Meaningful Use Stage 2 Objective 2: Clinical Decision Support
  16. 2017 Medicaid Meaningful Use Stage 2 Objective 3: CPOE for Medication, Lab, and Radiology Orders
  17. 2017 Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)
  18. 2017 Medicaid Meaningful Use Stage 2 Objective 5: Health Information Exchange
  19. 2017 Medicaid Meaningful Use Stage 2 Objective 6: Patient-Specific Education
  20. 2017 Medicaid Meaningful Use Stage 2 Objective 7: Medication Reconciliation
  21. 2017 Medicaid Meaningful Use Stage 2 Objective 8: Patient Electronic Access
  22. 2017 Medicaid Meaningful Use Stage 2 Objective 9: Secure Electronic Messaging
  23. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health Reporting
  24. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Immunization Registry Data Submission
  25. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Syndromic Surveillance Data Submission
  26. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Specialized Registry Reporting
  27. What are the Modified Stage 2 Meaningful Use requirements for 2017?
  28. What are the exclusions for Meaningful Use?
  29. What patients are counted for Meaningful Use?
  30. How do the components of a chart note relate to Meaningful Use?
  31. How do I print the Meaningful Use Dashboard?
  32. How do I minimize or refresh CDS notifications?
  33. How can I send a referral using Direct Messaging?
  34. How does patient portal access and auto-invite relate to Meaningful Use?
  35. What constitutes a "unique" patient?
  36. Meaningful Use attestation for previous years
  37. How do Meaningful Use payment adjustments work?
  38. How do I apply for a Meaningful Use Hardship Exception?
  39. How do I find Practice Fusion's CMS EHR Certification ID?
  40. How do I register for the Medicaid Meaningful Use Program?
  41. Can I change, modify, or cancel my attestation?
  42. How do I choose my reporting period duration for Medicaid Meaningful Use?
  43. Is Practice Fusion a certified EHR?
  44. Patient records maintained in the EHR for Meaningful Use attestation
  45. How do I get my AIU letter from Practice Fusion?
  46. How do I report eCQMs for Medicaid Meaningful Use?
  47. Do I have to meet all 10 objectives to achieve Meaningful Use?
  48. Can I participate in both MIPS (Medicare) and Meaningful Use (Medicaid)?
  49. Are there patient education materials available in Spanish?
  50. How do I select or change my reporting period start date?
  51. When do I need to sign chart notes for Meaningful Use? Can I sign a chart after the reporting period?
  52. How do I contact my state about the Medicaid EHR Incentive Program?
  53. How do I qualify for Meaningful Use if I see patients in multiple locations?
  54. How many exclusions can each provider claim for meaningful use?
  55. How do I use multiple EHR's to qualify for Medicaid Meaningful Use?
  56. What stage of Medicaid Meaningful Use am I in?
  57. How do I prepare for the PQRS Penalty Informal Review?
  58. How do I prepare for a Meaningful Use audit?
  59. How do I batch export patient data from the EHR?
  60. How can I report CQMs for PQRS?
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