Public Health Meaningful Use – Modified Stage 2 Requirements 

ATTENTION: The Centers for Medicare and Medicaid Services (CMS) recently published final rule specifies criteria that eligible professionals (EPs), eligible hospitals (EHs) and critical access hospitals (CAHs) must meet in order to participate in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The final rule's provisions encompass 2015 through 2017 (Modified Stage 2) as well as Stage 3 in 2018 and beyond.

For additional Information please visit:

To qualify and receive Meaningful Use incentives, participating providers and facilitates must meet various operational and public health criteria established by Centers for Medicaid and Medicare Services (CMS) with the Office of National Coordinator for Health Information technology (ONC). For more information on the EHR incentive programs, visit the following links:

For information about the EHR Incentive Programs in previous years, visit the Requirements for Previous Years page.

Declaration of Readiness

Declaration of Readiness for Public Health Reporting for Meaningful Use

Summary of Public Health Meaningful Use for Arkansas Providers

Click below for more information related to the Modified Stage 2 rule for EPs

Eligible Professionals (EPs) Public Health Reporting

Eligible Professionals Objectives and Measures

An Eligible Professional (EP) scheduled to be in Stage 1 in 2015 must meet 1 measure and an EP scheduled to be in Stage 2 in 2015 must meet 2 measures. All EPs must meet 2 measures in 2016 and 2017.

Objective: The EP is in active engagement with a public health agency to submit electronic public health data from CEHRT except where prohibited and in accordance with applicable law and practice.


Public Health Reporting – Measure number and name
Maximum times measure can count towards objective Available Since
Measure 1 – Immunizations Registry 1 June 3, 2013
Measure 2 – Syndromic Surveillance Reporting 1 July 1, 2013
Measure 3 – Specialized Registry Reporting (Cancer) 2 for EPs July 1, 2013


The table below lists the public health measures available for EPs with the capacity to receive data in Arkansas. Click the name in the table to be directed to the program-specific information and instructions to complete the MU requirements.

Public Health Measure 2015 2016-2017 2017 2018-2021
Stage 1 Stage 2 All EPS Optional Stage 3 Stage 3
Immunzation Information

Must pick
1of 4

Must pick
2 of 4

Must pick
2 of 4

Must pick
3 of 5

Must pick
4 of 5

Syndromic Surveillance
Specialized Registry - Cancer Reporting
Specialized Registry – N/A
Clinical Data Registry N/A N/A N/A
Case Reporting - TBD N/A N/A N/A TBD


Active Engagement

In the Modified EHR Incentive Programs for 2015 through 2017 and Stage 3 MU final rules, the prior ongoing submission requirement has been replaced with an “Active Engagement’’ requirement, which will be more aligned with the process providers undertake to report to a clinical registry or public health agency. ‘‘Active Engagement’’ means the provider is in the process of working towards sending "production data" to a public health agency or clinical data registry, or is sending production data to a public health agency or clinical data registry.

In order to meet a measure under the Public Health Reporting objective for any stage or year, data submitters must demonstrate active engagement. Active engagement may be demonstrated by any of the following:

  1. Completed registration of intent to submit data (See Option 1 below).

  2. Testing and Validation (See Option 2 below).

  3. Production (See Option 3 below).

The table below list the Active Engagement Options (You must be in one of these categories to meet the measure).


Menu Measure
Active Engagement Options

Immunizations Registry

 

 

Syndromic Surveillance

 

 

Cancer - Specialized Registry Reporting

Option 1- Completed Registration to Submit Data:

The EP, EH, or CAH registered to submit data with the PHA or, where applicable, the CDR to which the information is being submitted; registration was completed within 60 days after the start of the EHR reporting period; and the EP, eligible hospital, or CAH 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.

Option 2- Testing and Validation:

The EP, EH, or CAH 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.

***ADH requests the providers to register once and to declare their intent for each reporting period. This keep public health engaged and also lets the providers keep a running log of where they are in the process for public health meaningful use. ADH uses this information to send out status updates when providers meet certain phases along the way. ***

Option 3- Production:
The EP, eligible hospital, or CAH has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.

 


Click below for more information related to the Modified Stage 2 rule for EHs and CAHs?

Eligible Hospitals (EHs) and Critical Access Hospitals (CAHs) Public Health Reporting

Eligible Professionals Objectives and Measures

Eligible Hospital Objectives and Measures - 2015 through 2017 (Modification Period)

Eligible Hospitals (EHs) and Critical Access Hospitals (CAHs) scheduled to be in Stage 1 in 2015 must meet 2 measures. EHs and CAHs scheduled to be in Stage 2 in 2015 must meet 3 measures. All EHs and CAHs in 2016 and 2017 must meet 3 measures.

Objective: The EP is in active engagement with a public health agency to submit electronic public health data from CEHRT except where prohibited and in accordance with applicable law and practice.


Public Health Reporting – Measure number and name
Maximum times measure can count towards objective Available Since
Measure 1 – Immunizations Registry 1 June 3, 2013
Measure 2 – Syndromic Surveillance Reporting 1 July 1, 2013
Measure 3 – Electronic Case Reporting TBD TBD
Measure 4 – Public Health Registry Reporting TBD July 1, 2013
Measure 5 – Clinical Data Registry Reporting TBD TBD
Measure 6 – Electronic Reportable Laboratory Results N/A July 1, 2013


The table below lists the public health measures available for EPs with the capacity to receive data in Arkansas. Click the name in the table to be directed to the program-specific information and instructions to complete the MU requirements.

Public Health Measure 2015 2016-2017 2017 2018-2021
Stage 1 Stage 2 All EPS Optional Stage 3 Stage 3
Electronic Laboratory Reporting

Must pick
2 of 4

Must pick
3 of 4

Must pick
2 of 4

Must pick
4 of 5

Must pick
4 of 6

Immunization Information
Syndromic Surveillance
Specialized Registry - Cancer Reporting
Specialized Registry – N/A
Clinical Data Registry N/A N/A N/A
Case Reporting - TBD N/A N/A N/A TBD


Active Engagement

In the Modified EHR Incentive Programs for 2015 through 2017 and Stage 3 MU final rules, the prior ongoing submission requirement has been replaced with an ‘‘active engagement’’ requirement, which will be more aligned with the process providers undertake to report to a clinical registry or public health agency. ‘‘Active engagement’’ means the provider is in the process of working towards sending "production data" to a public health agency or clinical data registry, or is sending production data to a public health agency or clinical data registry.

In order to meet a measure under the Public Health Reporting objective for any stage or year, data submitters must demonstrate active engagement. Active engagement may be demonstrated by any of the following:

  1. Completed registration of intent to submit data (See Option 1 below).

  2. Testing and Validation (See Option 2 below).

  3. Production (See Option 3 below).

The table below list the Active Engagement Options (You must be in one of these categories to meet the measure).


Menu Measure
Active Engagement Options

Immunizations Registry

 

 

Syndromic Surveillance

 

 

Cancer - Specialized Registry Reporting

 

 

Electronic Laboratory Reporting

Option 1- Completed Registration to Submit Data:

The EP, EH, or CAH registered to submit data with the PHA or, where applicable, the CDR to which the information is being submitted; registration was completed within 60 days after the start of the EHR reporting period; and the EP, eligible hospital, or CAH 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.

Option 2- Testing and Validation:

The EP, EH, or CAH 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.

***ADH requests the providers to register once and to declare their intent for each reporting period. This keep public health engaged and also lets the providers keep a running log of where they are in the process for public health meaningful use. ADH uses this information to send out status updates when providers meet certain phases along the way. ***

Option 3- Production:
The EP, eligible hospital, or CAH has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.

Note: Under the active engagement requirement, providers would only need to register once with a public health agency or a clinical data registry and could register before the reporting period begins. In addition, previous registrations with a public health agency or clinical data registry that occurred in a previous stage of meaningful use could count toward Option 1 of the active engagement requirement for purposes of attesting to Stage 3 measures. However, the providers must register with a public health agency or clinical data registry for each measure they intend to use to meet meaningful use. Further, to meet Option 1 of the active engagement requirement, registration with the applicable public health agency or clinical data registry is required when a provider seeks to meet meaningful use using a measure they have not successfully attested to in a previous EHR reporting period.


Registration and On-Boarding for Public Health MU Objectives

In alignment with the activities related to the Electronic Health Record (EHR) Meaningful Use Incentive Program, the Arkansas Department of Health (ADH) has created an online meaningful use registration and communication system called MURCS. The system is capable of collecting and recording all aspects of the onboarding process for EPs, EHs and CAHs wanting to submit electronic data on Immunizations, Syndromic Surveillance, Reportable lab results and Cancer. The intent of the system will allow the user to enter required information to inform the specific programs within the public health system and keep an audit trail of their MU efforts with public health in Arkansas.

Those interested in pursuing the Public Health Meaningful Use objectives can proceed to the Meaningful Use Registration and Communications System (MURCS) or click the registration link below.

In alignment with the Electronic Health Record (EHR) Meaningful Use Incentive Program, Arkansas Department of Health supports electronic submission of the following public health data:

Cancer Reporting Electronic Lab Reporting (ELR)
Cancer reporting from ambulatory providers to state cancer registries is a new public health objective for Stage 2 Meaningful Use..
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Electronic Laboratory Reporting (ELR) is the electronic transmission from laboratories to public health of laboratory reports which identify reportable conditions..
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Immunization Information System (IIS)

Syndromic Surveillance

Immunization Information Systems (IIS) are confidential, population-based, computerized information systems that attempt to collect vaccination data about all individuals within a geographic area..
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Syndromic surveillance allows public health to monitor syndromes, or collections of symptoms, over time to quickly and accurately detect outbreaks or monitor diseases, disorders, or conditions..
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For information about the EHR Incentive Programs in previous years, visit the Requirements for Previous Years page.

The Privacy Rule permits covered entities to disclose PHI, without authorization, to public health authorities or other entities who are legally authorized to receive such reports for the purpose of preventing or controlling disease, injury, or disability.

Contact Information

Office Email Phone
Meaningful Use Coordinator
ADH.ORG.MU@arkansas.gov 855-218-3099

Resources

Please continue to check this site for current ADH Meaningful Use testing requirements and instructions as the process will be evolving as ADH acquires new technology.