Objective 8: Public Health and Clinical Data Registry Reporting

Objective: The EPClosed Eligible Professional: a Medicaid provider who qualifies for the Medicaid Promoting Interoperability Program is in active engagement with a public health agency or clinical data registry to submit electronic public health data in a meaningful way using certified EHR technology, except where prohibited, and in accordance with applicable law and practice.

EPs must attest to at least two measures from the Public Health Reporting Objective.

Measure 1: Immunization Registry Reporting: The EP is in active engagement with a public health agency to submit immunization data and receive immunization forecasts and histories from the public health immunization registry/immunization information system (IIS).
Exclusion

Any EP meeting one or more of the following criteria may be excluded from the immunization registry reporting measure if the EP—

  • Does not administer any immunizations to any of the populations for which data is collected by their 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 CEHRTClosed Certified EHR Technology, an EHR that conforms to the ONC's Health IT Certification Program criteria and standards definition at the start of the EHR reporting period; or
  • Operates in a jurisdiction where no immunization registry or immunization information system has declared readiness to receive immunization data as of 6 months prior to the start of the EHR reporting period.
Reporting EPs must attest YES to being in active engagement with a public health agency to submit immunization data and receive immunization forecasts and histories from the public health immunization registry/immunization information system (IIS).
Measure 2: Syndromic Surveillance Reporting: The EP is in active engagement with a public health agency to submit syndromic surveillance data from an urgent care setting.
Exclusion

Any EP meeting one or more of the following criteria may be excluded from the syndromic surveillance reporting measure if the EP—

  • 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 from EPs in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period; or
  • Operates in a jurisdiction where no public health agency has declared readiness to receive syndromic surveillance data from EPs as of 6 months prior to the start of the EHR reporting period.
Reporting EPs must attest YES to being in active engagement with a public health agency to submit syndromic surveillance data from an urgent care setting.
Measure 3: Electronic Case Reporting: The EP is in active engagement with a public health agency to submit case reporting of reportable conditions.
Exclusion

Any EP meeting one or more of the following criteria may be excluded from the case reporting measure if the EP—

  • Does not treat or diagnose any reportable diseases for which data is collected by their jurisdiction’s reportable disease system during the EHR reporting period;
  • Operates in a jurisdiction for which no public health agency is capable of receiving electronic case reporting data in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period; or
  • Operates in a jurisdiction where no public health agency has declared readiness to receive electronic case reporting data as of 6 months prior to the start of the EHR reporting period.
Reporting EPs must attest YES to being in active engagement with a public health agency to submit case reporting of reportable conditions.
Measure 4: Public Health Registry Reporting: The EP is in active engagement with a public health agency to submit data to public health registries.
Exclusion

Any EP meeting one or more of the following criteria may be excluded from the public health registry reporting measure if the EP—

  • Does not diagnose or directly treat any disease or condition associated with a public health registry in their jurisdiction during the EHR reporting period;
  • Operates in a jurisdiction for which no public health agency 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; or
  • Operates in a jurisdiction where no public health registry for which the EP is eligible has declared readiness to receive electronic registry transactions as of 6 months prior to the start of the EHR reporting period.
Reporting EPs must attest YES to being in active engagement with a public health agency to submit data to public health registries.
Measure 5: Clinical Data Registry Reporting: The EP is in active engagement to submit data to a clinical data registry.
Exclusion

Any EP meeting one or more of the following criteria may be excluded from the clinical data registry reporting measure if the EP—

  • Does not diagnose or directly treat any disease or condition associated with a clinical data registry in their jurisdiction during the EHR reporting period;
  • Operates in a jurisdiction for which no clinical data 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; or
  • Operates in a jurisdiction where no clinical data registry for which the EP is eligible has declared readiness to receive electronic registry transactions as of 6 months prior to the start of the EHR reporting period.
Reporting EPs must attest YES to being in active engagement to submit data to a clinical data registry.

EPs interested in exchanging data with a public health immunization registry/immunization information system (IIS) should contact Sevocity Support to begin the process of a new interface setup. Interface setup requirements and fees vary per request.

Customers who have an interface with a registry that provides history and forecast information will be able to access a patient’s immunization histories and forecasts from the patient chart or encounter.

  • Chart > Immunizations/Growth Charts > Hx/Forecast button
  • Encounter > Immunizations > Hx/Forecast button

EPs interested in exchanging data with a public health agency (PHA) should contact Sevocity Support to begin the process of a new interface setup. Interface setup requirements and fees vary per request.

The ability to create a syndromic surveillance data file in Sevocity is available only from the Urgent Care encounter type. Clinic Administrators can enable and disable the Urgent Care encounter type by going to Tools > Preferences > CLINIC User > Encounter Types

  1. From the Urgent Care encounter, click the Syndromic Surveillance Data button
  2. Select a message type: Registration or Discharge
  3. Select the patient’s County of Residence
  4. Click Export
  5. Type a name for the file and click Save to save to a local machine

The encounter data is exported as an HL7Closed Health Level-7, a set of international standards for the transfer of data between Health IT systems output file that can be used for submission to a public health agency.

EPs interested in exchanging data with a public health agency (PHA) should contact Sevocity Support to begin the process of a new interface setup. Interface setup requirements and fees vary per request.

EPs interested in exchanging data with a clinical data registry (CDR) should contact Sevocity Support to begin the process of a new interface setup. Interface setup requirements and fees vary per request.

  • Active engagement can be the process of moving toward sending data to a CDR, IIS, or PHA or actively sending data to a CDR, IIS, or PHA.
    • The process of moving toward sending data to a CDR, IIS, or PHA is demonstrated by a completed registration with the CDR, IIS, or PHA to submit data or by testing and validating electronic data submitted to the CDR, IIS, or PHA.
    • Registration with the CDR, IIS, or PHA must be completed within 60 days of the start of the reporting period.
  • EPs in the process of moving toward sending data to a CDR, IIS, or PHA or actively sending data to a CDR, IIS, or PHA prior to the start of the reporting period may attest YES to active engagement for this measure.
  • An exclusion for a measure cannot be counted toward the minimum of two measures required for attestation.

Return to 2018 Medicaid Promoting Interoperability Objectives

 

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