Meaningful Use & Public Health Objectives

photo: health professionalsWhat is the EHR Incentive Program?

The Electronic Health Record (EHR) Incentive Program administered by the Centers for Medicare and Medicaid Services (CMS) provides financial compensation for the "Meaningful Use" of certified EHR technology to achieve health and efficiency goals. Meaningful Use provisions of the Health Information Technology for Economic and Clinical Health Act were enacted as part of the American Recovery and Reinvestment Act of 2009.

Who can participate in the EHR Incentive Program?

Eligible Professionals (EPs) and Eligible Hospitals (EHs) that provide clinical services to Medicare and Medicaid (Medi-Cal, in California) patients and commence the transmission of electronic health data are eligible to receive CMS Meaningful Use EHR financial incentives.

Stage 1 Meaningful Use

The final rule for Stage 1 Meaningful Use requires EPs and EHs to choose at least one public health objective from the set of menu objectives, which includes electronically submitting one of the following:

  • Immunization information,
  • Electronic reportable laboratory results (eligible hospitals only), or
  • Syndromic surveillance

Stage 2 Meaningful Use

For Stage 2 Meaningful Use (2014 Rules), requirements include the following:

  • On-going submission of electronic data for immunizations and syndromic surveillance for eligible professionals
  • On-going submission of electronic data for immunizations, reportable laboratory results and syndromic surveillance for eligible hospitals
  • In addition, eligible professionals and eligible hospitals have menu objectives for submitting data to specialized registries. The California Cancer Registry is the designated specialized registry.

Modified Stage 2 Meaningful Use (2015-2017)

For Modified Stage 2 (2015 CEHRT), Public Health and Clinical Data Registry Reporting fall under a single objective. To qualify for this objective, eligible professionals (EP) must meet two (2) of the measures and eligible hospitals (EH) must meet three (3) of the following measures:

  • Measure 1 - Immunization Registry Reporting
  • Measure 2 - Syndromic Surveillance Reporting
  • Measure 3 - Specialized Registry Reporting (California Cancer Registry)
  • Measure 4 - Electronic Reportable Laboratory Results Reporting (eligible hospitals only)

Stage 3 Meaningful Use

For Stage 3 Meaningful Use (2015 CEHRT), Public Health and Clinical Data Registry Reporting fall under a single objective. To qualify for this objective in 2018 (optional in 2017), eligible professionals (EP) must meet two (2) of the measures and eligible hospitals (EH) must meet four (4) of the following measures:

  • Measure 1 - Immunization Registry Reporting
  • Measure 2 - Syndromic Surveillance Reporting
  • Measure 3 - Electronic Case Reporting
  • Measure 4 - Public Health Registry Reporting (California Cancer Registry)
  • Measure 5 - Clinical Data Registry Reporting
  • Measure 6 - Electronic Reportable Laboratory Results Reporting (eligible hospitals only)

Measures 4 and 5 for Public Health and Clinical Data Registry Reporting may be counted up to two times for eligible professionals and up to four times for eligible hospitals, if more than one Public Health Registry or Clinical Data Registry Reporting is available.

An exclusion does not count toward the total measures met.

Where do I submit data in Orange County?

Orange County Health Care Agency (HCA) coordinates electronic health data reporting with the California Department of Public Health (CDPH). CDPH has developed a secure health information exchange (HIE) web application, the CDPH HIE Gateway, The Gateway allows providers, hospitals and health information exchange organizations to register and manage public health data exchange with CDPH for specific types of reportable diseases and conditions.

HCA does not accept electronic data transmissions directly from providers. Please see information below on how to meet Meaningful Use requirements for Orange County.

Immunization Data – Register at the CDPH HIE Gateway to send immunization information to the California Immunization Registry (CAIR) .

Electronic Reportable Laboratory Results Data (eligible hospitals only) – Register at the CDPH HIE Gateway to send infectious disease laboratory reports (ELR) for Title 17 reportable conditions to the California Reportable Disease Information Exchange (CalREDIE) within the CDPH Division of Communicable Disease Control.

Syndromic Surveillance Data – Currently, Orange County does not have the capability to receive syndromic surveillance messages. Please send an email to the address below to request an exclusion.

Cancer Case Reporting – In support of physician cancer case reporting for Meaningful Use Stage 2 (MU2) and 3 (MU3), the California Cancer Registry (CCR) is working with the California Department of Public Health (CDPH) Health Information Exchange (HIE) Gateway with implementing electronic cancer case reporting. Successful ongoing submission of electronic health records (EHR) to the HIE Gateway will assist eligible participants in meeting the MU requirements.

Other Specialized Registry options – http://hie.cdph.ca.gov/specialized-registries.html

For inquiries

Please email: meaningfuluse@ochca.com