Promoting Interoperability (PI) Program
Promoting Interoperability (PI) Programs in Public Health
Attention: The Centers for Medicare & 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 Promoting Interoperability (PI) Programs. The final rule's provisions encompass 2015 through 2017 (Modified Stage 2) as well as Stage 3 in 2018 and later.
Visit the following websites for additional Information::
To qualify and receive Meaningful Use incentives, participating providers and facilities must meet various operational and public health criteria established by Centers for Medicaid & 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 - Stage 3
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
Eligible Professional Objectives and Measures for 2015: Table of Contents
Eligible Porfessional EHR Incentive Program Objectives and Measures for 2015: Objective 10 of 10
Eligible Hospital and Critical Access Hospital EHR Incentive Program Objectives and Measures for 2015: Objective 9 of 9
An EP scheduled to be in Stage 1 in 2015 must meet one measure, and an EP scheduled to be in Stage 2 in 2015 must meet two measures. All EPs must meet two 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 |
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.
Public Health Measure |
2015 |
2016-2017 |
2017 |
2018 - 2021 |
|
Stage 1 |
Stage 2 |
All EPs |
Optional Stage 3 |
Stage 3 |
Immunzation Information |
Must pick 1 of 4 |
Must pick 2 of 4 |
Must pick 2 of 4 |
 |
Must pick 4 of 5 |
Syndromic Surveillance |
N/A |
N/A |
N/A |
Must pick 3 of 5 |
N/A |
Specialized Registry - Cancer Reporting |
N/A |
N/A |
N/A |
N/A |
N/A |
Specialized Registry – N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
Clinical Data Registry |
N/A |
N/A |
N/A |
TBD |
N/A |
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. A provider is in “Active Engagement” if it is working towards 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 is achieved by completing any of the following options:
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 |
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, EH, 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 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.
|
Cancer - Specialized Registry Reporting |
Option 2 - Testing and Validation
The EP, EH, or CAH is in the process of testing and validation of the electronic data. Providers must respond to requests from the PHA or, where applicable, the CDR within 30 days. If a provider fails to respond twice within an EHR reporting period, the provider does not meet the measure.
ADH requests that providers register once, and to declare their intent for each reporting period. This keeps public health engaged, and also lets the providers keep a running log of where they are in the process for meaningful use. ADH uses this information to send status updates when providers meet certain phases.
Option 3 - Production
The EP, EH, 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 (EH) and Critical Access Hospitals (CAH) Public Health Reporting
Eligible Professionals Objectives and Measures
Eligible Hospitals and Critical Access Hospital EHR Incentive Program Objectives and Measures for 2015: Table of Contents.
Eligible Hospital and Critical Access Hospital EHR Incentive Program Objectives and Measures for 2015: Objective 9 of 9.
Eligible Hospital and Critical Access Hospital EHR Incentive Program Objectives and Measures for 2015: Objective 9 of 9.
Eligible Hospital Objectives and Measures - 2015 through 2017 (Modification Period)
An EP and CAH scheduled to be in Stage 1 in 2015 must meet two measures. EHs and CAHs scheduled to be in Stage 2 in 2015 must meet three measures. All EHs and CAHs in 2016 and 2017 must meet three 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 Reporting |
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 Lab Reporting |
N/A |
July 1, 2013 |
The table below lists the public health measures available for EPs with the capacity to receive data in Arkansas.
Public Health Measure |
2015 |
2016 - 2017 |
2017 |
2018 - 2021 |
|
Stage 1 |
Stage 2 |
All EPs |
Optional Stage 3 |
Stage 3 |
Immunzation Information |
Must pick 1 of 4 |
Must pick 2 of 4 |
Must pick 2 of 4 |
 |
Must pick 4 of 5 |
Syndromic Surveillance |
N/A |
N/A |
N/A |
Must pick 3 of 5 |
N/A |
Specialized Registry - Cancer Reporting |
N/A |
N/A |
N/A |
N/A |
N/A |
Specialized Registry – N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
Clinical Data Registry |
N/A |
N/A |
N/A |
N/A |
N/A |
Case Reporting - TBD |
N/A |
N/A |
N/A |
TBD |
N/A |
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. A provider is in “Active Engagement” if it is working towards 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 is achieved by completing any of the following options:
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 |
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, EH, 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 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.
|
Cancer - Specialized Registry Reporting |
Option 2 - Testing and Validation
The EP, EH, or CAH is in the process of testing and validation of the electronic data. Providers must respond to requests from the PHA or, where applicable, the CDR within 30 days. If a provider fails to respond twice within an EHR reporting period, the provider does not meet the measure.
ADH requests that providers register once, and to declare their intent for each reporting period. This keeps public health engaged, and also lets the providers keep a running log of where they are in the process for meaningful use. ADH uses this information to send status updates when providers meet certain phases.
Option 3 - Production
The EP, EH, 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 only need to register once with a public health agency or a clinical data registry, and they may 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 as 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. Furthermore, 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 Communications System (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, Electronic Lab Reporting, 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.
Click here to Register
In alignment with the Promoting Interoperability (PI) Programs, ADH supports electronic submission of the following public health data:
Cancer Reporting
Cancer Registry from ambulatory providers to state cancer registries is a new public health objective for Stage 2 Meaningful Use.
More >
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Electronic Lab Reporting (ELR)
Electronic Lab Reporting (ELR) is the electronic transmission from laboratories to public health of laboratory reports which identify reportable conditions
More >
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Immunization Information System (IIS)
Immunization Information Systems (IIS) are confidential, population-based, computerized information system that collects vaccination data about all individuals within a geographic area.
More >
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Syndromic Surveillance
Syndromic Surveillance allows public health to monitor syndromes, or collections of symptoms, over a period of time to quickly and accurately detect outbreaks or monitor diseases, disorders, or conditions.
More >
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Visit the Public Health Meaningful Use – Previous Years’ Requirements page for information about the Promoting Interoperability (PI) Programs in previous years.
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.
Resources
Continue to check this site for current ADH Meaningful Use testing requirements and instructions. This is an evolving process as ADH acquires new technology.
