Meaningful Use Arkansas Department of Health

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

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.

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:

Option 1 - Completed Registration to Submit Data through the Meaningful Use Registration and Communications System (MURCS).
Option 2 - Testing and Validation.
Option 3 - Production.

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.

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.