Declaration of Readiness and DSHS Support for Promoting Interoperability/Meaningful Use of Electronic Health Records

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The Texas Department of State Health Services (DSHS) supports the exchange of data with health care providers consistent with programs such as the Centers for Medicare and Medicaid Services’ (CMS) Promoting Interoperability programs, a new name for the CMS Electronic Health Records (EHRs) Incentive Payment Programs.

This page includes a table with information about DSHS programs’ capabilities for exchanging data to help providers meet Promoting Interoperability programs’ requirements and serves as DSHS’ declaration of readiness to exchange information. 

Update: CMS released a Proposed Rule and Request for Information addressing the Fiscal Year (FY) 2019 Medicare Hospital Inpatient Prospective Payment System and Long Term Acute Care Hospital Prospective Payment System Proposed Rule, and Request for Information. The comment period closed on June 25th, 2018. Please visit the FY 2019 IPPS Proposed Rule Home Page for additional information.

Public Health Reporting Options and Declaration of Readiness

The table below describes services available from or known to DSHS to support active engagement with public health for entities participating in Promoting Interoperability programs.

Program participants should contact other public health agencies serving their area and professional societies for additional options.


Options for Interoperability Program Participants

Program Measure Name and  
Specification   

Exchange Options Available
for Eligible Providers (EPs)/Eligible Clinicians (ECs)

Exchange Options
Available
for Eligible Hospitals (EHs)/Critical Access Hospitals (CAHs)

Immunization Registry Reporting

ImmTrac2, the Texas Immunization Registry, is operated by DSHS.

See this page for the implementation guide, based on the HL7 Version 2.5.1: Implementation Guide for Immunization Messaging, Release 1.4.

ImmTrac2 will be prepared to accept message consistent with the 2015 Edition Health IT Certification Criteria beginning January 1, 2019.

ImmTrac2, the Texas Immunization Registry, is operated by DSHS.

See this page for the implementation guide, based on the HL7 Version 2.5.1: Implementation Guide for Immunization Messaging, Release 1.4.

ImmTrac2 will be prepared to accept message consistent with the 2015 Edition Health IT Certification Criteria beginning January 1, 2019.

Syndromic Surveillance Reporting

DSHS began accepting registrations from practitioners in urgent care setting on May 5, 2016.

DSHS is accepting information consistent with the applicable federal rule, using the Public Health Information Network (PHIN) Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings, Release 2.0 (April, 2015) and the Erratum, available on the PHIN Messaging Guide web page, as described in the 2015 Edition Health IT Certification Criteria.

Please see the syndromic surveillance detail page for additional information.

DSHS began accepting registrations from EHs and CAHs beginning May 5, 2016.

DSHS is accepting information consistent with the applicable federal rule, using the PHIN (PHIN) Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings, Release 2.0 (April, 2015) and the Erratum, available on the PHIN Messaging Guide web page, as described in the 2015 Edition Health IT Certification Criteria.

Please see the syndromic surveillance detail page for additional information.  

Specialized Registry Reporting  
Public Health Registry Reporting
Clinical Data Registries

The Texas Cancer Registry, operated by DSHS is currently accepting information from providers who diagnose or treat cancer.

DSHS is able to accept messages compliant with Stage 3 / 2015 Edition Health IT Certification Criteria standards, including support for the HL7 Implementation Guide for CDA© Release 2: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, Release 1. 
No other registries are currently provided by DSHS to support Promoting Interoperability requirements.

The National Center for Health Statistics (NCHS) conducts national health care surveys and is accepting registrations from EPs and ECs to participate in the National Ambulatory Medical Care Survey.

EPs and ECs should contact relevant specialty medical societies for other options.  

No registries are currently provided by DSHS to support Promoting Interoperability requirements.
The National Center for Health Statistics (NCHS) conducts national health care surveys and is currently  accepting registrations from EHs and CAHs. Surveys conducted by NCHS include:

  • The National Hospital Ambulatory Medical Care Survey and
  • The National Hospital Care Survey.

National Healthcare Safety Network (NHSN) Antimicrobial Use (AU) and Antimicrobial Resistance (AR) (AUR) reporting have been identified as a new option for public health registry reporting under Stage 3. For additional information see the CDC's NHSN Meaningful Use Overview.

EHs and CAHs should contact relevant specialty medical societies for other options.

Clinical Data Registry Reporting 

DSHS provides no connections to clinical data registries in support of the Promoting Interoperability programs.

DSHS provides no connections to clinical data registries in support of the Promoting Interoperability programs.

Electronic Reportable Laboratory Results Reporting  

Not applicable.

Electronic Laboratory Reporting (ELR), is operated by DSHS.

DSHS supports both the 2014 Edition and the 2015 Edition Health IT Certification Criteria currently accepting messages consistent with the HL7 2.5.1 Implementation Guide, Electronic Laboratory Reporting to Public Health, Release 1.  

If a program participant determines that they meet exclusion criteria specific to any applicable measure, or any available alternate exclusions identified by CMS, they may claim an exclusion during the attestation/data submission process. Federal regulations do not authorize DSHS to grant exemptions from meeting Interoperability Program requirements.

Active Engagement

To attest to meeting any of the above measures, the program participant must be actively engaged with the public health authority (PHA) or, where applicable, the clinical data registry (CDR) operating the registry.

Active Engagement Option 1 – Completed Registration to Submit Data: The program participant is registered to submit data with the PHA or, 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 participant 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.

Active Engagement Option 2 – Testing and Validation: The program participant is in the process of testing and validation of the electronic submission of data. The program participant 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.

Active Engagement Option 3 – Production: The program participant  has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.

Production data refers to data generated through clinical processes involving patient care, and it is used to distinguish between data and “test data” which may be submitted for the purposes of enrolling in and testing electronic data transfers.

Questions

Questions about public health reporting should be sent to  MeaningfulUseTX@dshs.texas.gov.

Information about the Quality Payment Program is available at CMS’ website.

DSHS Program-Specific Information

Other Texas Resources on Meaningful Use

National Promoting Interoperability/Meaningful Use Websites

Contact

For more information please email MeaningfulUseTX@dshs.texas.gov.

Last updated August 16, 2018