DSHS Support for Meaningful Use of Electronic Health Records (EHRs)

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The Texas Department of State Health Services (DSHS) is supporting Eligible Professionals (EPs), Eligible Hospitals (EHs), and Critical Access Hospitals (CAHs) participating in the Centers for Medicare and Medicaid Services’ (CMS) Electronic Health Record Incentive Payment Programs (EHR Incentive Programs) by providing systems with which EHR Incentive Program participants may exchange data to meet program requirements for public health reporting.

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ATTENTION

Modified Rule

Under the Modifications to Meaningful Use rule published by CMS in the Federal Register on October 16th, 2015, and effective on December 15, 2015, public health reporting requirements are currently included in Objective 10, Public Health Reporting, which has several measures as listed in the table below.

Modified Rule Measures for Public Health Reporting

Measure Number and Name

Measure Specification

Maximum Times Measure Can Count Towards the Objective

Measure 1—Immunization Registry Reporting

The EP, EH, or CAH is in active engagement with a public health agency to submit immunization data

1

Measure 2—Syndromic Surveillance Reporting

The EP, EH or CAH is in active engagement with a public health agency to submit syndromic surveillance data

1

Measure 3—Specialized Registry Reporting

The EP, EH, or CAH is in active engagement with a public health agency to submit data to a specialized registry

2 for EP, 3 for EH/CAH.

Measure 4—Electronic Reportable Laboratory Results Reporting (ELR)

The EH or CAH is in active engagement with a public health agency to submit ELR results

Not applicable

Incentive program participants must be actively engaged with public health in order to positively attest to measures in Objective 10, Public Health Reporting. There are several options available to program participants to be actively engaged:

  • Option 1, Completed Registration to Submit Data, is when the EHR Incentive Program participant has completed registration to submit data to the public health agency within 60 days after the start of the reporting period and the participant is awaiting an invitation to begin testing and validation;
  • Option 2, Testing and Validation, is when the EHR Incentive Program participant is in the process of testing and validation of the electronic submission of data. Providers must respond to requests from the public health agency within 30 days; failure to respond twice within an EHR reporting period would result in that provider not meeting the measure; and
  • Option 3, Production, is when the EHR Incentive Program participant has completed testing and validation of the electronic submission and is electronically submitting production data to the public health agency.

The table below presents exchange options provided by DSHS that support active engagement by EHR Incentive Program Participants seeking to meet public health reporting measures under the Meaningful Use modified rule.

Exchange Options at DSHS Supporting the Meaningful Use Modified Rule

Measure Number and Name

Exchange Options Available for Eligible Professionals (EPs)

Exchange Options Available for Eligible Hospitals (EH) or Critical Access Hospitals (CAH)

Measure 1—Immunization Registry Reporting

ImmTrac, the Texas Immunization Registry.

EPs in Bexar County may also exchange data with the San Antonio Immunization Registry System, operated by the City of San Antonio Metropolitan Health District. 

ImmTrac, the Texas Immunization Registry.

EHs and CAHs in Bexar County may also exchange data with the San Antonio Immunization Registry System, operated by the City of San Antonio Metropolitan Health District.

Measure 2—Syndromic Surveillance Reporting

As of February 2016, a statewide system for syndromic surveillance is not available for EPs.

See the syndromic surveillance detail page for additional information.

As of February 2016, a statewide system for syndromic surveillance is not available for EHs or CAHs.

See the syndromic surveillance detail page for additional information.

Measure 3—Specialized Registry Reporting

Texas Cancer Registry, operated by DSHS.

No other registries are currently provided by DSHS to support meaningful use requirements.

EPs should contact relevant specialty medical societies or other organizations for other options.

No registries are currently provided by DSHS to support meaningful use requirements.

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

Measure 4—Electronic Reportable Laboratory Results Reporting

Not applicable.

Electronic Laboratory Reporting (ELR), operated by DSHS.

Please print and retain a copy of this web page to document the status of services provided by DSHS to support meaningful use.

DSHS is not authorized to grant exemptions from reporting under meaningful use or issue letters specifying a participant is exempt from a measure. If a participant determines they meet exclusion criteria specific to any measure, or the alternate exclusions identified in the CMS FAQ, they may claim an exclusion during the attestation process.

To meet Stage 2 requirements, EPs must meet at least two measures from measures 1 through 3. Stage 2 EHs and CAHs must meet at least three measures from measures 1 through 4. In 2015, Stage 1 EPs may meet one measure to meet the threshold and Stage 1 EHs and CAHs may meet two measures to meet the threshold. Consult the Final Rule at http://www.gpo.gov/fdsys/pkg/FR-2015-10-16/pdf/2015-25595.pdf for exclusions. Also see the CMS FAQ at https://questions.cms.gov/faq.php?faqId=12985&id=5005.

A provider may report to more than one specialized registry and may count specialized registry reporting more than once to meet the required number of measures for the objective.

Program-Specific Information for Meaningful Use

Below, please find links to program-specific information regarding public health reporting and meaningful use.

DSHS is working to update the information on the pages below to reflect the changes in the Modified Rule.

Other Texas Resources on Meaningful Use

National Meaningful Use Websites

Contact Us

For more information, please send an email to MeaningfulUseTX@dshs.state.tx.us.

 

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Last updated February 05, 2016