Public Health Reporting — 2016 Program Year for EH and CAH
2016 will be a full year of Meaningful Use reporting for all Eligible Providers (EPs), Eligible Hospitals (EHs), and Critical Access Hospitals (CAHs) who have attested to Meaningful Use in prior years. All EPs, EHs and CAHs will follow the Modified Stage 2 objectives and measures in 2016.
Public Health reporting in 2016 for Eligible Hospitals and Critical Access Hospitals:
EH’s and CAH’s have three options for “Active Engagement” reporting to a public health agency. Active engagement means that the provider is in the process of moving towards sending “production data” to a public health agency or clinical data registry, or sending production data to a public health agency or clinical data registry.
In order to meet the Public Health objective, an eligible hospital or CAH would need to choose from measures 1 through 4 and successfully attest to any combination of three measures.
- An exclusion for a measure does not count toward the total of three measures. If an eligible hospital or CAH excludes from a measure, they must meet or exclude from the remaining measures in order to meet the objective. If the eligible hospital or CAH qualifies for multiple exclusions and the remaining number of measures available to the eligible hospital or CAH is less than three, the eligible hospital or CAH can meet the objective by meeting the one remaining measure available to them. If no measures remain available, the eligible hospital or CAH can meet the objective by meeting the requirements for exclusion from all four measures.
The NH Department of Health and Human Services (NH DHHS) Division of Public Health Services (DPHS) state status is listed with measures.
NH DHHS DPHS Quick Reference Guide. The Quick Reference Guide provides additional information on the specific measures.
For more information, please visit Meaningful Use in the Division of Public Health Services website.
Measure 1 – Immunization Registry Reporting:
The eligible hospital or CAH is in active engagement with a public health agency to submit immunization data.
- NH DHHS DPHS Status: DPHS is not accepting immunization data from EHs at this time. If reporting in NH, EHs may claim exclusion for this measure when attesting for meaningful use, as applicable.
Measure 2 – Syndromic Surveillance Reporting:
The eligible hospital or CAH is in active engagement with a public health agency to submit syndromic surveillance data.
- NH DHHS DPHS Status: DPHS is accepting syndromic surveillance data into test and production systems as applicable from EHs at this time.
Measure 3 – Specialized Registry Reporting:
The eligible hospital or CAH is in active engagement to submit data to a specialized registry.
- NH DHHS DPHS Status: DPHS is not accepting specialized registry reporting from EHs and CAHs.
Measure 4 – Electronic Reportable Laboratory Result Reporting:
The eligible hospital or CAH is in active engagement with a public health agency to submit electronic reportable laboratory (ELR) results.
- NH DHHS DPHS Status: DPHS is accepting the submission of ELR results into test and production systems as applicable from EHs at this time.
Options for Active Engagement:
1. Active Engagement Option 1–Completed Registration to Submit Data:
The eligible hospital 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 eligible hospital 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 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.
2. Active Engagement Option 2 – Testing and Validation:
The eligible hospital or CAH is in the process of testing and validation of the electronic submission of data. Providers 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.
3. Active Engagement Option 3 – Production:
The eligible hospital or CAH has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.
Public Health Reporting for New Hampshire Reference Documents:
- 2016 Readiness Letter
- 2016 Fact Sheet
- 2016 Quick Reference Guide
- NH Public Health Cancer Registry Registration Form
“In my tiny family practice, the adoption of the EHR and attesting to meaningful use took six months start to finish. With the REC’s assistance, we went through it pretty effortlessly.”
Dr. Robin Hallquist
Twin Mountain, NH
“The additional support and funding from CMS and the RECNH has helped justify and expedite our IT progress, while leveraging EHR technology has allowed us to do things we never would have been able to do in a paper world. As a result, we are able to know our patients better and make knowledgeable, quicker clinical decisions that ultimately help lead to safer and better quality care.”
Chief Information Officer
Exeter Health Resources
“The achievement to successfully reach Stage 1 Meaningful Use was the result of a total commitment by every department at Cottage, and the pivotal assistance of the Regional Extension Center of NH.”
Director of Management Information
Did You Know?
There is no specific requirement to connect to a HIE to achieve Stage 1 Meaningful Use. In future years, the need for external electronic connections to communicate with providers and patients will become a required component of meaningful use.
The Centers for Medicare and Medicaid Services established meaningful use criteria to encourage widespread adoption of EHRs with the goal of improving healthcare quality and efficiency.
To achieve meaningful use, providers need to show they’re using certified EHR technology to improve healthcare quality and efficiency in significant ways that can be measured.
In New Hampshire, 1,000 priority primary care providers have been targeted for REC services. RECNH is here to support them and the state’s 13 qualifying critical access hospitals.
For providers that qualify as a priority primary care provider, there is no fee associated with RECNH services. Other providers are eligible for low cost, fee-for-service consulting.
Starting in 2015, Medicare-eligible professionals who do not successfully demonstrate meaningful use will have a payment adjustment to their Medicare reimbursement.
RECNH was launched by the Massachusetts eHealth Collaborative (MAeHC) in 2010 with the support of a $6.9 million federal award. RECNH combines MAeHC’s extensive experience with hands-on New Hampshire experience.
RECNH supports a variety of statewide initiatives. We coordinate and collaborate with the Medicaid Electronic Health Record Incentive Program, and the NH State Public Health reporting initiatives. We are an active member of the New Hampshire Health Information Organization (NHHIO) and support the development of safe and secure health information exchange.