Public Health

What are my requirements for Public Health Meaningful Use reporting in New Hampshire for Meaningful Use Program Year 2015?

Medicare EHR Incentive Attestations for Meaningful Use 2015 will be accepted until March 11, 2016. 

Medicaid EHR Incentive Attestations for Meaningful Use 2015 will be accepted until March March 31, 2016. 

 


Eligible Hospitals/Critical Access Hospitals
(EHs/CAHs)

EH/CAH Spec Sheets for 2015

EHs/CAHs scheduled to be in Stage 2 in 2015:
Must attest to at least 3 measures from the Public Health Reporting Objective Measures 1-4.
May claim an alternate exclusion for Measure 3 (Specialized Registry Reporting Measure) or both.

EHs/CAHs scheduled to be in Stage 1 in 2015:
Must attest to at least 2 measures from the Public Health Reporting Objective Measures 1-4.
May claim an Alternate Exclusion for Measure 1, Measure 2, Measure 3 or Measure 4.
An Alternate Exclusion may only be claimed for up to three measures, then the (EH/CAH) must either attest to or meet the exclusion requirements for the remaining measure described in 495.22 (e)(10)(ii).


Measure 1 – Immunization Registry Reporting
Although New Hampshire is not accepting immunization data from CEHRT for the 2015 and 2016 Program Years, DPHS is continuing the process of establishing an Immunization Information System (IIS).

Measure 2 – Syndromic Surveillance Reporting
Syndromic surveillance reporting and analysis of near real-time, de-identified encounter data enables early event detection of infectious disease and injury to control the spread of disease and reduce the risk of injury. Hospitals can meet meaningful use requirements for syndromic surveillance by submitting data to the DPHS syndromic surveillance system. The New Hampshire Local Implementation Guide for Syndromic Surveillance Reporting provides specifications for providers to use as guidance for reporting syndromic surveillance electronically to DPHS. Sending this data to DPHS will allow New Hampshire to contribute to the National Syndromic Surveillance Program for national and regional situational awareness.

Measure 3 – Specialized Registry Reporting
The Division of Public Health Services in NH is not accepting specialized registry reporting from EHs and CAHs.

Measure 4 – Electronic Reportable Laboratory Result Reporting
The Division of Public Health Services in NH is accepting the submission of ELR results into test and production systems as applicable from EHs and CAHs at this time.  Electronic Laboratory Reporting (ELR) allows hospitals to securely send laboratory data in a standard electronic format to report test results for diseases identified in the State of New Hampshire Reportable Disease List and Disease Reporting Guidelines to New Hampshire’s disease surveillance systems. ELR allows for more rapid reporting to DPHS and reduces the hospital’s reporting burden. The NH Local Implementation Guide for ELR Using HL7 2.5.1 provides specifications for facilities to use as guidance for reporting laboratory results electronically to DPHS. ELR provides an efficient and standardized manner of transferring individual laboratory results to DPHS.

Important Note: ELR does not replace the statutory requirement for healthcare providers to notify the DPHS Bureau of Infectious Disease Control of diseases and conditions that must be reported within 24 or 72 hours of suspicion or diagnosis as mandated in New Hampshire Statute RSA 141-C and corresponding administrative rule He-P 301.


Eligible Professionals
(EPs)

EP Spec Sheets for 2015

EPs scheduled to be in Stage 2 in 2015:
Must attest to at least 2 measures from the Public Health Reporting Objective Measures 1-3.
May claim an alternate exclusion for Measure 2 or Measure 3 (Syndromic Surveillance Measure or Specialized Registry Reporting Measure) or both.

EPs scheduled to be in Stage 1 in 2015:
Must attest to at least 1 measure from the Public Health Reporting Objective Measures 1-3.
May claim an Alternate Exclusion for Measure 1, Measure 2, or Measure 3.
An Alternate Exclusion may only be claimed for up to two measures, then the provider must either attest to or meet the exclusion requirements for the remaining measure described in 495.22 (e)(10)(i)


Measure 1 – Immunization Registry Reporting
Although New Hampshire is not accepting immunization data from CEHRT for the 2015 and 2016 Program Years, DPHS is continuing the process of establishing an Immunization Information System (IIS).

Measure 2 – Syndromic Surveillance Reporting
The Division of Public Health Services in NH is not accepting syndromic surveillance data from EPs at this time.

Measure 3 – Specialized Registry Reporting
The Division of Public Health Services in NH is not accepting specialized registry reporting from EPs at this time.

For more information on Public Health Registry reporting
The CMS 2015 Public Health Objective Specification Sheets contain details on attestation requirements, exclusion and alternate exclusion criteria, and specialized registry reporting (National Specialty Society, Prescription Drug Monitoring, electronic case reporting, etc.):

The New Hampshire Department of Health and Human Services Division of Public Health Services has updated their website with 2015 and 2016 Meaningful Use Public Health Reporting information.

The NH Program Year 2015 Readiness Letter and 2015 Quick Reference Guide are available here:

 

Previous Public Health Exclusion Letters:

Federal Guidance

NH DPHS Guidance For more information, please visit Meaningful Use in the Division of Public Health Services website.

CMS.Gov FAQ:

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
Cottage Hospital

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.

David Briden
Chief Information Officer
Exeter Health Resources

Did You Know?

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.

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.

Starting in 2015, Medicare-eligible professionals who do not successfully demonstrate meaningful use will have a payment adjustment to their Medicare reimbursement.

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.

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.

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.

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