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Public Health Meaningful Use

The Centers for Medicare and Medicaid Services (CMS) specifies the criteria that eligible professionals (EPs), eligible hospitals (EHs), and critical access hospitals (CAHs) must meet in order to continue to participate in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs.

To receive an EHR incentive payment, providers must demonstrate that they are meaningfully using their EHRs to improve patient care. 

The tables below describe the measures that can be met under the Public Health objective in Oregon. To meet any measure providers must be actively engaged in the onboarding process, which can be demonstrated by any of the following: registration of intent, message testing and validation, ongoing submission of production messages. Click on the links within the table to navigate to each program and its resources.

See also: Meaningful Use and Syndromic Surveillance.

Register your intent to submit data to the Oregon Public Health Division
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Oregon providers that intend to submit data to the Oregon Public Health Division to meet the public health objectives for Meaningful Use (MU) are required to register their intent within 60 days of the start of their reporting period.

Register here

Providers that have achieved ongoing submission prior to Stage 2 are not required to register.

Eligible Professionals

 
Modified Stage 2 & Stage 3
Standards
Exclusion

Immunization Registry

ALERT Immunization Information System (IIS)

Register intent, be actively engaged in the onboarding process, or achieve ongoing submission.

ALERT IIS HL7 v2.5.1

CVX (Data content)
 Providers that do not administer immunizations are excluded from this measure.

Syndromic Surveillance

Oregon ESSENCE

Register intent, be actively engaged in the onboarding process, or achieve ongoing submission

HL7 v2.5.1
ADT Message types A01, A03, A04 and A08
PHIN Vocabulary Standards

 Oregon is only accepting syndromic surveillance data from EPs working in Urgent Care settings.

Specialized Registries

Oregon State Cancer Registry (OSCaR)
 As of May 1, 2017 the Oregon Public Health Division is no longer accepting cancer reports. (Download the furlough letter here.) --NA--
 Providers that
have registered their intent should contact the Oregon Medicaid EHR Incentive Program about next steps.

 

Blood Lead Reporting (ELR)

Register intent, be actively engaged in the onboarding process, or achieve ongoing submission

 HL7 v2.5.1
ORU^R01 messages
LOINC (Data content)
SNOMED (Data content)		 Providers that do not test in-house for blood lead levels are excluded from this measure.
Communicable Disease Reporting (ELR)
 Register intent, be actively engaged in the onboarding process, or achieve ongoing submission. HL7 v2.5.1
ORU^R01 messages
LOINC (Data content)
SNOMED (Data content)		 Providers that do not test in-house for reportable communicable conditions are excluded from this measure.
Prescription Drug Monitoring Program (PDMP)
 Register intent, have an active account with PDMP, perform at least one query during the reporting period

-- N/A --

 Providers that do not prescribe are excluded from this measure.
Electronic Case Reporting (eCR) Register intent, be actively engaged in the onboarding process, or achieve ongoing submission. HL7 CDA® R2 Implementation Guide: Public Health Case Report, Release 2 - US Realm - the Electronic Initial Case Report (eICR) --N/A--

Eligible Hospitals

 
Modified Stage 2 & Stage 3
Standards

Immunization Registry

ALERT Immunization Information System (IIS)
 Register intent, be actively engaged in the onboarding process, or achieve ongoing submission

ALERT IIS HL7 v2.5.1
CVX (Data content)

Syndromic Surveillance

Oregon ESSENCE

Register intent, be actively engaged in the onboarding process, or achieve ongoing submission

 HL7 v2.5.1
ADT Message types A01, A03, A04 and A08
PHIN Vocabulary Standards

Electronic Lab Reporting

Electronic Lab Reporting (ELR)
 Register intent, be actively engaged in the onboarding process, or achieve ongoing submission HL7 v2.5.1
ORU^R01 messages
LOINC (Data content)
SNOMED (Data content)

Specialized Registries

National Healthcare Safety Network (NHSN)
 Register intent, submit monthly R1 Normative Antimicrobial Use Summary, Antimicrobial Resistance Event, and Antimicrobial Resistance Summary reports directly to NHSN HL7 Implementation Guide for CDA ® Release 2—Level 3: Healthcare Associated Infection Reports, Release 1—US Realm—August 2013
Early Hearing Detection and Intervention Program (EHDI) Register intent, be actively engaged in the onboarding process, or achieve ongoing submissionEnd of added content HL7 v2.6 (Please contact EHDI Program)
ORU^R01 messages
LOINC (Data content)
SNOMED (Data content)

Frequently Asked Questions

  1. Can I get documentation that I am excluded from submitting data to a particular program?
    • Yes, you can print this page. This page serves as the official declaration of readiness for the Oregon Public Health Division.
    • Download the OSCaR_MU_Website_Furlough_Letter_Final_05-2017.pdfOSCaR furlough letter for your records.

  2. It looks like I'm excluded from sending any data to the Oregon Public Health Division (I don't give shots, I don't test for lead, I don't treat cancer, and I don't have an in-house laboratory!), where else do I have to look to find a specialized registry?
    • CMS says as long as you check with the state public health authority and with your specialty society, you have done your due diligence. Refer to the CMS FAQ #13657 for details.
    • Still confused? For more information on exclusions, please visit the CMS FAQ page.

  3. My laboratory orders are filled by a reference lab that sends me results and also reports those directly to Public Health, do I meet the ELR reporting measure?
    • The shor answer is: No. You are not eligible for this measure since you are not sending these data from your EHR.
    • If you are part of a health system, or the reference lab that you use is sending us data on your behalf (i.e., they are responsible for reporting results to the State Public Health), you may be eligible. To date, no reference laboratories sending data to Oregon Public Health fall into this category.

  4. How do I submit my data?
    • The recommended transport method for immunization reporting is via SOAP web-service. For other methods, contact the immunization program.
    • The only acceptable transport method for syndromic surveillance at this time is secure FTP.
    • Submission of ELR, eCR or Lead data can be done by either secure FTP or PHIN-MS.
    • Visit each program's web page for more information.

  5. Can I get documentation that I've registered my intent?
    • At any time, you can login to the Registration System (using the button above) and print your registration letter.

  6. Can I get documentation that I've submitted a test or have achieved ongoing submission?
    • For immunization reporting, the HL7 testing tool provides documentation via email and logs test results which can be accessed at any time. For ongoing submitters, the HL7 ACK message serves as documentation of submission.
    • For PDMP, print out a patient query record and redact identifying patient information (e.g., name, date of birth, and address).
    • All other programs will provide a letter of status at the conclusion of your reporting period.

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