Promoting Interoperability (Meaningful Use) in Public Health

Promoting Interoperability (PI) Programs

Previously known as Meaningful Use EHR Incentive Programs

The Centers for Medicare & Medicaid Services (CMS) established the Promoting Interoperability Programs in 2011 to encourage eligible professionals (EPs), eligible hospitals (EHs) and critical access hospitals (CAHs) to adopt, implement, upgrade and successfully demonstrate meaningful use of certified electronic health record technology (CEHRT). The Medicare and Medicaid PI Programs were designed to measure the use of CEHRT in three stages:

STAGE 3

Established in 2017 as a result of the 2015 final rule. Stage 3 focuses on using CEHRT to improve health outcomes.

Who is Eligible for EHR Incentive Dollars?

Eligible Providers (EP)

• There are five categories of providers eligible for incentive payments: physicians, dentists, certified nurse midwives, nurse practitioners, and physician assistants. These providers must have 30 percent of their patient encounters billed to the Oregon Health Plan (OHP).
• EPs from Federally Qualified Health Centers (FQHC) and rural health centers have a less stringent definition, which is that 30 percent of their patients must be low income individuals.
• All providers must have an active National Provider Identifier (NPI) number.

Eligible Hospitals (EH)

• There are two categories of hospitals eligible for incentive payments: Acute Care Hospitals (including Critical Access Hospitals and Cancer Hospitals), and Children's Hospitals.
• Acute Care Hospitals must have at least 10 percent Medicaid patient volume.
• Children's Hospitals are not subject to any Medicaid patient volume requirements.

For more information about eligibility and 2018 program requirements, visit the CMS PI website.

How Can I Participate?

The Oregon Public Health Division is excited that you are interested in participating. The data you provide help us achieve our vision of a healthy Oregon.

Measures that can be met under the public health objectives in Oregon

To meet any measure, EPs and EHs must be actively engaged in the onboarding process, which can be demonstrated by:

• Registration of intent
• Message testing and validation - OR - ongoing submission of production messages

Eligible Providers

	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.​
​ 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 - Registries

	​	Stage 3		Standards
​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 submission. Information on Attestation can be found here​		HL7 v2.6 (Please contact EHDI Program) ORU^R01 messages LOINC (Data content) SNOMED (Data content) ​
​​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) ​ ​​​ ​

Frequently Asked Questions