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Meaningful Use Submissions of Public Health Measures

The Oklahoma State Department of Health (OSDH) has been participating with Meaningful Use since July 1, 2012 and will continue for Stage 2. 


Stage 1 vs. Stage 2

 

The Medicare and Medicaid EHR Incentive Programs are staged in three steps with increasing requirements for participation. All providers begin participating by meeting the Stage 1 requirements for a 90-day period in their first year of meaningful use and a full year in their second year of meaningful use. 

After meeting the Stage 1 requirements, providers will then have to meet Stage 2 requirements for two full years. Eligible professionals (EPs) participate in the program on the calendar years (CY), while eligible hospitals (EHs) and critical access hospitals (CAHs) participate according to the federal fiscal year (FY). The start date of Stage 2 for  EHs and CAHs will be October 1, 2013 and EPs will be January 1, 2014.

All Electronic Health Records (EHRs) must be 2014 Certified EHR Technology (CEHRT) certified by FY/CY 2014.  Information about obtaining certification is available on the Office of the National Coordinator (ONC) website at http://www.healthit.gov/policy-researchers-implementers/about-certification


Oklahoma Public Health Requirements

 

The following tables contain the Stage 1 and Stage 2 Meaningful Use measures that pertain to OSDH.  Select the Menu Objective for submission instructions. 

 

Stages 1 and 2

OSDH does not currently accept syndromic surveillance data. 

OSDH uses PHINMS for message transport.  

 

Stage 2 

OSDH is not accepting specialized registry data. 

To meet Stage 2 meaningful Use requirements, Eligible Providers/Hospitals must submit data for at least 90 days during the first EHR reporting period.  

 

Eligible Professionals (EPs)
Menu Objectives Stage 1 Meaningful Use Measures Stage 2 Meaningful Use Measures
Immunization Registries Capability to submit electronic data to immunization registries immunization information systems and actual submission according to applicable law and practice. Successful ongoing submission of electronic immunization data from CEHRT to an immunization registry or immunization information system for the entire EHR reporting period (unless no registries are capable)
Cancer Reporting N/A Successful ongoing submission of cancer case information from CEHRT to a cancer registry for the entire EHR reporting period (unless no registries are capable)

 

Eligible Hospitals (EHs) and Critical Access Hospitals (CAHs)
Menu Objectives Stage 1 Meaningful Use Measures Stage 2 Meaningful Use Measures
Laboratory Results Performed at least one test of certified EHR technology’s capacity to provide electronic submissions of reportable lab results to public health agencies and follow up submission if the test Is successful (unless none of the public health agencies to which an eligible hospital or CAH submits such information has the capacity to receive the information electronically), except where prohibited. Successful ongoing submission of electronic reportable laboratory results from CEHRT to a public health agency for the entire EHR reporting period (unless no PH agency is capable)
Immunization Registries Performed at least one test certified EHR technology’s capacity to submit electronic data to immunization registries and follow up submission, if the test is successful, (unless none of the immunization registries to which the EP submits such information has the capacity to receive the information electronically, or where is it prohibited.) Successful ongoing submission of electronic immunization data from CEHRT to an immunization registry or immunization information system for the entire EHR reporting period (unless no registries are capable)

 

Stage 3

Meaningful Use requirements are still under development and are scheduled to begin in 2016. Stage 3 will focus on increased data exchange and data quality assurance and improvement, as well as selected system decision-support capacity. For additional information, see the Centers for Medicare and Medicaid Services website.

OSDH Process for Submitting Messages 

Process for Submitting Test Messages to OSDH

1. To begin the process of submitting messages, please select the type of message you would like to submit below.  A link to a registration form is provided on the next page.  

   Immunizations

   Laboratory Results

   Cancer Cases

 

2. Once the registration form is received and processed, your registration will be placed in the queue with other registrations. You will be contacted by an OSDH representative to schedule the kickoff meeting.  The kickoff meeting will be held via teleconference and you are required to include your vendor in the teleconference.  Failing to include your vendor will require placing your registration back into the queue and the kickoff meeting will be rescheduled at a later date. 

3. The kickoff meeting will have the following agenda:

    A. Introductions and points of contact

    B. Explanation of testing process

    C. Confirm message specifications

    D. Confirm message transport mechanism

    E. Establish timeline

    F. Questions and Answers

4. Communication during the testing period is conducted via email with occasional phone calls.

If you have any additional questions, you may send an email to OSDH Meaningful Use.  

Additional Information

Should you have any questions regarding attestation requirements for the EHR Incentive Program, please contact the appropriate agency below: 

Medicare: contact information for CMS Region VI can be found at: http://www.cms.gov/RegionalOffices/Downloads/DallasRegionalOffice.pdf. 

Medicaid: www.okhca.org/EHR-Incentive

For specific information about submitting Immunization, Laboratory Result, or Cancer Case messages, CMS offers Frequently Asked Questions

For Providers Resending Second Stage 1 Meaningful Use Test Message for Failure.

The Oklahoma State Department of Health (OSDH) is encouraging all providers who have submitted a Meaningful Use (MU) Stage 1 test immunization or reportable disease laboratory result messages failing OSDH message validation to make the necessary system modifications and resubmit.  With successful MU Stage 1 test message validation and secure messages transport capabilities, Oklahoma providers will be better prepared to meet attestation requirements for MU Stage 2. 

If system modifications are not possible following a failed Stage 1 test message submission, the OSDH understands, for the purpose of meeting MU Stage 1 attestation requirements, a second message failure will occur.  In the event that a provider has submitted one failed test message, makes no modifications to their system, and intends to submit a second test message for MU Stage 1 that will also fail, there is no need to submit the second test message to OSDH for validation. 

 

 

 

 

 

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