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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 and Stage 3. 


Oklahoma Public Health Requirements

 

Modified Stage 2 Requirements

 

In October 2015, CMS released the Final Rule that requires eligible hospitals and eligible professionals to attest to a single set of core objectives and measures. In attestation years 2015-2017 eligible professionals and eligible hospitals have the ability to attest to Modified Stage 2 Requirements and in 2018 Stage 3 requirements will begin.


2015 Reporting Period Requirements:


• Starting in 2015, the EHR reporting period for all providers will be based on the calendar year.
• In 2015 only, the reporting period for all providers can be for any continuous 90 day period.
• Eligible Professionals can choose a continuous 90 day period from January 1, 2015 through December 31, 2015.
• Eligible Hospitals and CAH’s can choose a continuous 90 day period from October 1, 2014 through December 31, 2015.

 

Public health reporting has been consolidated into a single objective with three measure options for eligible professionals and four measure options for eligible hospitals.


An EP scheduled to begin Stage 2 in 2015 must meet two* public health measures and EPs scheduled to begin Stage 1 in 2015 may meet only one public health measure. All EPs must meet two* public health measures in 2016 and 2017.

An eligible hospital or CAH scheduled to begin Stage 2 in 2015 must meet three* public health measures. Eligible hospitals or CAH’s scheduled to begin Stage 1 in 2015 may meet two public health measures. All eligible hospitals and CAH’s must meet three* public health measures in 2016 and 2017.

 

*Because CMS requires attestation to at least two public health reporting measures (for previous stage 2 EP’s) or three measures for Eligible Hospitals or CAHs,  if a provider does not diagnose or treat cancer and there is no other specialized registry in their jurisdiction capable of accepting electronic registry transaction, an exclusion must be counted towards the measure.

 

For additional Information please visit:

CMS Modified Stage 2 Requirements

 

The following table contain the information pertinent to the Modified Stage 2 final rule for the Electronic Health Records Incentive Program.
Stage 2 Modified Version
OSDH does not currently accept syndromic surveillance data.
The only specialized registry available to receive data at OSDH is the Oklahoma Central Cancer registry.

 

Public Health Objective

Menu Measures

Definition and Exclusions

Active Engagement Options

 (You must be in one of these categories to meet the measure)

Immunization

The EP is in active engagement with a public health agency to submit immunization data.

 

Exclusions: Any EP meeting one or more of the following criteria may be excluded from the immunization registry reporting measure if the EP:

  • Does not administer any immunizations to any of the populations for which data is collected by its jurisdiction's immunization registry or immunization information system during the EHR reporting period;
  • Operates in a jurisdiction for which no immunization registry or immunization information system is capable of accepting the specific standards required to meet the CEHRT definition at the start of the EHR reporting period; or
  • Operates in a jurisdiction where no immunization registry or immunization information system has declared readiness to receive immunization data from the EP at the start of the EHR reporting period.

 

 

Option 1- Completed Registration to Submit Data:

 

The EP, 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 EP, 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.

 

 

 

 

Option 2- Testing and Validation:

 

The EP, 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.

 

 

 

 

 

Option 3- Production:

 

The EP, eligible hospital, or CAH has

completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.

Specialized Registry Reporting

The EP, eligible hospital, or CAH is in active engagement to submit data to a specialized registry.

 

Exclusions: Any EP meeting at least one of the following criteria may be excluded from the specialized registry reporting measure if the EP:

  • Does not diagnose or treat any disease or condition associated with, or collect relevant data that is collected by, a specialized registry in their jurisdiction during the EHR reporting period;
  • Operates in a jurisdiction for which no specialized registry is capable of accepting electronic registry transactions in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period; or
  • Operates in a jurisdiction where no specialized registry for which the EP is eligible has declared readiness to receive electronic registry transactions at the beginning of the EHR reporting period.

Electronic Reportable Laboratory Result Reporting (Eligible Hospitals and CAHs only)

The eligible hospital or CAH is in active engagement with a public health agency to submit electronic reportable laboratory (ELR) results.

 

Exclusions: Any eligible hospital or CAH meeting one or more of the following criteria may be excluded from the electronic reportable laboratory result reporting measure if the eligible hospital or CAH:

  • Does not perform or order laboratory tests that are reportable in their jurisdiction during the EHR reporting period;
  • Operates in a jurisdiction for which no public health agency is capable of accepting the specific ELR standards required to meet the CEHRT definition at the start of the EHR reporting period; or
  • Operates in a jurisdiction where no public health agency has declared readiness to receive electronic reportable laboratory results from eligible hospitals or CAHs at the start of the EHR reporting period.

 

 

 

Stage 3


Meaningful Use requirements are still under development and are scheduled to begin in 2018. 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.

Attestation Information

The first step towards meeting meaningful use Modified Stage 2 public health requirements is to submit a registration based on facility physical location. One registration will cover all providers that are located at that facility during the dates of the attestation*.

*Once production begins, if an individual EP does not contribute to the data being received from the facility during the reporting period, that EP will have to claim an exclusion  if applicable and/or meet another public health reporting measure.

Once the Oklahoma State Department of Health is ready to begin the onboarding and testing process with your facility we will contact the contact person listed on the registration with further instruction.

Please note that at this time the Oklahoma State Department of Health is not conducting any onboarding or testing with any providers while we redesign these processes. You are still required to submit a registration if you are attesting to public health measures. Only one registration is required and registrations can be updated on an as needed basis. Once we have clearly identified what the new processes will be, we will email the contact person listed on the registration and update this website.
If you have submitted test data to us in the past, please know that PHINMS will no longer be the required secure message transport method for submitting meaningful use public health data. We are exploring other options of secure message transport to decrease the burden on providers trying to meet meaningful use public health measures.

If you have any additional questions please email Meaningfuluse@health.ok.gov
Please be aware that if you are an EP or EH that meets the requirements to attest to a public health measure, there is no exclusion for Modified stage 2 requirements. You must register intent within 60 days of the start of your attestation period in order to attest yes to meeting the measure

 

Previous Meaningful Use Oklahoma Public Health Requirements

 

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

 

Stages 1 and 2

OSDH does not currently accept syndromic surveillance data. 

 

Stage 2 

OSDH is not accepting specialized registry data. 

 

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

Proposed Stage 3 requirements have been released and attestation to stage 3 requirements is scheduled to be optional in 2017 and will be required in 2018. 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 or Stage 3 Overview

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 website 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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