Meaningful Use Attestation

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Stage 1 

Meaningful Use Stage 1 testing is now available by the County of San Diego Public Health Services for Eligible Providers (EP) and Eligible Hospitals (EH) serving clients in the San Diego County region.

Stage 2

May begin as early as October 1, 2013 for EH and January 1, 2014 for EPs Please see the CMS website linked below for specific Stage 2 timelines and criteria. The County of San Diego is currently prepared to engage eligible providers and hospitals for their Stage 2 attestation process for the three public health measures as detailed below. 

Stage 3

Meaningful Use requirements are still under development and are scheduled to begin in 2016.

Please visit the Centers for Medicare and Medicaid Services (CMS) website for up-to-date information on the EHR Incentive Programs.
 

Meaningful Use Stage 1

San Diego County Public Health Services is capable of receiving test messages for Stage 1 Meaningful Use Attestation. Three of the 10 Meaningful Use menu set objectives specify the electronic reporting of data to public health.

Eligible providers may choose at least one of two public health objectives and measures from a menu set to meet the meaningful use requirements in Stage 1. These objectives include submitting electronic immunization information to immunization registries or immunization information systems, and/or submitting electronic syndromic surveillance data to public health agencies. Eligible hospitals must also choose at least one public health objective from the menu set which includes the two objectives previously listed and/or submitting electronic laboratory results to public health agencies.

Objective Eligible Provider Eligible Hospital Standards
Immunization Records ≥ 1 test of submission to SDIR immunization registry  ≥ 1 test of submission to SDIR immunization registry  HL7 v2.3.1 or greater
Reportable Labs N/A  ≥ 1 test of submission to public health  HL7 v2.3.1 or greater
Syndromic Surveillance ≥ 1 test of submission to public health ≥ 1 test of submission to public health  HL7 v2.3.1 or greater

Meaningful Use Stage 1 Options

Immunization Reporting

Menu Set Objective for Submission of Immunization Information

To begin the meaningful use testing process, please click here for complete and submit the SDIR Stage 1 Registration Form.

For more information please contact Rob Wester at 619-692-8403, or email robert.wester@sdcounty.ca.gov.

Laboratory Results Reporting

Menu Set Objective for Submission of Laboratory Results

San Diego County Public Health Services is capable of receiving test messages for Stage 1 Meaningful Use Attestation for laboratory results.

For more information, please contact Jeff Johnson at 619-692-8448, or email jeffrey.johnson@sdcounty.ca.gov.

Syndromic Surveillance

Menu Set Objective for Submission of Syndromic Surveillance Test Messages

San Diego County Public Health Services is capable of receiving test messages for Stage 1 Meaningful Use Attestation for syndromic surveillance.

To begin the process, please complete and submit the Syndromic Surveillance Stage 1 Registration Form to the Epidemiology Program.

For more information, please contact Jeff Johnson at 619-692-8448 or email jeffrey.johnson@sdcounty.ca.gov.

 

Meaningful Use – Stage 2 

The focus for Meaningful Use Stage 2 is to establish ongoing data communication between eligible providers, laboratory and hospital EHR systems and Public Health.  This is a finalization of the testing process performed in Stage 1.

Objective Eligible Provider Eligible Hospital Standards
Immunization Records Ongoing submission to SDIR immunization registry Ongoing submission to SDIR immunization registry HL7 2.5.1
(see note below for HL7 2.3.1 options)
Reportable Labs Ongoing submission to public health Ongoing submission to public health

HL7 2.5.1

(see note below for HL7 2.3.1 options)

Syndromic Surveillance Ongoing submission to public health Ongoing submission to public health

HL7 2.5.1

(see note below for HL7 2.3.1 options)

NOTE: In order to meet this objective and measure, an EP or EH must use the capabilities and standards of CEHRT at 45 CFR 170.314(f)(1) and (f)(2), which is HL7 2.5.1. However, if EPs prior to CY 2014 have achieved successful ongoing submission using EHR technology certified to the 2011 Edition EHR certification criteria (HL7 2.3.1 only), it is acceptable to continue this ongoing submission and meet the Stage 2 measure.

For more information about Stage 2 Meaningful Use, please contact Jeffrey Johnson at 619-692-8448.

Immunization Reporting

Objectives and Measures for Submission of Immunization Information

Electronic reporting of immunizations will be a core objective in Stage 2, instead of a menu objective for Eligible Practitioners as in Stage 1. 

Proposed Objective for Eligible Practitioners, Eligible Hospitals/CAH: Capability to submit electronic data to immunization registries or Immunization Information Systems and actual submission except where prohibited and in accordance with applicable law and practice.

Proposed Measure for Eligible Practitioners, Eligible Hospitals/CAH: Successful ongoing submission of electronic immunization data from Certified EHR Technology to an immunization registry or immunization information system for the entire EHR reporting period.

Stage 2 may begin as early as October 1, 2013 for EH and January 1, 2014 for EPs Please see the CMS website linked below for specific Stage 2 timelines and criteria.

Click here for the Stage 2 SDIR Registration form.

Click here for the Stage 2 Year 2 SDIR Registration form.

The San Diego Immunization Registry (SDIR) will use the San Diego Regional Health Information Exchange (SDR HIE) as the intermediary pathway.  This collaboration between County SDIR and the SDR HIE will require providers to interface with SDIR via the HIE, which will securely route immunization information directly to SDIR. County staff will work with the HIE, provider EHR vendor and provider representative to facilitate interface project development.

Click here for the CMS Guidance.

Laboratory Results Reporting

Click here for the Electronic Laboratory Reporting Enrollment Form. For laboratory results reporting in Stage 2, the following core set items for eligible hospitals and CAHs apply:

  • Proposed Eligible Hospital/CAH Objective: Capability to submit electronic reportable laboratory results to public health agencies, except where prohibited, and in accordance with applicable law and practice.
  • Proposed Eligible Hospital/CAH Measure: Successful ongoing submission of electronic reportable laboratory results from Certified EHR Technology to a public health agency for the entire EHR reporting period.
  • Exclusions: The eligible hospital or CAH operates in a jurisdiction for which no public health agency is capable of receiving electronic reportable laboratory results in the specific standards required by ONC for EHR certification at the start of the EHR reporting period.

Syndromic Surveillance

Click here for the Stage 2 Syndromic Surveillance Registration Form.

  • For syndromic surveillance reporting in Stage 2, the following core set items for eligible providers, eligible hospitals and CAHs apply:
  • Proposed Objective: Capability to submit electronic syndromic surveillance data to public health agencies except where prohibited, and in accordance with applicable law and practice.
  • Proposed Measure: Successful ongoing submission of electronic syndromic surveillance data from Certified EHR Technology to a public health agency for the entire EHR reporting period.
  • Exclusions: Any EP, eligible hospital or CAH that meets one or more of the following criteria may be excluded from this objective:
    1. The EP is not in a category of providers that collect ambulatory syndromic surveillance information on their patients during the EHR reporting period (we expect that the CDC will be issuing (in Spring 2013) the CDC PHIN Messaging Guide for Ambulatory Syndromic Surveillance and we may rely on this guide to determine which categories of EPs would not collect such information);
    2. The eligible hospital or CAH does not have an emergency or urgent care department;
    3. The EP, eligible hospital, or CAH operates in a jurisdiction for which no public health agency is capable of receiving electronic syndromic surveillance data in the specific standards required by ONC for EHR certification for 2014 at the start of their EHR reporting period; or
    4. The EP, eligible hospital, or CAH operates in a jurisdiction for which no public health agency is capable of accepting the specific standards required for Certified EHR Technology at the start of their EHR reporting period.
    5. Exclusions (3) and (4) do not apply if the public health agency has designated an HIE.

Meaningful Use Stage 3 

Stage 3 Meaningful Use requirements are still under development and are scheduled to begin in 2016.

Stage 3 criteria will focus on increased data exchange, data quality assurance and improvement as well as selected system decision support capacity.