DSHS Support for Meaningful Use of Electronic Health Records (EHRs)

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 The Texas Department of State Health Services (DSHS) is supporting Eligible Professionals (EPs), Eligible Hospitals (EHs), and Critical Access Hospitals (CAHs) participating in the Centers for Medicare and Medicaid Services’ (CMS) Electronic Health Record Incentive Payment Programs (EHR Incentive Programs) by providing systems with which EHR Incentive Program participants may exchange data to meet program requirements for public health reporting. This page includes information about DSHS programs’ capabilities for receiving data and serves as DSHS’ declaration of readiness.

Public Health Reporting Requirements

Stage/Year

Modified Stage 2 MU
(2015-2017)

Stage 3 MU
(2018, optional 2017)

ONC Regulation/ Certification Edition 2014 Edition CEHRT 2014 or 2015 Edition CEHRT
MU Objective Objective 10: Public Health and Clinical Data Registry Reporting Objective 8: Public Health and Clinical Data Registry Reporting
Minimum Measures to Meet (EP-Eligible Professionals; EHs- Eligible Hospitals; CAHs-Critical Access Hospitals) EPs in Stage 1, 2015: 1
EPs in 2016 or 2017: 2
EHs, CAHS in 2015-2017: 3
EPs: 2
EHs: 4
CAHs: 4
 

Please consult the CMS web page on meaningful use and the CMS FAQ website for additional information, including any available alternate exclusions.

Public Health Reporting Options

The table below describes programs available to Eligible Providers, Eligible Hospitals, and Critical Access Hospitals provided by or known to DSHS to support active engagement with public health, consistent with the EHR Incentive Programs.

 

Options to Support Active Engagement in Texas

Measure Name and
Specification  
Exchange Options Available for
Eligible Professionals (EPs)
Exchange Options Available
for Eligible Hospitals (EH) or
Critical Access Hospitals (CAH)

Immunization Registry Reporting (Modified Stage 2 and Stage 3, Measure 1)
The EP, EH, or CAH is in active engagement with a public health agency to submit immunization data

CMS Specification Sheets:

 

ImmTrac, the Texas Immunization Registry.

EPs in Bexar County may also exchange data with the San Antonio Immunization Registry System, operated by the City of San Antonio Metropolitan Health District. Please contact the Health District for additional information.

ImmTrac, the Texas Immunization Registry.

EHs and CAHs in Bexar County may also exchange data with the San Antonio Immunization Registry System, operated by the City of San Antonio Metropolitan Health District.  Please contact the Health District for additional information. 

Syndromic Surveillance Reporting (Modified Stage 2 and Stage 3, Measure 2)
The EP, EH, or CAH is in active engagement with a public health agency to submit syndromic surveillance data.

As of May 5, 2016, there are opportunities statewide for Eligible Professionals practicing in urgent care settings to participate in syndromic surveillance activities.

DSHS is prepared to accept information consistent with the PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings, Release 2.0 (April, 2015) and the Erratum, available on the PHIN Messaging Guide web page on and after January 1, 2017.

See the syndromic surveillance detail page for additional information.

 As of May 5, 2016, there are opportunities statewide for Eligible Hospitals and Critical Access Hospitals to participate in syndromic surveillance activities.

DSHS is prepared to accept information consistent with the PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings, Release 2.0 (April, 2015) and the Erratum, available on the PHIN Messaging Guide web page on and after January 1, 2017.

See the syndromic surveillance detail page for additional information.

Specialized Registry Reporting (Modified Stage 2, Measure 3)/ Public Health Registry Reporting (Stage 3, Measure 4)
The EP, EH, or CAH is in active engagement with a public health agency to submit data to a specialized registry.

CMS Specification Sheet:
Eligible Professionals (PDF)

The Texas Cancer Registry, operated by DSHS is currently accepting information from EPs.

DSHS will be able to accept Stage 3 MU standards on/after January 1, 2017 (HL7 CDA ® Release 2 IG: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, Release 1, DSTU Release 1.1 – US Realm).

No other registries are currently provided by DSHS to support meaningful use requirements.

The National Center for Health Statistics (NCHS) conducts national health care surveys. NCHS is currently accepting registrations from EPs, EHs, and CAHs.EP's should contact relevant specialty medical societies or other organizations for other options.

No registries are currently provided by DSHS to support meaningful use requirements.

The National Center for Health Statistics (NCHS) conducts national health care surveys. NCHS is currently accepting registrations from EPs, EHs, and CAHs.

EHs or CAHs should contact relevant specialty medical societies or other organizations for other options..

Clinical Data Registry Reporting (Not included in Modified Stage 2; Stage 3, Measure 5) DSHS provides no clinical data registries for meaningful use at this time. DSHS provides no clinical data registries for meaningful use at this time.

Electronic Reportable Laboratory Results Reporting  (Modified Stage 2, Measure 4; Stage 3, Measure 6)
The EH or CAH is in active engagement with a public health agency to submit ELR results.

CMS Specification Sheet:

Eligible Hospitals (PDF)

Not applicable.

Electronic Laboratory Reporting (ELR), operated by DSHS.

DSHS currently accepts messages consistent with the HL7 2.5.1 Implementation Guide, Electronic Laboratory Reporting to Public Health, Release 1. This is the guide referenced in both the 2014 and 2015 Editions, Health Information Technology (Health IT) Certification Criteria.

 

Please print and retain a copy of this web page to document the status of services provided by DSHS to support meaningful use.

DSHS is not authorized to grant exemptions from reporting under meaningful use or issue letters specifying a participant is exempt from a measure. If a participant determines that they meet exclusion criteria specific to any measure, or the alternate exclusions identified by CMS, they may claim an exclusion during the attestation process. 

To meet Stage 2 requirements for Objective 10, EPs must meet at least two measures from measures 1 through 3. EHs and CAHs must meet at least three measures from measures 1 through 4 to meet Stage 2 requirements for Objective 10. Consult the CMS Final Rule and the CMS FAQ for additional information.

EHR Incentive Programs’ participants must be actively engaged with public health in order to positively attest to measures in Meaningful Use by participating in one of the following options:  

  • Option 1, Completed Registration to Submit Data, is when the EHR Incentive Program participant has completed registration to submit data to the public health agency within 60 days after the start of the reporting period and the participant is awaiting an invitation to begin testing and validation; 
  • Option 2, Testing and Validation, is when the EHR Incentive Program participant is in the process of testing and validation of the electronic submission of data. Providers must respond to requests from the public health agency within 30 days; failure to respond twice within an EHR reporting period would result in that provider not meeting the measure; and
  • Option 3, Production, is when the EHR Incentive Program participant has completed testing and validation of the electronic submission and is electronically submitting production data to the public health agency. 

Program-Specific Information for Meaningful Use

Below, please find links to program-specific information regarding public health reporting and meaningful use.  

Other Texas Resources on Meaningful Use

National Meaningful Use Websites

Contact Us

For more information, please send an email to MeaningfulUseTX@dshs.state.tx.us.

 

Last updated October 10, 2016