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

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The Texas Department of State Health Services (DSHS) supports eligible professionals (EPs), eligible hospitals (EHs), and critical access hospitals (CAHs) participation in the Medicare and Medicaid EHR Incentive Programs by providing systems with which the EHR Incentive Programs’ 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 regarding the agency’s preparedness with respect to message formats meeting program specifications.

DSHS is not authorized to grant exemptions from reporting under meaningful use or issue letters specifying a participant is exempt from a measure.

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

Medicaid EHR Incentive Program
EHs/CAHs and EPs that attest directly to the Texas Health and Human Services Commission for Texas’ Medicaid EHR Incentive Program will continue to attest to the measures and objectives as finalized in the 2015 EHR Incentive Programs Final Rule (80 FR 62762 through 62955).

To access the 2017 Modified Stage 2 program requirements specific to eligible hospitals and EPs attesting to their state’s Medicaid EHR Incentive Program, click here.

To access the Stage 3 program requirements specific to EHs and EPs attesting to their state’s Medicaid EHR Incentive Program, click here.

Medicare Eligible Clinicians (ECs) will attest to the Advancing Care Information (ACI) performance category under MIPS.
To access the Quality Payment Program and requirements for Medicare clinicians, please visit the official website.

EHR Incentive Program 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

EPs, Objective 10: Public Health Reporting
EHs and CAHs, Objective 9: Public Health Reporting

Objective 8: Public Health and
Clinical Data Registry Reporting
Minimum Number of Measures to Meet Requirements EPs in Stage 1, 2015: 1
EPs in 2016 or 2017: 2
EHs, CAHS in 2015-2017: 3
EPs: 2
EHs: 3
CAHs: 3
 

Please consult the CMS web page on meaningful use  and the CMS FAQ website for details and additional information.

Public Health Reporting Options

The table below describes programs available to EPs, EHs, and CAHs provided by or known to DSHS to support active engagement with public health, consistent with the EHR Incentive Programs and meaningful use.

 

Options to Support Active Engagement for Public Health Reporting in Texas

Measure Name and
Specification  
Exchange Options Available
for EPs
Exchange Options
Available
for EHs/CAHs

Immunization Registry Reporting

  • EPs, Modified Stage 2, Objective 10, Measure 1;
  • EHs/CAHs, Modified Stage 2,  Objective 9, Measure 1;
  • EPs/EHs/CAHs Stage 3, Objective 8, Measure 1

CMS Specification Sheets:

 

ImmTrac, the Texas Immunization Registry, operated by DSHS

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, operated by DSHS

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)

  • EPs, Modified Stage 2, Objective 10, Measure 2;
  • EHs/CAHs, Modified Stage 2, Objective 9, Measure 2;
  • EPs/EHs/CAHs, Stage 3, Objective 8, Measure 2

CMS Specification Sheets

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

  • EPs, Modified Stage 2, Objective 10, Measure 3;
  • EHs/CAHs, Modified Stage 2, Objective 9, Measure 3

Public Health Registry Reporting

  • EPs/EHs/CAHs, Stage 3-EPs, Objective 8, Measure 4

CMS Specification Sheets

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, Objective 8, 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  

  • EHs/CAHs, Modified Stage 2, Objective 9, Measure 4;
  • EHs/CAHs, Stage 3, Objective 8,  Measure 6

CMS Specification Sheets

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.

 

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.

Questions about public health reporting can be directed to meaningfuluseTX@dshs.texas.gov.

Please direct questions about claiming an exclusion if participating in the Medicaid program to HealthIT@TMHP.com.

If you have questions about Medicare’s program please contact the Electronic Health Record (EHR) Information Center, 7:30 a.m. – 6:30 p.m., Central Time, at 1-888-734-6433.

EHR Incentive Programs’ participants must be actively engaged with public health in order to positvely attest positively to measures in the EHR Incentive Programs. Please consult CMS’ Specification Sheets for additional information:

Program-Specific Information for Meaningful Use

Follow the links below for 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.texas.gov

Last updated March 1, 2017