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

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The Texas Department of State Health Services (DSHS) supports participants in programs to advance the meaningful use of electronic health records systems and health information technology, such as the Centers for Medicare and Medicaid Services’ Electronic Health Record Incentive Payment Programs and the Quality Payment Program/Merit-based Incentive Payment System (MIPS)/Advanced Alternate Payment Models (Advanced APMs) by providing systems with which program participants can exchange data to meet applicable requirements for public health reporting.

This page includes a table with introductory information about DSHS programs’ capabilities for exchanging data and serves as DSHS’ declaration of readiness to exchange information. 

Please note: Federal regulations do not authorize DSHS to grant exemptions from reporting under meaningful use. Program participants may save a copy of this web page as documentation of services provided by DSHS regarding 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 may continue to attest to the applicable measures and objectives as described in the applicable federal rule.

EHR Incentive Programs’ participants must be actively engaged with public health in order to positively attest positively to measures in the EHR Incentive Programs. 

To access the federal 2017 Modified Stage 2 program requirements specific to Eligible Hospitals (EHs), Critical Access Hospitals (CAHs) and Eligible Professionals (EPs) participating in the states Medicaid EHR Incentive Program, click here.

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

EHR Incentive Program Public Health Reporting Requirements

Stage/Year

Modified Stage 2 MU 
(2015-2017)

Stage 3 MU -2017 Option Year

Stage 3 MU -2018 Year

ONC Regulation/
Certification Edition

2014 Edition

2014, 2015, or a combination of 2014 and 2015

2015 Edition

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

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 
 

EPs: 2 
EHs: 3
CAHs: 3 
 

 

Medicare’s Quality Payment Program

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 CMS’ website.

Public Health Reporting Options and Declaration of Readiness

The table below describes programs available from or known to DSHS to support active engagement with public health for entities participating in meaningful use programs. It also includes information about what standards DSHS supports for each type of service to assist participants in understanding what technology should be used to exchange information.

Participants are advised to check with other applicable jurisdictions or professional societies for additional options.

Options to Support Active Engagement for Public Health Reporting in Texas

EHR Incentive Program 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

See this page for the implementation guide, based on   HL7 Version 2.5.1: Implementation Guide for Immunization Messaging, Release 1.4, available from the CDC.

As of June 30th, 2017, DSHS will be able to support standards consistent with the Implementation Guide for Immunization Guide, Release 1.5 and Stage 3 meaningful use requirements beginning January 1st, 2018.  


ImmTrac, the Texas Immunization Registry, operated by DSHS

See this page for the implementation guide, based on CDC’s HL7 Version 2.5.1: Implementation Guide for Immunization Messaging, Release 1.4, available from the CDC.

As of June 30th, 2017, DSHS will be able to support standards consistent with the Implementation Guide for Immunization Guide, Release 1.5 and Stage 3 meaningful use requirements beginning January 1st, 2018.  


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 practitioners in urgent care settings to participate in syndromic surveillance activities.

DSHS is prepared to accept information consistent with the applicable rule, using 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.

 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 applicable federal rule, using 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 providers who diagnose or treat cancer.

DSHS will be able to accept Stage 3 MU standards on/after January 1, 2017, including  HL7 Implementation Guide for CDA© Release 2: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers Release 1.

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.

NHCS is currently accepting registrations from EPs, ECs, EHs, and CAHs.  

EPs and ECs 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), is 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 program participant determines that they meet exclusion criteria specific to any applicable measure, or any available alternate exclusions identified by CMS, they may claim an exclusion during the attestation/data submission process. 

Questions

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., at Central Time, at 1-888-734-6433. Information about the Quality Payment Program is available at CMS’ website.

DSHS 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 June 30, 2017