Objective 8: Public Health & Clinical Data Registry Reporting

Reporting to registries is an integral part of improving population and public health.  To meet the Public Health and Clinical Data Registry Reporting Objective, the EP needs to be in active engagement with a Public Health Agency (PHA) or Clinical Data Registry (CDR) to submit electronic public health data in a meaningful way using certified electronic health record technology (CEHRT), except where prohibited, and in accordance with applicable law and practice.

EPs must report of 2 out of the following 5 measures. If the EP cannot satisfy at least two measures, they may take exclusions from all measures they cannot meet.

  • (1) Immunization Registry Reporting: The EP is in active engagement with a PHA to submit immunization data and receive forecasts and histories from the public health immunization registry/immunization information system (IIS).
  • (2) Syndromic Surveillance Reporting: The EP is in active engagement with a PHA to submit syndromic surveillance data from an urgent care setting.
  • (3) Electronic Case Reporting: The EP is in active engagement with a PHA to submit case reporting of reportable conditions.
  • (4) Public Health Registry Reporting: The EP is in active engagement with a PHA to submit data to public health registries.
  • (5) CDR Reporting: The EP is in active engagement to submit data to a CDR.

Exclusions for Measure 1, the Immunization Registry Reporting measure. Any EP meeting one or more of the following criteria may be excluded from the immunization registry reporting measure if the EP:

  • (1) Does not administer any immunizations to any of the populations for which data is collected by their jurisdiction’s immunization registry or IIS, during the PI reporting period;
  • (2) Operates in a jurisdiction for which no immunization registry or IIS is capable of accepting the specific standards required to meet the CEHRT definition at the start of the PI reporting period; or
  • (3) Operates in a jurisdiction where no immunization registry or IIS had declared readiness to receive immunization data as of 6-months prior to the start of the PI reporting period.

Exclusions for Measure 2, the Syndromic Surveillance Reporting measure. Any EP meeting one or more of the following criteria may be excluded from the Syndromic Surveillance Reporting measure if the EP:

  • (1) Is not in a category of providers from which ambulatory syndromic surveillance data is collected by their jurisdiction’s syndromic surveillance system;
  • (2) Operates in a jurisdiction for which no PHA is capable of receiving electronic syndromic surveillance data from EPs in the specific standards required to meet the CEHRT definition at the start of the PI reporting period; or
  • (3) Operates in a jurisdiction for which no PHA has declared readiness to receive syndromic surveillance data from EPs as of 6 months prior to the start of the PI reporting period.

Exclusions for Measure 3, the Electronic Case Reporting measure. Any EP meeting one or more of the following criteria may be excluded from the Electronic Case Reporting measure if the EP:

  • (1) Does not treat or diagnose any reportable diseases for which data is collected by their jurisdiction’s reportable disease system during the PI reporting period;
  • (2) Operates in a jurisdiction for which no PHA is capable of receiving electronic case reporting data from EPs in the specific standards required to meet the CEHRT definition at the start of the PI reporting period; or
  • (3) Operates in a jurisdiction for which no PHA has declared readiness to receive case reporting data from EPs as of 6 months prior to the start of the PI reporting period.

Exclusions for Measure 4, the Public Health Registry Reporting measure. Any EP meeting one or more of the following criteria may be excluded from the Public Health Registry Reporting measure if the EP:

  • (1) Does not treat or diagnose any disease or condition associated with a Public Health registry in their jurisdiction during the PI reporting period;
  • (2) Operates in a jurisdiction for which no PHA is capable of accepting electronic registry transactions in the specific standards required to meet the CEHRT definition at the start of the PI reporting period; or
  • (3) Operates in a jurisdiction for which no PHA has declared readiness to receive case reporting data from EPs as of 6 months prior to the start of the PI reporting period.

Exclusions for Measure 5, the CDR Reporting measure. Any EP An EP may take an exclusion if any of the following apply:

  • (1) He or she does not diagnose or directly treat any disease or condition associated with a CDR in their jurisdiction during the EHR reporting period;
  • (2) He or she practices in a jurisdiction for which no CDR 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
  • (3) He or she practices in a jurisdiction where no CDR for which the EP is eligible to submit data has declared readiness to receive electronic registry transactions as of six months prior to the start of the EHR reporting period.

Resources

2019 Public Health and Clinical Data Registry Reporting (Objective 8 of 8)

2020 Public Health and Clinical Data Registry Reporting (Objective 8 of 8)

Public Health Reporting for Meaningful Use