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Meaningful Use Public Health Options in TN

Meaningful Use Summary

The Tennessee Office of E-Health Initiatives is coordinating the state's response to Meaningful Use, MU, and health information exchange. Please visit www.tn.gov/ehealth/ for more information on the federal programs driving these initiatives. For Medicaid specific MU information, please visit www.tn.gov/tenncare/mu.shtml.

The Centers for Medicare and Medicaid Services, or CMS, has specified three requirements for demonstrating Meaningful Use via the Electronic Health Record, EHR, Incentive Program. They are:

  1. Providers will use certified EHR technology in a meaningful manner (e.g., electronic prescribing);
  2. Providers will connect the certified EHR technology in a manner that provides for the electronic exchange of health information to improve the quality of care; and
  3. Providers using certified EHR technology will submit to the U.S. Health and Human Services Secretary, clinical quality measures and such other measures as selected by the Secretary. Submission by the provider of information, using certified EHR technology, regarding clinical quality measures and such other measures as selected by the Secretary.

Meaningful use involves three graduated stages for implementing meaningful use and electronic health record certification requirements. The meaningful use criteria for each stage will focus on the following:

Stage 1. Capture/Share data
Stage 2. Advanced care processes with decision support
Stage 3. Improved Outcomes

For Eligible Hospitals and Eligible Professionals in Stage 1

Eligible professionals, EPs, must attest to a total of 15 Core MU measures. Eligible hospitals, EHs, must attest to a total of 14 Core MU measures. In addition, EHs and EPs must choose five of the ten menu measures, including at least one Public Health measure.

The three Public Health objectives include:

  1. Sending immunization registry updates (menu option for both EHs and EPs, TDH encourages full exchange with the registry to include queries, responses, and updates) ;
  2. Sending electronic laboratory reports, or ELR (menu option for EHs only) ; and
  3. Sending syndromic surveillance information to PH agencies (menu option for both EHs and EPs, TDH is not currently participating in testing Syndromic Surveillance messages for Meaningful Use Stage 1).

Currently for MU purposes, TDH is exchanging immunization registry data for both children and adults and encourages full exchange with the immunization registry to include queries, responses, and updates. TDH is also currently accepting ELR using interoperability standards outlined in the MU objectives. At this time, however, TDH is not currently participating in testing Syndromic Surveillance messages for Meaningful Use.

For Eligible Hospitals and Eligible Professionals in Stage 2

Eligible professionals, EPs, must attest to a total of 17 Core MU measures. Eligible hospitals, EHs, must attest to a total of 16 Core MU measures. In addition, EHs and EPs must choose 3 of the 6 Menu measures.

The five Public Health objectives include 3 Core measures and 2 Menu measures.

Core measures:
  1. Sending immunization registry updates (core measure for both EHs and EPs, TDH encourages full exchange with the registry to include queries, responses, and updates)
  2. Sending electronic laboratory reports, or ELR (core measure for EHs only)
  3. Sending syndromic surveillance information to PH agencies (core measure for both EHs and EPs, TDH is not currently participating in testing Sydromic Surveillance messages for Meaningful Use Stage 2)
Menu measures:
  1. Sending cancer case reports to the cancer registry (menu option for EPs only); and
  2. Sending case reports to a specialized registry (menu option for EPs only, TDH is not currently participating in testing Other Registry reporting for Meaningful Use Stage 2)

The earliest Stage 2 could begin for EHs is October 2013, and the earliest Stage 2 could begin for EPs is January 2014. Currently for MU purposes, TDH is exchanging immunization registry data for both children and adults and encourages full exchange with the immunization registry to include queries, responses, and updates. TDH is also currently accepting ELR using interoperability standards outlined in the MU objectives. TDH anticipates accepting cancer case reports using interoperability standards outlined in the MU objectives starting in January 2014. At this time, however, TDH is not currently participating in testing Syndromic Surveillance messages or Other Registry reporting for Meaningful Use. For more information, see TDH’s Declaration of Readiness.

Tennessee Declaration of Readiness

At this time, Tennessee is participating in the following Public Health objectives for Meaningful Use

Declaration of Readiness

Registration of Intent

To register your intent with TDH, please see the contact information below for each Public Health objective.

For questions about registration of intent, please contact CEDS.Informatics@tn.gov.

Please Note: TDH is currently working on a standardized, web-based registration portal with anticipated availability in 2014.

More Information About Public Health Objectives

For more information on the Public Health MU Items including the on-boarding and testing processes, trading partner agreements, and specifications please find the following.  All fact sheets will be updated annually.

ELR - For Eligible Hospitals:

Immunization Registry Submissions - For Eligible Professionals or Eligible Hospitals:

Syndromic Surveillance Submissions for MU testing - For Eligible Professionals or Eligible Hospitals:

  • Contact TDH Communicable Disease Surveillance Systems and Informatics Program at (615) 741-7247
  • Syndromic Surveillance Fact Sheet (PDF)
  • TDH is not currently participating in testing Syndromic Surveillance messages for Meaningful Use Stage 1 or Stage 2.

Cancer Case Reporting - For Eligible Professionals:

Other Registries - For Eligible Professionals:

  • TDH is not currently participating in testing Other Registry reporting for Meaningful Use Stage 2
  • If you have questions about any other TDH registry not listed above, please contact tn.health@tn.gov

For questions regarding Meaningful Use, please contact CEDS.Informatics@tn.gov

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