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Stage 1 Meaningful Use - Detailed Public Health Objectives 

 

There are three public health menu set objectives for Meaningful Use Stage 1: Electronic Laboratory Reporting (ELR), syndromic surveillance reporting, and immunization registry reporting.  To successfully attest to the public health reporting requirements for Meaningful Use State 1, EPs, EHs and CAHs must demonstrate one of the three public health objectives by submitting at least one test submission of data.   

 

The Illinois Department of Public Health (IDPH) has development technical guidelines, use cases, data transport protocols, and approval criteria for each of the Meaningful Use public health Objectives. IDPH will evaluation each EP’s and Hospital’s data submissions to determine if the EP or Hospital has successfully completed the attestation process. 

Immunization Registry

Eligible Professionals: Perform at least 1 test of the certified EHR technology’s capacity to submit electronic data to I-CARE with continued submission if successful.

Eligible Hospitals & Critical Access Hospitals: Perform at least 1 test of the certified EHR technology’s capacity to submit electronic data to I-CARE with continued submission if successful.  

Illinois Immunization Use Case: Click Here

 

Stage 1 Meaningful Use – Immunization Registry

IDPH System

Exchange Standards

Vocabulary Standards

Sending Data via ILHIE to the Public Health Node 

 Sending Data Directly to Public Health System

Implementation Specifications

I-CARE

HL7 2.3.1

HL7 2.5.1

HL7 Standard Code Set CVX Vaccines Administered

HL7 2.3.1

HL7 2.5.1  

CCD 32 NIST xml

SFTP HTTPS

Web Services

 

IDPH I-CARE Local Implementation Guide for HL7 Immunization Messaging

Technical Application of Use Cases FAQs

HITSP Summary Documents Using HL7 Continuity of Care Document (CCD) Component Version 2.5

Achieving Meaningful Use Compliance for Immunization Registry Reporting

Step 1: Register to submit data to IDPH for Meaningful Use

Step 2: Register with I-CARE using the IDPH registration site 

Step 3: Sign required legal agreements

Step 4: Establish a connection for data exchange (one option required):

  • HL7 2.3.1 or 2.5.1 message from an ONC-Authorized Testing and Certification Bodies (ATCBs) certified system to I-CARE (preferred format)
  • Alternative file requiring transformation sent to the Public Health Node (See above Table for information on alternative file formats.)
  • Connectivity through Regional Health Information Exchange connected to the ILHIE and supporting public health reporting for Meaningful Use.
  • Note: Facilities that send data in the preferred HL7 format are prioritized. Facilities that are unable to send data in the preferred format please email the ILHIE here.

Step 5: Submission of Test Message

  • Review test message data content
  • Validate data with I-CARE’s (Public Health Node) HL7 parser
  • Email EP or hospital of successful MU test completion
  • Test data in I-CARE (Public Health Node) Test environment
  • Test data in I-CARE (Public Health Node) Development environment
  • Note: For practices (one legal entity) with multiple providers using the same EHR, only one test of submission for each certified EHR system is required (see example here), see example here

Step 6: Validation of Data Content

  • Test and validate the data in I-CARE (Public Health Node) Production environment

Applicable Exclusion Criteria: An EP, EH or CAH that administers no immunizations during the EHR reporting period.

Contact I-CARE

Click here


Electronic Laboratory Reporting

Eligible Professionals: Not a Meaningful Use option for EPs

Eligible Hospitals & Critical Access Hospitals: Perform at least 1 test of the certified EHR technology’s capacity to submit electronic reportable laboratory results to I-NEDSS with continued submission if successful.  Hospitals not currently submitting data to IDPH should route that data through the ILHIE, which will send it on to the Public Health Node for Meaningful Use reporting and submission to I-NEDSS

Illinois Electronic Laboratory Reporting Use Case v1.1: Click Here

 

Stage 1 Meaningful Use - ELR

IDPH System

Exchange Standards

Vocabulary Standards

Sending Data via ILHIE to the Public Health Node

Implementation SpecificationsIDPH System Exchange Standards Vocabulary Standards Sending Data via ILHIE to the Public Health Node Implementation Specifications

I-NEDSS

HL7 2.5.1

LOINC v2.27

HL7 2.5.1

HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 1 [available for free after registration with HL7]

Suggested LOINC and SNOMED standards, Illinois Electronic Laboratory Use Case v1.1

LOINC v2.27, when such codes were received within an electronic transaction from a laboratory.

 

Achieving Meaningful Use Compliance for ELR (Hospitals Only)

Step 1: Register to submit data to IDPH for Meaningful Use

Step 2: Sign required legal agreements:  
  • ILHIE Public Health Data Conduit Agreement
  • Note: Hospitals and EPs connected to a Regional HIE supporting public health reporting via the ILHIE are not required to execute a separate Public Health Conduit Agreement.   

Step 3: Establish a Connection for Data Exchange (one option required):

  • HL7 2.5.1 message from an ONC-Authorized Testing and Certification Bodies (ATCBs) certified system to I-NEDSS (preferred format)
  • Connectivity through Regional Health Information Exchange connected to the ILHIE and supporting public health reporting for Meaningful Use.
  • Note: facilities that send data in the preferred HL7 format are prioritized. Facilities that are unable to send data in the preferred format please email the ILHIE here.

Step 4: Submission of Test Message

  • Review and validate hospital codes and data content
  • Email hospital of successful Meaningful Use test completion
  • Test data in Public Health Node/I-NEDSS Development environment
  • Test data in Public Health Node/I-NEDSS Test environment
  • Note: For practices (one legal entity) with multiple providers using the same EHR, only one test of submission for each certified EHR system is required (see example here).   

Step 5: Validation of Data Content

  • Validation of data in Public Health Node/I-NEDSS Production environment

Contact I-NEDSS for ELR

Click here


Syndromic Surveillance

Eligible Professionals: Not a Stage 1 Meaningful Use option for EPs

Eligible Hospitals & Critical Access Hospitals: Perform at least 1 test of the certified EHR technology’s capacity to provide electronic syndromic surveillance data to the Public Health Node with continued submission if successful.  Hospitals submitting data to IDPH should route that data through the ILHIE, which will send it on to the Public Health Node for Meaningful Use reporting and submission to BioSense.

Public Health Memo RE: New Syndromic Surveillance Reporting Requirements as of March 21, 2013: Click Here


Note: Hospitals in northeastern Illinois participating in the ESSENCE syndromic surveillance system will be provided with an option to fulfill Meaningful Use requirements by having their syndromic surveillance data routed from ESSENCE to BioSense, provided the necessary agreements are signed. Hospitals participating in the Gateway ESSENCE syndromic surveillance system will also need to send syndromic surveillance data to the Public Health Node, in order to fulfill IDPH reporting requirements.

 

Stage 1 Meaningful Use – Syndromic Surveillance

IDPH System

Exchange Standards

Vocabulary Standards

Sending Data via ILHIE to the Public Health Node

Implementation Specifications

BioSense 2.0

HL7 2.3.1
 
HL7 2.5.1 

 N/A

HL7 2.3.1

HL7 2.5.1

CCD 32 NIST xml

Illinois Department of Public Health Syndromic Surveillance Simplified Messaging Guide 

PHIN Messaging Guide for Syndromic Surveillance: Emergency Department and Urgent Care Data. Release 1.1. August 2012

Healthcare Information Technology Standards Panel (HITSP) C32 format (version 2.5)

 

Achieving Meaningful Use Compliance for Syndromic Surveillance (Hospitals Only)

Step 1: Register to submit data to IDPH for Meaningful Use

Step 2: Sign required legal agreements:
  • ILHIE Public Health Data Conduit Agreement
  • Note: Hospitals and EPs connected to a Regional HIE supporting public health reporting via the ILHIE are not required to execute a separate Public Health Conduit Agreement.   

Step 3: Establish a Connection for Data Exchange (one option required):

  • HL7 2.3.1 or 2.5.1 message from an ONC-Authorized Testing and Certification Bodies (ATCBs) certified system to the Public Health Node (preferred format)
  • Alternative file requiring transformation sent to the Public Health Node (See above Table for information on alternative file formats.)
  • Connectivity through Regional Health Information Exchange connected to the ILHIE and supporting public health reporting for Meaningful Use.
  • Note: Facilities that send data in the preferred HL-7 format are prioritized. Facilities that are unable to send data in the preferred format please contact the ILHIE here.

Step 4: Submission of Test Message

  • Transformation of file into standard HL7 message format (if required)
  • Email hospital of successful of Meaningful Use test completion
  • Successful receipt and processing of file by the Public Health Node and BioSense
  • Note: For practices (one legal entity) with multiple providers using the same EHR, only one test of submission for each certified EHR system is required, (see example here).  

Step 5: Validation of Data Content

  • Verification that all required data elements are sent

Syndromic Surviellance Contact

Kelsie Landers (Primary Contact)
Illinois Health Information Exchange Authority
kelsie.landers@illinois.gov
312-814-1866

Illinois Department of Public Health (Secondary Contact)

Click Here


Page Updated 4.11.14