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Stage 2 Meaningful Use - Detailed Public Health Objectives 

 
In Stage 2, EPs, EHs and CAHs must register their intent to and meet ongoing submission from certified EHR technology for the entire reporting period for the appropriate surveillance systems.
  • Eligible Professionals must satisfy one core public health objective, immunization reporting, and may choose from three menu set objectives: syndromic surveillance, cancer registry reporting, and specialized registry reporting for Meaningful Use public health reporting. 
  • Hospitals must satisfy three core public health objectives: immunization reporting, syndromic surveillance and electronic laboratory reporting (ELR) for Meaningful Use public health reporting.    

Registration of Intent

In order to begin the Stage 2 Meaningful Use testing and submission process with any public health registry or surveillance system, all EHs, CAHs and EPs, must begin by registering their intent to initiate ongoing submission at the IDPH Meaningful Use Registration System: https://murs.illinois.gov on or after October 1, 2013.

After registration, a provider will receive an electronic confirmation message. This will serve as documentation of their status for Meaningful Use Stage 2 reporting and will provide additional information to prepare for the on-boarding process. A provider will then be placed in a queue for on-boarding and will await invitation from the Illinois Department of Public Health to begin testing and validation.

Ongoing Submission to the Illinois Department of Public Health

The eligible provider can satisfy the ongoing submission requirement and meet the public health measure through any of the following:

  1. Ongoing Submission: Registration of intent to initiate ongoing submission made by the deadline and ongoing submission (production data) is achieved;
  2. Testing and Validation: Registration of intent to initiate ongoing submission was made by the deadline and the EP or hospital is still engaged in testing and validation of ongoing electronic submission;
  3. In Queue: Registration of intent to initiate ongoing submission was made by the deadline and the EP or hospital is awaiting invitation to begin testing and validation (on-boarding queue);
  4. Ongoing Submission with 2011 EHR Certification: Ongoing submission was already achieved for an EHR reporting period in a prior year and continues throughout the current EHR reporting period using either the current 2014 certification standard or the HL7 2.3.1 standards included in the 2011 Edition EHR certification criteria during the prior EHR reporting period when ongoing submission was achieved (grandfather exception for immunizations and syndromic surveillance).

The eligible provider will not meet the measure in the following situations:

  1. Fails to register their intent by the deadline (within 60 days of the start of the EHR reporting period; or
  2. Fails to participate in the on-boarding process as demonstrated by their failure to respond to the PHA written requests for action within 30 days on two separate occasions. 

NOTE: Actual patient data is required for the ongoing submission.

NOTE: IDPH will provide written communication affirming that the eligible provider was able to submit the relevant public health data to meet the measure.  The response will be in writing and may include a response in an electronic format including but not limited to: 1) email sent to provider; 2) letter mailed to provider; 3) HL7 acknowledgement message; 4) posting information to a designated IDPH website.  This communication can be used to support provider attestation.

NOTE: In 2014 the reporting period is a continuous 90 days. In 2015 and beyond, the reporting period is for the entire year.       


Immunization Registry

Eligible Professionals: Successful ongoing submission of electronic immunization data from certified EHR technology to I-CARE for the entire EHR reporting period. 

  • EPs may choose to submit data to the ILHIE, which will send it on the Public Health Node for Meaningful Use reporting and submission to I-CARE.  

Eligible Hospitals & Critical Access Hospitals: Successful ongoing submission of electronic immunization data from certified EHR technology to I-CARE for the entire the EHR reporting period.

  • Hospitals not currently submitting data directly to I-CARE 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-CARE.

Illinois Immunization Use Case: Click Here

 

Stage 2 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 2.5.1*

HL7 Standard Code Set CVX Vaccines Administered updates, through July 11, 2012

HL7 2.5.1

 

CCD 32 NIST xml

SFTP HTTPS

Web Services

 

IDPH I-CARE Local Implementation Guide for HL7 Immunization Messaging

HL7 2.5.1 Implementation Guide for Immunization Messaging, Release 1.4

Technical Application of Use Cases FAQs

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

* If EPs, or hospitals have achieved ongoing submission prior to CY 2014 and FY 2014, respectively, using EHR technology certified to the 2011 Edition EHR  certification criteria (HL7 v2.3.1 only) it is acceptable to continue this ongoing submission and meet Stage 2.  

Achieving Meaningful Use Compliance for Immunization Registry Reporting

Step 1: Click here to register intent to initiate ongoing submission. If the eligible provider fails to register their intent to initiate ongoing submission by the deadline they will not meet the measure. 

Step 2: Register with I-CARE using the IDPH Registration Site

Step 3: Sign required legal agreements
  • ILHIE Public Health Data Conduit Agreement, in addition to Data Use Agreements with IDPH for I-CARE
  • 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 4: 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-CARE (preferred format)
  • Connectivity through a Regional Health Information Exchange supporting public health reporting via the ILHIE.
  • 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
  • Test data in I-CARE (Public Health Node) Test environment
  • Test data in I-CARE (Public Health Node) Development environment

Step 6: Validation of Data Content

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

Step 7: Ongoing Submission

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: Successful ongoing submission of electronic reportable laboratory results from certified EHR technology to I-NEDSS for the entire EHR reporting period. 

  • Hospitals not currently submitting data directly 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 2 Meaningful Use – ELR

IDPH System

Exchange Standards

Vocabulary Standards

Sending Data via ILHIE to the Public Health Node

Implementation Specifications

I-NEDSS

HL7 2.5.1

LOINC v2.40

 

SNOMED CT

HL7 2.5.1

HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 1

ELR 2.5.1 Clarification Document for EHR Technology Certification

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

 

Achieving Meaningful Use Compliance for ELR (Hospital Only)

Step 1: Click here to register intent to initiate ongoing submission.  If the eligible provider fails to register their intent to initiate ongoing submission by the deadline they will not meet the measure. 

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 a Regional Health Information Exchange supporting public health reporting via the ILHIE.
  • 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
  • Test data in Public Health Node/I-NEDSS Development environment
  • Test data in Public Health Node/I-NEDSS Test environment

Step 5: Validation of Data Content

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

Step 6: Ongoing Submission

ELR Contact
I-NEDSS
Click here 
Syndromic Surveillance

Eligible Professionals: Successful ongoing submission of electronic syndromic surveillance data from certified EHR technology to the Illinois Department of Public Health for the entire reporting period.  IDPH will begin accepting ongoing submission of electronic syndromic surveillance data from EPs in January 2014. 

  • IDPH will accept syndromic surveillance data from the following EPs: Urgent Care Centers and Physicians (primarily MDs and DOs).
  • IDPH will not accept syndromic surveillance data from the following EPs: Dentists, Podiatrists, Optometrists and Chiropractors.

Eligible Hospitals & Critical Access Hospitals: Successful ongoing submission of electronic syndromic surveillance data from certified EHR technology to the Public Health Node via the ILHIE. 

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

  • IDPH now requires Acute Care and Critical Access Hospitals not already submitting Emergency Department syndromic surveillance data to IDPH that meet Meaningful Use Stage 2 specifications to begin doing so by March 1, 2014 in the City of Chicago and counties with populations > 500,000 residents and by September 1, 2014 in counties with populations < 500,000 residents. 

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 2 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 2.5.1*

 N/A

HL7 2.5.1

 

 CCD 32 NIST xml

 

Flat file (csv, pipe delimted)

For Hospitals:

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

Conformance Clarification for EHR Certification of Electronic Syndromic Surveillances, PHIN Messaging Guide Addendum

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

IDPH

HL7 2.5.1

N/A

Available 2014

For Eligible Professionals

Illinois Department of Public Health Electronic Syndromic Surveillance Submission Guide for Ambulatory Data (Available January 2014)

Electronic Syndromic Surveillance Using Hospital Inpatient and Ambulatory Clinical Care Electronic Health Record Data: Recommendations for the ISDS Meaningful Use Workgroup (November 2012)

* If hospitals have achieved ongoing submission prior to CY 2014 and FY 2014, respectively, using EHR technology certified to the 2011 Edition EHR  certification criteria (HL7 v2.3.1 only) it is acceptable to continue this ongoing submission and meet Stage 2.  

Achieving Meaningful Use Compliance for Syndromic Surveillance (Hospitals Only)

Step 1: Click here to register intent to initiate ongoing submission. If the eligible provider fails to register their intent to initiate ongoing submission by the deadline they will not meet the measure. 

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 the Public Health Node (preferred format)

  • Connectivity through a Regional Health Information Exchange supporting public health reporting via the ILHIE.

  • Alternative file requiring transformation sent to the Public Health Node (See above Table for information on alternative file formats.)
  • 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)
  • Successful receipt and processing of file by the Public Health Node and BioSense

Step 5: Validation of Data Content

  • Verification that all required data elements are sent

Step 6: Ongoing Submission

Applicable Exclusion Criteria: The EP is not a category of provider that collects ambulatory syndromic surveillance information.  The hospital does not have an emergency or urgent care department.

Syndromic Surveillance Contacts

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

Secondary Syndromic Surveillance Contact
Illinois Department of Public Health
Click here

Cancer Reporting

Eligible Professionals: Successful ongoing submission of cancer case information from certified EHR technology to the Illinois State Cancer Registry for the entire EHR reporting period. 

Eligible Hospitals & Critical Access Hospitals: Not a Meaningful Use option for hospitals.   

 

Stage 2 Meaningful Use – Cancer Reporting

IDPH System

Exchange Standards

Vocabulary Standards

Sending Data directly to Public Health System

Implementation Specifications

Illinois State Cancer Registry

HL7 CDA, Release 2

SNOMED CT

LOINC v2.40

HL7 CDA, Release 2

HL7 Implementation Guide for Ambulatory Healthcare Reporting to Central Cancer Registries, HL7 Clinical document Architecture (CDA)

 

Achieving Meaningful Use Compliance for Cancer Reporting (EPs Only)

Step 1: Click here to register intent to initiate ongoing submission.  If the EP fails to register their intent to initiate ongoing submission by the deadline they will not meet the measure. 

Step 2: Establish a Connection for Data Exchange (one option required):

  • HL7 CDA from an ONC-Authorized Testing and Certification Bodies (ATCBs) certified system to the Illinois State Cancer Registry

Step 3: Submission of Test Message

  • Successful receipt and processing of file by the Cancer Registry

Step 4: Validation of Data Content

  • Verification that all required data elements are sent

Step 5: Ongoing Submission

Applicable Exclusion Criteria: The EP does not diagnose or directly treat cancer.

Contact Illinois State Cancer Registry 

Click here


Specialized Registry Reporting

Eligible Professionals: Successful ongoing submission of specific case information from certified EHR technology to a specialized registry for the entire EHR reporting period. 

Eligible Hospitals & Critical Access Hospitals: Not a Meaningful Use option for hospitals  

Specialized Registry: Sponsored by a national specialty society for which the EP is eligible or specialized registries maintained by the Illinois Department of Public Health.

  • Specialized registries can also include specialized registries operated by patient safety organizations and quality improvement organizations.  The specialized registry cannot be duplicative of any of the other registries included in other meaningful use objectives and measures. 
  • The Illinois Department of Public Health is not currently accepting specialized registry reporting from EPs. 
  • Please see the Centers for Medicare and Medicaid Services Stage 2 EP Specification Sheet for additional detail.

Page updated 4.11.14