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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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Immunization Registries and Syndromic Surveillance: Overview

Ongoing Submission

In MU Stage 1, both EPs and EHs are required to test at least once their EHR’s capacity to send electronic data to an immunization registry and syndromic surveillance to a public health agency. In Stage 2, however, EPs and EHs will be expected to demonstrate ongoing submission of such data. In addition, immunization registry has been made into a core item for both EPs and EHs in Stage 2. The measure reads as follows:

  • Successful ongoing submission of electronic immunization data from Certified EHR Technology to an immunization registry or immunization information system for the entire EHR reporting period.

Syndromic surveillance has also been made into a core item for EHs in MU Stage 2 but will remain a menu item for EPs. The measure reads as follows:

  • Successful ongoing submission of electronic syndromic surveillance data from CEHRT to a public health agency for the entire EHR reporting period.

EPs and EHs must attest YES to successful ongoing submission of electronic immunization data to an immunization information system (IIS), and/or to successful ongoing submission of electronic syndromic surveillance data from CEHRT to a public health agency for the entire EHR reporting period. To meet MU for immunization registries and syndromic surveillance, an EP or an EH will have to meet one of the following criteria:

  • Ongoing submission was already achieved for an EHR reporting period in a prior year and continues throughout the current EHR reporting period.
  • Registration with the public health agency or other body to whom the information is being submitted of intent to initiate ongoing submission was made by the deadline (within 60 days of the start of the EHR reporting period) and ongoing submission was achieved.
  • 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.
  • 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.

The exclusions below are applicable to both measures for any EP or EH:

  • Does not administer any immunizations to or collect syndromic surveillance data on their patients during the EHR reporting period.
  • Operates in a jurisdiction for which no IIS or public health agency is capable of accepting the specific standards required for CEHRT at the start of their EHR reporting period for accepting immunization or syndromic surveillance data.
  • Operates in a jurisdiction where no IIS or public health agency provides information timely on capability to receive immunization data or syndromic surveillance data.
  • Operates in a jurisdiction for which no IIS or public health agency is capable of accepting the specific standards required by CEHRT at the start of their EHR reporting period can enroll additional EPs.

See the related articles about the requirements for immunization registry and syndromic surveillance.

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