Kansas Meaningful Use Public

Health Reporting

CMS recently published a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to participate in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The final rule’s provisions encompass 2015 through 2017 (Modified Stage 2) as well as Stage 3 in 2018 and beyond.

Meaningful Use Incentive Seekers

If you’re a Medicaid eligible provider, eligible hospital, or critical access hospital looking for information on how to attest for meaningful use and incentive information you can learn at CMS' Electronic Health Records (EHR) Incentive Programs site.

KDHE Meaningful Use Statement of Readiness

KDHE is declaring readiness to accept Stage 3 data submissions from all eligible providers (EP), eligible hospitals (EH), and critical access hospitals (CAH) for the following registries:
        Immunization Registry
        Syndromic Surveillance Reporting
        Notifiable Conditions (Infectious Disease and Birth Defects Registries)
        Electronic Reportable Laboratory Results Reporting
        Electronic Case Reporting (eCR)

Details of readiness by registry are in the table below.

KDHE will accept submissions from both 2014 and 2015 Certified Electronic Health Records Technology through 2017.

Public Health Measure		KDHE Readiness by Registry
Modified Stage 2	Stage 3	Eligible Providers	Eligible Hospitals and Critical Access Hospitals
Measure 1		KDHE is accepting both immunization update and query messages from eligible providers at this time.	KDHE is accepting both immunization update and query messages from eligible hospitals and CAHs.
Immunization Registry Reporting
Measure 2		KDHE can accept syndromic data from eligible providers at clinics with extended hours, walk-in clinics, and urgent care clinics only.	KDHE can accept emergency room syndromic data from eligible hospitals and CAHs, as well as walk-in clinics and urgent care clinics.
Syndromic Surveillance Reporting
Measure 3	Measure 4	Cancer Registry – KDHE can accept cancer data from eligible providers at this time. (Currently only Stage 2) Notifiable Conditions (Birth Defects and Infectious Disease Registries) – KDHE can accept birth defect and infectious disease data from eligible providers at this time. (Currently only Stage 2)	Notifiable Conditions (Birth Defects and Infectious Disease Registries) – KDHE can accept birth defect and infectious disease data from eligible hospitals and CAHs at this time. (Currently only Stage 2)
Specialized Registry Reporting	Public Health Registry Reporting
Measure 4	Measure 6	N/A	KDHE can accept electronic lab results from eligible hospitals and CAHs at this time.
Electronic Reportable Laboratory Results Reporting
N/A	Measure 3	KDHE will accept electronic cse reporting data from eligible providers beginning January 1, 2018. (ONLY Stage 3)	KDHE will accept electronic cse reporting data from eligible hospitals and CAHs beginning January 1, 2018. (ONLY Stage 3)
Electronic Case Reporting (eCR)

Modified Stage 2 Public Health Reporting (2015-2017)
Measure	Specification	Maximum times measure can count towards the objective
Measure 1 – Immunization Registry Reporting	The EP, eligible hospital, or CAH is in active engagement* with a public health agency to submit immunization data.	1
Measure 2 – Syndromic Surveillance Reporting	The EP, eligible hospital or CAH is in active engagement with a public health agency to submit syndromic surveillance data.	1
Measure 3 – Specialized Registry Reporting	The EP, eligible hospital, or CAH is in active engagement with a public health agency to submit data to a specialized registry.	2 for EP, 3 for eligible hospital/CAH
Measure 4 – Electronic Reportable Laboratory Results Reporting	The eligible hospital or CAH is in active engagement with a public health agency to submit ELR results.	N/A for EP 1 for EH or CAH

Stage 3 Public Health and Clinical Data Registry Reporting (2017, 2018 and future)
Measure	Specifications	Maximum times measure can count towards the objective
Measure 1 – Immunization Registry Reporting	The EP, EH, or CAH is in active engagement* with a public health agency to submit immunization data and receive immunization forecasts and histories from the public health immunization registry/immunization information system.	1
Measure 2 – Syndromic Surveillance Reporting	The EP, EH, or CAH is in active engagement with a public health agency to submit syndromic surveillance data.	1
Measure 3 – Electronic Case Reporting	The EP, EH, or CAH is in active engagement with a public health agency to submit case reporting of reportable conditions.	1
Measure 4 – Public Health Registry Reporting	The EP, EH, or CAH is in active engagement to submit data to public health registries.	2 for EP 4 for EH or CAH
Measure 5 – Clinical Data Registry Reporting	The EP, EH, or CAH is in active engagement to submit data to a clinical data registry.	2 for EP 4 for EH or CAH
Measure 6 – Electronic Reportable Laboratory Results Reporting	The EH or CAH is in active engagement with a public health agency to submit ELR results.	N/A for EP 1 for EH or CAH

* Where “active engagement” can be one of the following three options:

Active Engagement Option 1 – Completed Registration to Submit Data: The EP, eligible hospital, or CAH registered to submit data with the public health agency or, where applicable, the clinical data registry to which the information is being submitted; registration was completed within 60 days after the start of the EHR reporting period; and the EP, eligible hospital, or CAH is awaiting an invitation from the public health agency or clinical data registry to begin testing and validation. This option allows providers to meet the measure when the public health agency or the clinical data registry has limited resources to initiate the testing and validation process. Providers that have registered in previous years do not need to submit an additional registration to meet this requirement for each EHR reporting period.

Active Engagement Option 2 - Testing and Validation: The EP, eligible hospital, or CAH is in the process of testing and validation of the electronic submission of data. Providers must respond to requests from the public health agency or, where applicable, the clinical data registry within 30 days; failure to respond twice within an EHR reporting period would result in that provider not meeting the measure.

Active Engagement Option 3 – Production: The EP, eligible hospital, or CAH has completed testing and validation of the electronic submission and is electronically submitting production data to the public health agency or clinical data registry.

Registration to Submit Data

The Modified Stage 2 and Stage 3 requires all incentive seekers to register their intent to submit data to KDHE within 60 days of the start of your reporting period.

Please email us at KDHE.MeaningfulUse@ks.gov to receive the required form or download the Registration of Intent to Submit Data form here.

Eligible Provider Public Health Measures
Measure	Specification	Alternate Exclusions and/or Specifications for Certain Providers
Measure 1 – Immunization Registry Reporting	The EP is in active engagement with a public health agency to submit immunization data.	Stage 1 EPs in 2015 must meet at least 1 measure in 2015, Stage 2 EPs must meet at least 2 measures in 2015, and all EPs must meet at least 2 measures in 2016 and 2017, Stage 3 EPs must meet 2 measures in 2018 and optionally in 2017.
Measure 2 – Syndromic Surveillance Reporting	The EP is in active engagement with a public health agency to submit syndromic surveillance data.
Measure 3 – Specialized Registry Reporting	The EP is in active engagement with a public health agency to submit cancer, birth defect, or infectious disease data.

Eligible Hospital and CAH Public Health Measures
Measure	Specification	Alternate Exclusions and/or Specifications for Certain Providers
Measure 1 – Immunization Registry Reporting	The eligible hospital or CAH is in active engagement with a public health agency to submit immunization data.	Stage 1 EHs and CAHs in 2015 must meet at least 2 measures in 2015, Stage 2 EHs and CAHs must meet at least 3 measures in 2015, and all EHs and CAHs must meet at least 3 measures in 2016 and 2017, Stage 3 EH and CAH must meet at least 4 measures in 2018 and optionally in 2017.
Measure 2 – Syndromic Surveillance Reporting	The eligible hospital or CAH is in active engagement with a public health agency to submit syndromic surveillance data.
Measure 3 – Specialized Registry Reporting	The eligible hospital or CAH is in active engagement with a public health agency to submit cancer, birth defect, or infectious disease data.
Measure 4 – Electronic Reportable Laboratory Results Reporting	The eligible hospital or CAH is in active engagement with a public health agency to submit ELR results.

First Year Demonstrating Meaningful Use	Stage of Meaningful Use
First Year Demonstrating Meaningful Use	2016	2017	2018	2019 and Future Years
2016	Modified Stage 2	Modified Stage 2 or Stage 3	Stage 3	Stage 3
2017	NA	Modified Stage 2 or Stage 3	Stage 3	Stage 3
2018	NA	NA	Stage 3	Stage 3
2019 and Future Years	NA	NA	NA	Stage 3