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Electronic Health Record (EHR) Meaningful Use Requirements

In North Carolina, the state Division of Public Health oversees four objectives of the public health meaningful use component of the state-level Health Information Technology for Economic and Clinical Health (HITECH) initiative:

  1. Electronic submission of Reportable Laboratory Results (for hospitals only)
  2. Electronic submission of Syndromic Surveillance Data (for hospitals only)
  3. Electronic submission of Immunization Registry Data (for eligible professionals and hospitals)
  4. Electronic submission of Cancer Registry Data

Under HITECH, eligible health care professionals and hospitals can qualify for Medicare and Medicaid incentive payments External link when they adopt certified electronic health records (EHR) technology and use it to achieve specified objectives. Providers must meet required "meaningful use" objectives to qualify for the bonus payments.

Please note:

  • NC DPH is capable of accepting Electronic Laboratory Reports from eligible hospitals. NCDPH is not requesting and will not receive Electronic Laboratory Reports from eligible professionals. To register your intent to submit ELR to NCDPH, please register via the NC DPH Meaningful Use Site for Registration of Intent (for eligible hospitals only).

  • NC DPH is capable of accepting electronic Syndromic Surveillance from eligible hospitals. NC DPH is not requesting and will not receive electronic syndromic surveillance from eligible professionals. If ongoing submission of syndromic surveillance data was already achieved by an eligible hospital for an EHR reporting period in a prior year and continues throughout the current EHR reporting period using NCHESS, registration of intent for the syndromic surveillance measure is not required. To register your intent to submit syndromic surveillance data to NC DPH, please register via the NC DPH Meaningful Use Site for Registration of Intent (for eligible hospitals only).

  • NC DPH is capable of accepting electronic Immunization Registry Data from eligible hospitals and eligible professionals. To register your intent to submit immunization registry data to NC DPH, please register via the NC DPH Meaningful Use Site for Registration of Intent.

  • NCDPH is capable of accepting electronic cancer reports from eligible professionals (EPs).To register your intent to submit cancer data to NC DPH, please register via the NC DPH Meaningful Use Site for Registration of Intent.

  • The only specialized registry offered by NC DPH is the NC Centralized Cancer Registry, which accepts cancer reports from eligible professionals who diagnose or treat cancer.
    Information about other specialized registries can be found here.

Stage 2 of Meaningful Use

Stage 2 MU goes into effect on October 1, 2013 for eligible hospitals (EHs) and January 1, 2014 for eligible professionals (EPs). As a reminder, to allow providers time to upgrade their EHRs to the 2014 EHR certification standards, CMS has granted a one-time, 90-day reporting period (for EPs) or fiscal quarter (for EHs) for ALL providers participating in the EHR Incentive Programs in program year 2014, regardless of a provider’s participation year.

To meet Stage 2 MU public health reporting requirements, providers must declare their intent to submit this information electronically to the State Public Health Agency within the first 60 days of their chosen MU reporting period. Please click on the objective-specific page for more information regarding how to register for that particular objective. For more information, please contact the N.C. DPH Meaningful Use Help Desk by email (ncdphmu@dhhs.nc.gov), or for questions related specifically to immunization reporting contact ncirdataexchange@dhhs.nc.gov.

Meaningful Use Reporting

Per N.C. Department of Health and Human Services’ (DHHS) policy, the North Carolina Health Information Exchange Authority (NC HIEA) is the state-designated entity for health information exchange and the preferred method to electronically report public health information required to meet certain Stage 2 Meaningful Use (MU) objectives.

To learn more, please visit the NC HIEA website or email hiea@nc.gov.

Contacts

For further information regarding Meaningful Use Requirements in North Carolina, please send an email to the North Carolina Division of Public Health at NCDPHMU@dhhs.nc.gov.

For Additional Information