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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. NC DPH is not requesting and will not receive Electronic Laboratory Reports from eligible professionals. To register your intent to submit ELR 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 Syndromic Surveillance data from eligible hospitals transmitting data from 2014 Edition ONC Certified Electronic Health Record Technology. 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 is accepting immunization information electronically via bi-directional interface from eligible hospitals and eligible professionals using certified electronic health record software for Stage 2 Meaningful Use. Registrations for Meaningful Use Stage 3 will start on January 1, 2017. Eligible professionals using certified electronic health record software must register for the immunization registry reporting measure. Additional information will be provided for registered 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.

  • NC DPH is capable of accepting electronic submission of Cancer Diagnosis and Treatment information to the North Carolina Centralized Cancer Registry (for eligible professionals with Certified EHR only). Registrations for Meaningful Use Stage 3 will start on January 1, 2017. Eligible providers using certified EHR vendors must register for the cancer measure and then follow up by sending cancer reports for testing and validation. 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.

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