Public Health IT

1. Public Health IT Unit 3: Interoperability Standards in Public Health IT Lecture b – Meaningful Use and MIPS Requirements for Public Health This material (Comp13_Unit3b) was developed by Columbia University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 1U24OC000003. This material was updated by Columbia University under Award Number 90WT0004. This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/.

2. Interoperability Standards in Public Health IT Learning Objectives • Objective 1: Explain and describe the Meaningful Use and MIPS Advancing Care Public Health Objective • Objective 2: Describe the Public Health Engagement process required for Meaningful Use compliance • Objective 3: Know the ONC Certified Capabilities of EHRs that support public health capabilities • Objective 4: List and discuss the public health IT standards used for Meaningful Use and MIPS Advancing Care public health objectives or referred to in the ONC Standards Advisory

3. Public health and clinical data registry reporting for Meaningful Use • Meaningful Use requires that eligible hospitals and eligible providers engage with public health authorities to implement data submission interfaces that use certified health IT • Required for all MU stages but this lecture focuses on Modified Stage 2 and Stage 3 since they are most relevant now

4. Public health and clinical data registry reporting for the Merit-Based Incentive Payment System (MIPS) • MIPS is a program for paying Medicare Part B doctors • 25% of payment is based on the MU objectives (renamed “Advancing Care” for MIPS) • The MU public health objective and measures are included in Advancing Care

5. Meaningful Use public health reporting for eligible hospitals, Modified Stage 2 • Must be in active engagement with a public health authority to submit data for three of the following: • Measure 1 – Immunization Registry Reporting • Measure 2 – Syndromic Surveillance Reporting • Measure 3 – Specialized Registry Reporting • Measure 4 – Electronic Reportable Lab Results Reporting

6. Meaningful Use public health reporting for eligible providers, Modified Stage 2 • Must be in active engagement with a public health authority to submit data for two of the following: • Measure 1 – Immunization Registry Reporting • Measure 2 – Syndromic Surveillance Reporting • Measure 3 – Specialized Registry Reporting

7. MIPS Advancing Care (according to proposed rule) • Must be in active engagement with a public health authority to submit data: • Measure 1 – Immunization Registry Reporting • Measure 2 – SyndromicSurveillance Reporting • Measure 3 – Electronic Case Reporting • Measure 4– Public Health Registry Reporting • Measure 5 – Clinical Data Registry Reporting • Must meet Measure 1 for the base score and can earn one additional point for each additional measure met

8. EH MU Stage 3 • Must be in active engagement with a public health authority to submit data for four of the following: • Measure 1 – Immunization Registry Reporting • Measure 2 – SyndromicSurveillance Reporting • Measure 3 – Electronic Case Reporting • Measure 4– Public Health Registry Reporting • Measure 5 – Clinical Data Registry Reporting • Measure 6– Reportable Lab Results Reporting • Note that the 2017 OPPS rule may reduce this requirement to three out of six

9. EP MU Stage 3 (Cont’d – 1) • Must be in active engagement with a public health authority to submit data for three of the following: • Measure 1 – Immunization Registry Reporting • Measure 2 – SyndromicSurveillance Reporting • Measure 3 – Electronic Case Reporting • Measure 4– Public Health Registry Reporting • Measure 5 – Clinical Data Registry Reporting • Measure 6– Reportable Lab Results Reporting • 2017 OPPS rule may change to two out of six

10. Active engagement • Means “the process of moving towards sending "production data" to a public health agency or clinical data registry, or is sending production data to a public health agency or clinical data registry” • Possible states: • Completed registration to submit data • Testing and validation • Production

11. Unit 3: Data Standards in Public Health IT, Summary – Lecture b • This lecture discussed the public health objective in Meaningful Use Modified Stage 2, Stage 3, and discussed how the public health objective measures play a role in both the Meaningful Use and the MIPS programs • It explains how providers can actively engage with local public health authorities to meet the measures associated with the objective.

12. Data Standards in Public Health ITReferences – Lecture b References: Accredited Standards Committee X12. Retrieved on July 10th, 2010 from http://www.x12.org/ Agency for Toxic Substances & Disease Registry. Retrieved on July 10th, 2010 from http://www.atsdr.cdc.gov/ American College of Radiology national Electrical Manufactures Association (ACR- NEMA). AHIMA Industry Standards and Activities. Retrieved on July 10th, 2010 from http://www.ahima.org/advocacy/healthinformationexchange.aspx American Dental Association. Retrieved on July 10th, 2010 from http://www.ada.org/ American Society for Testing & Materials. Retrieved on July 10th, 2010 from http://www.astm.org/ Analysis of Unique Patient Identifier Options Final report. Association for Information and Image Management:. Retrieved on July 10th, 2010 from http://www.aiim.org/

13. Data Standards in Public Health IT References – Lecture b(Cont’d – 2) References: CCHIT. Clinical and Laboratory Standards Institute (CLSI). Retrieved on July 10th, 2010 from http://www.clsi.org/ Clinical Data Interchange Standards Consortium. Retrieved on July 10th, 2010 from http://www.cdisc.org/ Computer Security Division Community Security Resource Center. Retrieved on July 10th, 2010 from http://csrc.nist.gov/index.html Designated Standard Maintenance Organization (DSMO). Retrieved on July 10th, 2010 from http://www.cdisc.org/ Gartner Healthcare Presentation. Retrieved on July 10th, 2010 from http://www.gartner.com/it/content/530400/530411/ks_hc_nov.pdf Global Patient Identifiers. Retrieved on July 10th, 2010 from http://gpii.info/ Health Industry Business Communications Council (HIBCC). Retrieved on July 10th, 2010 from http://www.hibcc.org/ HIMSS Health Information Exchange http://www.himss.org/ASP/topics_rhio.asp

14. Data Standards in Public Health ITReferences – Lecture b (Cont’d – 3) References: HIMSS Overview of HIE & RHIOs. HL7. Retrieved on July 10th, 2010 from http://www.hl7.org/ Institute of Electrical and Electronics Engineers. Retrieved on July 10th, 2010 from http://www.ieee.org/index.html Institute of Medicine Recommendation for a National Chronic Disease Surveillance System http://www.iom.edu/Reports/2011/A-Nationwide-Framework-for-Surveillance-of-Cardiovascular-and-Chronic-Lung-Diseases.aspx International Organization for Standardization (ISO). Retrieved on July 10th, 2010 from http://www.iso.org/iso/home.htm Mapping and Public Health. National Council for Prescription Drug Programs.

15. Data Standards in Public Health ITReferences – Lecture b (Cont’d – 4) References: National Institute of Standards and Technology. Retrieved on July 10th, 2010 from http://www.nist.gov/index.html Nationally Notifiable Diseases Surveillance System. Retrieved on July 10th, 2010 from http://www.cdc.gov/osels/ph_surveillance/nndss/nndsshis.htm Office of Surveillance, Epidemiology, and Laboratory Services. Public Health Informatics Institute. Retrieved on July 10th, 2010 from http://www.phii.org/ Public Health Informatics and Information Systems edited by Patrick W. O’Carroll, William A. Yasnoff, M. Elizabeth Ward, Laura H. Ripp, & Ernest L. Martin, 2003 ISBN 0-387-95474-0 National Information Standards Organization (NISO). Retrieved on July 10th, 2010 from http://www.niso.org/home/ National Uniform Billing Committee (NUBC). Retrieved on July 10th, 2010 from http://www.nubc.org/

16. Data Standards in Public Health ITReferences – Lecture b (Cont’d – 5) References: Reliable Patient Identification Project. Sample Universal Healthcare Identifier. Shapiro, J. S. Evaluating Public health uses of health information exchange. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2137930/ White Paper Unique Health Identifier for Individuals. Retrieved on July 10th, 2010 from http://epic.org/privacy/medical/hhs-id-798.html

17. Unit 3: Interoperability Standards in Public Health IT This material (Comp 13 Unit 3b) was developed by Columbia University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000013. This material was updated in 2016 by Columbia University under Award Number 90WT0005.