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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 (for eligible professionals only)

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:

  • Electronic Laboratory Reporting: Meaningful Use Stage 3 – 2015 Edition CEHRT: NC DPH is capable of accepting Electronic Laboratory Reports from eligible hospitals, according to the HL7 2.5.1 standards required to meet the 2015 Edition Certified Electronic Health Record Technology (CEHRT) definition. Meaningful Use Modified Stage 2 – 2014 Edition CEHRT: NC DPH is capable of accepting Electronic Laboratory Reports from eligible hospitals, according to the HL7 2.5.1 standards required to meet the 2014 CEHRT definition. 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).
  • Syndromic Surveillance Reporting: Meaningful Use Stage 3 – 2015 Edition CEHRT: By January 1, 2018, NC DPH will be capable of accepting electronic Syndromic Surveillance data from eligible hospitals transmitting data according to the standards required to meet the 2015 Edition CEHRT definition. Meaningful Use Modified Stage 2 – 2014 Edition CEHRT: NC DPH is capable of accepting electronic Syndromic Surveillance data from eligible hospitals, according to the HL7 2.5.1 standards required to meet the 2014 CEHRT definition. 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).
  • Immunization Reporting: Starting January 1, 2018 the North Carolina Division of Public Health Immunization Registry (NCIR) will be applying the CDC HL7 2.5.1 Implementation Guide for Immunization Messaging, Release 1.5 and Addendum to meet the 2015 Edition Certified Electronic Health Record Technology (CERHT) definition. NCIR will support Query/Response, acknowledgement messaging, and the receipt of National Drug Codes (NDC) for newly-administered immunizations. 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.
  • Electronic Case Reporting: Meaningful Use Stage 3 – 2015 Edition CEHRT: NC DPH is not capable of accepting Electronic Case Reports from eligible providers. Registrations of intent to submit electronic case reports to NC DPH will not be accepted on January 1, 2018. NC DPH will re-evaluate our status every six months and will update this web page if status changes.
  • Specialized Registries Reporting:
    1. Cancer Registry: Meaningful Use Stage 3 – 2015 Edition CEHRT:
    NC Central Cancer Registry is capable of accepting electronic cancer reports from eligible providers, according to the standards required to meet the 2015 Edition CEHRT definition. Meaningful Use Modified Stage 2 – 2014 Edition CEHRT: NC Central Cancer Registry is capable of accepting electronic cancer reports from eligible providers, according to the standards required to meet the 2014 Edition CEHRT definition. To register your intent to submit cancer data to NC DPH, please register via the NC DPH Meaningful Use Site for Registration of Intent.
    2. Other specialized registries: Information 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