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Objective 8: Public Health and Clinical Data Registry Reporting

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Updated: 10/21/2019
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Medicaid Promoting Interoperability - Stage 3

Objective: The eligible professional (EP) is in active engagement with a public health agency (PHA) or clinical data registry (CDR) to submit electronic public health data in a meaningful way using certified electronic health record technology (CEHRT), except where prohibited, and in accordance with applicable law and practice.

An EP must satisfy two measures for this objective. If the EP cannot satisfy at least two measures, they may take exclusions from all measures they cannot meet.
Measure 1: Immunization Registry Reporting: The EP is in active engagement with a PHA to submit immunization data and receive immunization forecasts and histories from the public health immunization registry/immunization information system (IIS).

The Eligible Professional (EP) is in active engagement with a public health agency to submit immunization data.

To start:

  • Contact your state immunization registry
    • Your state registry will provide details including their contact information.
  • Contact support at Kareo to open a case
    • Indicate you want to start the process to send immunization data to your state registry
    • Provide the details and contact information provided by the state registry
    • Complete the setup and testing process with the Kareo representative assigned to your case
    • Save all information for auditing purposes
Exclusions: Any EP meeting one or more of the following criteria may be excluded from the immunization registry reporting measures. If the EP:
  • Does not administer any immunizations to any of the populations for which data is collected by their jurisdiction's immunization registry or immunization information system during the EHR reporting period.
  • Practices in a jurisdiction for which no immunization registry or immunization information system is capable of accepting the specific standards required to meet the Certified Electronic Health Record Technology (CEHRT) definition at the start of the EHR reporting period.
  • Practices in a jurisdiction where no immunization registry or immunization information system has declared readiness to receive immunization data as of six months prior to the start of the EHR reporting period.
Measure 2: Syndromic Surveillance Reporting

The EP is in active engagement with a public health agency to submit syndromic surveillance data.
Syndromic Surveillance reporting allows clinicians to report outbreak cases such as the measles.  

To start:

  • Contact your state syndromic surveillance registry
    • Your state registry will provide details including their contact information.
  • Contact support at Kareo to open a case
    • Indicate you want to start the process to submit syndromic surveillance data to your state registry
    • Provide the details and contact information provided by the state registry
    • Complete the setup and testing process with the Kareo representative assigned to your case
    • Save all information for auditing purposes
Exclusions: Any EP meeting one or more of the following criteria may be excluded from the syndromic surveillance reporting measures if the EP:
  • Is not in a category of providers from which ambulatory syndromic surveillance data is collected by their jurisdiction's syndromic surveillance system.
  • Operates in a jurisdiction for which no public health agency is capable or receiving electronic syndromic surveillance data from EP's in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period.
  • Operates in a jurisdiction where no public health agency has declared readiness to receive syndromic surveillance data from EPs at the start of the EHR reporting period.
Attestation: An EP must be able to attest “yes” to Objective 8 in order to fulfill the requirements.  Kareo is only certified for Measure 1 and Measure 2.  For an EP successfully attest for Objective 8, the EP will need to contact both their state or local immunization registry and state or local public health registry. 
Audit Documentation: We recommend that any documentation that is received as part of your transmission is placed in your audit folder and retained for a minimum of 6 years after your attestation.  Your audit folder should provide the necessary verification if you are selected for a CMS Incentive Program audit.