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Objective 10: Public Health Reporting

Measure Option 1 - Immunization Registry Reporting

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

  • 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 its jurisdiction's immunization registry or immunization information system during the EHR reporting period.
    • Operates 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.
    • Operates in a jurisdiction where no immunization registry or immunization information system has declared readiness to receive immunization data from the EP at the start of the EHR reporting period.

Measure Option 2 - Syndromic Surveillance Reporting

The EP is in active engagement with a public health agency to submit syndromic surveillance data.

  • 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.

Measure Option 3 - Specialized Registry Reporting

The EP is in active engagement to submit data to a specialized registry.

  • Exclusions: Any EP meeting one or more of the following criteria may be excluded from the specialized registry reporting measures if the EP:
    • Does not diagnose or treat any disease or condition associated with, or collect relevant data that is collected by, a specialized registry in their jurisdiction during the EHR reporting period.
    • Operates in a jurisdiction for which no specialized registry is capable of accepting electronic registry transactions in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period.
    • Operates in a jurisdiction where no specialized registry for which the EP is eligible has declared readiness to receive electronic registry transactions at the beginning of the EHR reporting period.

Kareo is only certified for Measure Option 1 and Measure Option 2.  For an EP successfully attest for Objective 10, the EP will need to contact both their state or local immunization registry and state or local public health registry.  The EP will need to contact Kareo enrollments for assistance in registry connectivity.

Attestation

An EP must be able to attest “yes” to Objective 10 in order to fulfill the requirements.  

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 will provide necessary verification if you are selected for a CMS Incentive Program audit.