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2017 Requirements
Modified Stage 2 Meaningful Use, Objective 10
Eligible Professionals (EPs) must attest, or claim Exclusion, to all three Objective 10 measures. Please note the following:

  • The State is not accepting attestations to Measure 1 (Immunization Registry Reporting) or Measure 2 (Syndromic Surveillance). EPs may claim exclusions to Measures 1 and 2 as applicable.
  • Measure 3 (Specialized Registry Reporting): EPs may report to more than one specialized registry and may count Specialized Registry Reporting twice to meet the required number of measures for the objective. EPs must complete two actions to determine whether available registries exist:
    • Determine if the State endorses or sponsors a registry; and
    • Determine if a National Specialty Society or other specialty society with which the EP is affiliated endorses or sponsors a registry.
  • If a Specialized Registry exists, EPs must demonstrate that they are in "active engagement" to submit data to that specialized registry. Active engagement means that the provider is in 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.
    • Active Engagement Option 1 – Completed Registration to Submit Data: The EP registered to submit data with the PHA or, where applicable, the CDR to which the information is being submitted; registration was completed within 60 days after the start of the EHR reporting period; and the EP is awaiting an invitation from the PHA or CDR to begin testing and validation. This option allows providers to meet the measure when the PHA or the CDR has limited resources to initiate the testing and validation process. Providers that have registered in previous years do not need to submit an additional registration to meet this requirement for each EHR reporting period.
    • Active Engagement Option 2 - Testing and Validation: The EP is in the process of testing and validation of the electronic submission of data. Providers must respond to requests from the PHA or, where applicable, the CDR within 30 days; failure to respond twice within an EHR reporting period would result in that provider not meeting the measure.
    • Active Engagement Option 3 – Production: The EP has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.
  • If neither the State nor a National Specialty Society has a registry to which the provider can report, CMS requires additional due diligence before an exclusion may be claimed for the measure. Any EP meeting at least one of the following criteria may be excluded from the specialized registry reporting measure 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; or
    • 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.
  • The New Hampshire Division of Public Health Services is accepting cancer registry data from EPs. Go to the Meaningful Use in the Division of Public Health Services web page for more details.
  • Specialty societies with specialized registries can dictate the method by which they receive the data (CMS FAQ #13653). The data must be generated from the certified EHR technology. The specialized registry may accept data via a secure email. If the provider can send data through a secure email, they can generate the report from their EHR and follow the registry's instructions on securely emailing it.
  • If the provider is a member of a specialty society and the only way to electronically report to the registry is to pay the EHR vendor for the connection, then the provider cannot take an exclusion because there is a registry available to which he/she can report.
  • Supporting Documentation
  • EPs claiming Exclusion for one, or more, Public Health measures must upload one copy of the New Hampshire Division of Public Health Services 2017 Readiness Letter Adobe Acrobat Reader Symbol onto ePIP as supporting documentation.
  • EPs that attest to being in active engagement to submit data to a specialized registry must provide a signed, dated letter from that registry that verifies that the EP demonstrated active engagement during the EHR reporting period as well as the active engagement option (i.e., Level 1, 2, or 3).
  • EPs claiming Exclusion to Measure 3 must document (and upload onto ePIP) all steps demonstrating due diligence for an Exclusion including emails to specialty societies, screen shots of webpages, etc.

Stage 3 Meaningful Use, Objective 8
CMS is not requiring EPs to attest to Measure 3, Electronic Case Reporting, in 2017 for Stage 3. Because of this, this measure has been removed from Objective 8 on ePIP.

The State of New Hampshire Office of Medicaid Services is not accepting data from EPs for Measure 1 (Immunization Registry) or Measure 2 (Syndromic Surveillance) in 2017.

  • EPs may claim one of the Exclusion options when attesting for Measure 1 or Measure 2.
  • One copy of the New Hampshire Division of Public Health Services 2017 Readiness Letter Adobe Acrobat Reader Symbol must be uploaded onto ePIP as supporting documentation.
    EPs must attest or claim Exclusion for Measure 4 (Public Health Registry Reporting) and Measure 5 (Clinical Data Registry Reporting) in 2017.
    • EPs that attest for Measure 4 and/or Measure 5: Must demonstrate that they are in 'active engagement' to submit data to a specialized registry. Active engagement means that the provider is in 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.
    • Supporting Documentation for Measure 4 and Measure 5: EPs that attest to being in active engagement to submit data to a registry must provide a signed, dated letter from that registry that verifies that the EP demonstrated active engagement during the EHR reporting period as well as the level of active engagement achieved (1, 2, or 3). EPs claiming Exclusion to Measure 4 and Measure 5 must document (and upload onto ePIP) all steps demonstrating due diligence for an Exclusion including emails to specialty societies, screen shots of webpages, etc.
 
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