To demonstrate Meaningful Use (MU) in Stage 1 in Oregon, eligible providers must submit electronic immunization data and eligible hospitals are required to meet at least one Public Health objective from the menu set of Meaningful Use objectives that include electronic submission to the Public Health Division. To demonstrate Stage 2 MU, eligible providers may also submit data to the cancer registry, while eligible hospitals will be required to submit both electronic laboratory reports as well as syndromic surveillance data. For more information on MU attestation, please visit the Oregon Medicaid EHR Incentive Program website.

Below is a description of the methods to submit electronic health information to meet Public Health Meaningful Use.

• To meet this objective, an eligible provider or eligible hospital must perform at least one test of the certified EHR capacity to submit electronic data to an immunization registry (ALERT IIS).
• Ongoing submissions of data are encouraged if the test is successful.
• Successful submissions to ALERT IIS are
  • generated by certified EHR technology,
  • follow HL7 version v2.4 specifications, and
  • include CVX codes as the vocabulary standard. 

 Electronic Laboratory Reporting  

• To meet this objective, an eligible hospital must perform at least one test of the certified EHR capacity to submit reportable laboratory results to the Public Health Division.
• In addition to meaningful use, ELR is now legally mandated by the state for laboratories sending an average of more than 30 records per month to Oregon Public Health.
• Ongoing submissions of data are encouraged if the test is successful.
• Successful submissions to Oregon ELR are
  • generated by certified EHR technology,
  • follow HL7 version 2.5.1 specifications, and
  • include LOINC and SNOMET CT codes as data content standard. 
    

To meet this objective, an eligible hospital must perform at least one test of the certified EHR capacity to submit electronic data to the Public Health Division (ESSENCE).

• Ongoing submissions of data are encouraged if the test is successful.
• Successful submissions to ESSENCE are
  • generated by certified EHR technology and
  • follow HL7 version 2.5.1 specifications

Steps for Meaningful Use Testing

1. Visit www.cms.gov/EHRIncentivePrograms for Medicare EHR incentives, and www.medicaidehrincentives.oregon.gov/ for Oregon's Medicaid EHR incentives
2. Review the appropriate Public Health message specification guide.
   1. ALERT IIS: www.immalert.org/NEW_ALERT_IIS/alert_iis_gen_xfer_spec.pdf
   2. ELR: www.healthoregon.org/elrresources
   3. Syndromic Surveillance: www.cdc.gov/phin/library/guides/Syndromic_Surveillance_Implementation_Guide_Release_1_4.pdf
3. Prepare and send a sample message to the appropriate Public Health program.
4. Receive a report from the Public Health program on whether the results of the test submission meet Meaningful Use requirements for attestation purposes.
5. Work with program technical staff to set up ongoing data reporting or exchange.