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Meaningful Use

Meaningful Use is a national initiative to implement information technology for the ultimate purpose of improving patient care. The approach has been presented in three distinct stages and includes a number of public health objectives:

Stage 1: Data collection & sharing (implementation of electronic health record systems) - achieve during federal fiscal year (FFY) 2011-2013*
Stage 2: Advanced clinical processes - achieve during FFY 2014-2015*

Modified Stage 2: Advanced clinical processes - achieve during FFY 2016-2017*

Stage 3: Improved outcomes - achieve during FFY 2018-2021*

*These are general time frames.

Iowa Department of Public Health readiness:

The Centers for Medicare and Medicaid Services (CMS) Meaningful Use Public Health Repository is available at https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/CentralizedRepository-.html, but is based on information collected in September and October of 2016; it is not the authoritative source of all reporting options available. For this reason, IDPH is maintaining this web page as the authoritative source of all public health reporting options supported by IDPH in Iowa. This page will be updated as public health Meaningful Use reporting options change.

Public Health Meaningful Use Letter 06.30.2017

Public Health Meaningful Use Letter 07.01.2016

Public Health Meaningful Use Letter 05.23.2016

Public Health Meaningful Use Letter 03.24.2015

Public Health Meaningful Use Letter 02.19.2015

Public Health Meaningful Use Letter 05.01.2014

Public Health Meaningful Use Letter 10.29.2013

Public Health Meaningful Use Letter 05.01.2013

Public Health Meaningful Use Letter 03.22.2012

Public Health Meaningful Use Letter 12.28.2011

Public Health Meaningful Use Letter 07.06.2011

Organizations are currently working toward meeting Modified Meaningful Use Stage 2 2015 through 2017 and Stage 3 objectives beginning in 2018.

 

Public Health objectives, which involve electronic submission of data:

Submission to Immunization Registries - IDPH is Ready

  • Objective: Capability to submit electronic immunization data to immunization registries or immunization information systems and actual submission in accordance with applicable law and practice
  • Complete the IRIS Data Exchange Onboarding Form, found under the ‘Forms’ tab at https://iris.iowa.gov
  • Bidirectional exchange is available. Please indicate on the form if interested in querying IRIS.
  • Maximum times measure can count towards objective under the Stage 3 Medicaid EHR Incentive Program, 1.

Submission of Reportable Lab Results (electronic laboratory reporting or ELR) - IDPH is Ready

  • Objective: Capability to submit electronic data on reportable (as required by state or local law) lab results to PH agencies and actual submission in accordance with applicable law and practice.
  • More information available at: Iowa Disease Surveillance System (IDSS)
  • Maximum times measure can count towards objective under the Stage 3 Medicaid EHR Incentive Program, 1.

Electronic Case Reporting - IDPH is Ready

  • Objective: The eligible hospital or CAH is in active engagement with a public health agency to submit case reporting of reportable conditions
  • Maximum times measure can count towards objective under the Stage 3 Medicaid EHR Incentive Program, 1.
  • This measure is not required until 2018.

Public Health Surveillance (Syndromic Surveillance) - IDPH is NOT Ready

  • Objective: Capability to submit electronic syndromic surveillance data to PH agencies and actual submission in accordance with applicable law and practice.
  • More information available at: Syndromic Surveillance

Public Health Registries

  • Objective: The eligible hospital or CAH is in active engagement with a public health agency to submit data to one or more public health registries
  • Maximum times measure can count towards objective under the Stage 3 Medicaid EHR Incentive Program, up to 4.

Report cancer cases to a State cancer registry - IDPH/SHRI is Ready

  • Capability to identify and report cancer cases to a public health central cancer registry, except where prohibited, and in accordance with applicable law and practice.
  • The State Health Registry of Iowa/Iowa Cancer Registry is working with IDPH and the IHIN to move forward with the objectives of Stage 2 MU in Iowa. A timeframe has not yet been determined. Information about the reporting file layout can be found at Cancer Registry Reporting File Layout
  • If you are interested in testing with the Iowa Cancer Registry, please see contact information for the Registry Director, Kathleen McKeen, in the document posted at the top of this page under Iowa Department of Public Health Readiness or by using the Iowa Cancer Registry Contact Us page at https://www.public-health.uiowa.edu/shri/contact-us/

Newborn Screening - IDPH is Ready

The Iowa Newborn Screening Information System (INSIS) is a secure, web-based system for reporting newborn hearing screening results in Iowa. This specialized registry option is available to eligible birthing facilities who conduct these types of newborn screenings and follow-up testing. INSIS has the capacity to receive newborn hearing screening data electronically from electronic health records using HL7 messaging. For more information, contact ccid@idph.iowa.gov.

Iowa Health Information Network

The Iowa Health Information Network (IHIN) transitioned out of the Iowa Department of Public Health - under the same name - on March 31, 2017, and is leading the project to significantly expand the statewide health information network and its services. Please visit the Iowa IHIN web site for more information: https://www.ihin.org/contact