Guidance for New Hampshire Eligible Professionals attesting to Meaningful Use Stage 3 Objective 8: Public Health/Clinical Data Registry Reporting.
Option 1, Immunization Registry Reporting
All New Hampshire Eligible Professionals will EXCLUDE from the Immunization Registry Reporting measure in PY2021. New Hampshire's Department of Health and Human Services (DHHS) has not declared readiness to accept electronic data from EPs.
No documentation is required to be submitted for the exclusion to Immunization Registry Reporting.
Please review the Documentation Aid for MAPIR screenshots and recommended attestation responses:
Immunization Registry Reporting Documentation Aid (PDF, 245KB)
Option 2, Syndromic Surveillance Reporting
All New Hampshire Eligible Professionals will EXCLUDE from the Syndromic Surveillance Reporting measure in PY2021. New Hampshire's Department of Health and Human Services (DHHS) has not declared readiness to accept electronic data from EPs.
No documentation is required to be submitted for the exclusion to Syndromic Surveillance Reporting.
Please review the Documentation Aid for MAPIR screenshots and recommended attestation responses:
Syndromic Surveillance Registry Reporting Documentation Aid (PDF, 207KB)
Option 3, Electronic Case Reporting
All New Hampshire Eligible Professionals will EXCLUDE from the Electronic Case Reporting measure in PY2020. New Hampshire's Department of Health and Human Services (DHHS) has not declared readiness to accept electronic data from EPs.
No documentation is required to be submitted for the exclusion to Electronic Case Reporting.
Please review the Documentation Aid for MAPIR screenshots and recommended attestation responses:
Electronic Case Reporting Documentation Aid (PDF, 219KB)
Option 4, Public Health Registry Reporting
The New Hampshire Department of Health and Human Services has declared readiness to accept Stage 3 Public Health Registry data in PY2021 for Cancer Case Reporting: https://www.dhhs.nh.gov/dphs/bphsi/meaningful-use.htm. EPs may attest to active engagement with another national public health registry if applicable.
- MAPIR has two screens for Clinical Data Registry reporting, therefore EPs have the ability to select the following reporting options:
- Objective 8 Option 4A, and
- Objective 8 Option 4B.
- A New Hampshire EP claiming an exclusion to Option 4A will need to submit documentation stating that reporting to the NH State Cancer Registry is not relevant to their scope of practice.
- NH EPs who excluded to Option 4A because the NH Cancer Registry is not relevant to their scope of practice are not required to select the checkbox or answer Option 4B.
- If an EP attests to Active Engagement for Option 4A for the New Hampshire Cancer Registry or another Public Health Registry, they may be required to select Option 4B and attest to Active Engagement with an additional Public Health Registry, OR exclude from an additional Public Health Registry reporting requirement.
- A provider may be a member of more than one organization that has a Public Health Registry. It is the provider’s responsibility to check with any national public health agencies with which they are affiliated to determine if they endorse or sponsor a registry. This must be assessed no later than the first day of the provider’s EHR reporting period.
- A NH EP claiming an exclusion to Option 4B will need to submit documentation stating one of the following:
- Does not diagnose or treat any disease or condition associated with a public health registry in their jurisdiction during the EHR reporting period; OR
- Operates in a jurisdiction for which no public health agency 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 for which no public health agency for which the EP is eligible has declared readiness to receive electronic registry transactions as of six months prior to the start of the EHR reporting period.
Please review the Documentation Aid for MAPIR screenshots and recommended attestation responses:
Public Health Registry Reporting Documentation Aid (NH EPs) (PDF, 640KB)
Option 5, Clinical Data Registry Reporting
If a New Hampshire EPs took exclusions for Reporting Options 1 - 4, they must meet the Objective by evaluating their participation in TWO Clinical Data Registries (CDRs). They may exclude from CDR reporting if they qualify, but the exclusion is not automatic: documentation must be provided at the time of attestation. The following guidance will assist providers in evaluating their Active Engagement or Exclusion requirements, and the Documentation Aid (link below) has additional details and MAPIR screenshots of recommended attestation responses.
- Clinical Data Registries may be sponsored or maintained by national or medical societies, patient safety organizations, or quality improvement organizations.
- An Eligible Professional may report to more than one Clinical Data Registry, and may count Clinical Data Registry reporting more than once to meet the Public Health Objective. MAPIR has two screens for Clinical Data Registry reporting:
- Objective 8 Option 5A, and
- Objective 8 Option 5B.
- If an EP takes an exclusion and answers ‘No’ to Option 5A, no data entry will be allowed for Option 5B.
- If an EP attests to Active Engagement for Option 5A, they may also required to select Option 5B and attest to Active Engagement with an additional Clinical Data Registry, OR exclude from an additional Clinical Data Registry reporting requirement.
- A provider may be a member of more than one organization that has a Clinical Data Registry. It is the provider’s responsibility to check with any national societies or medical organizations with which they are affiliated to determine if the society endorses or sponsors a registry. This must be assessed no later than the first day of the provider’s EHR reporting period.
- If an EP achieved Active Engagement Production status in PY2018 by sending non-HL7 file format data, they can continue sending this file format, as long as the file was generated by their 2015 Edition CEHRT.
- If an EP did not achieve Active Engagement Production status in 2018, then all engagement options (Registration, Testing/Validation, and Production) must be for HL7 file format generated from their 2015 Edition CEHRT.
Please review the Documentation Aid for detailed guidance and for MAPIR screenshots illustrating the attestation options:
Clinical Data Registry Reporting Documentation Aid (NH EPs) (PDF, 560KB)
For questions, contact the Vermont EHRIP Team at ahs.dvhaEHRIP@vermont.gov
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(Page last updated 02/10/2021)