Guidance for Vermont Eligible Professionals attesting to Meaningful Use Stage 3 Objective 8: Public Health/Clinical Data Registry Reporting.
Option 1, Immunization Registry Reporting
All Vermont Eligible Professionals will EXCLUDE from the Immunization Registry Reporting measure in PY2021. Vermont's Immunization Registry does not have bi-directional data flow capabilities as required by the Stage 3 Objective:
“Immunization Registry Reporting: The EP is in active engagement with a PHA to submit immunization data and receive immunization forecasts and histories from the public health immunization registry/immunization information system (IIS).”
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, 242 KB)
Option 2, Syndromic Surveillance Reporting
All Vermont Eligible Professionals will EXCLUDE from the Syndromic Surveillance Reporting measure in PY2021. The Vermont Department of Health has not declared readiness to accept Syndromic Surveillance data from Eligible Professionals.
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 Vermont Eligible Professionals will EXCLUDE from the Electronic Case Reporting measure in PY2021. The Vermont Department of Health has not declared readiness to accept Electronic Case data from Eligible Professionals.
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
Vermont Eligible Professionals may attest or exclude from the Public Health Registry Reporting measure in PY2021. The Vermont Department of Health has not declared readiness to accept Public Health Registry Reporting data from Eligible Professionals, however EPs may attest to active engagement with another national public health registry if applicable.
- MAPIR has two screens for Public Data Registry reporting, therefore EPs have the ability to select the following reporting options:
- Objective 8 Option 4A, and
- Objective 8 Option 4B.
- If an EP takes an exclusion and answers ‘No’ to Option 4A, no data entry will be allowed for Option 4B.
- If an EP attests to Active Engagement for Option 4A, 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 Vermont EP claiming an exclusion to Option 4A or 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, recommended attestation responses, and suggested documentation:
Public Health Registry Reporting Documentation Aid (PDF, 641KB)
Option 5, Clinical Data Registry Reporting
If a Vermont EP 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 a Vermont EP attests to Active Engagement for Option 5A, they may be 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 (VT EPs) (PDF, 578KB)
PY2021 Options for the Blueprint for Health Vermont Clinical Data Registry
- Per the notification from the Blueprint, this registry will be closing permanently on December 31, 2019.
- As of January 1, 2020, this registry will no longer serve as an active registry for meeting Meaningful Use requirements for PIP/EHRIP Meaningful use reporting requirements in Program Years 2020 and 2021.
- Although the Blueprint Clinical Data Registry will be closed for PY2020 and PY2021, Eligible Professionals (EPs) must still evaluate their participation in TWO Clinical Data Registries.
- EPs must ensure that they check with any National Specialty Society or other medical organizations with which they are affiliated to determine if the society endorses or sponsors a registry.
For questions, contact the Vermont EHRIP Team at ahs.dvhaEHRIP@vermont.gov
Back to PY2021 Public Health Objective Reporting
Back to the Vermont Medicaid PIP/EHRIP Home Page
(Page last updated 02/10/2021)